Relationship between exposure to the Avahan intervention and levels of reported condom use among men who have sex with men in southern India

BMC Public Health

Peter Vickerman¹  Michel Alary⁵  Marie-Claude Boily⁶  Catherine M Lowndes⁵  Stephen Moses³  James F Blanchard³  Kathleen N Deering²  Holly J Prudden⁷  Shajy Isac⁴  Reynold Washington⁴  Banadakoppa M Ramesh⁴  Anna M Foss⁷  Kate M Mitchell⁶ 

[1] School of Social and Community Medicine, University of Bristol, Bristol, UK;Department of Medicine, University of British Columbia, Vancouver, Canada;Centre for Global Public Health, University of Manitoba, Winnipeg, Canada;Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada;Centre de recherche du CHU de Québec, Québec, Canada;Current address: Department of Infectious Disease Epidemiology, Imperial College London, London, UK;Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK

关键词: Logistic regression;    Cross-sectional study;    Bangalore;    Key population;    Condom demonstration;    Condom use at last sex act;    Consistent condom use;   

Others  :  1122862
DOI  :  10.1186/1471-2458-14-1245

 received in 2014-04-01, accepted in 2014-11-24,  发布年份 2014

【 摘 要 】

Background

The Avahan intervention promotes consistent (100%) condom use amongst men who have sex with men in southern India. We assessed how condom use varies with intervention exposure for men who have sex with men in Bangalore.

Methods

Self-reported condom use and intervention exposure data were derived from a cross-sectional survey. Consistent condom use and condom use at last sex act with all, main, and casual male sex partners were assessed. Binary and continuous variables reflecting intervention exposure (including contact(s) with intervention staff, receiving condoms and seeing condom demonstrations) were used. Multivariable logistic regression was employed to assess the relationship between condom use with each type of partner and each exposure variable independently, controlling for socio-demographic and behavioural factors associated with condom use or intervention exposure.

Results

Condom use with all partners was higher among those who had ever been contacted by, received condoms from, or seen a condom demonstration by intervention staff (adjusted odds ratio >2, p < 0.02 for all). Consistent condom use with all types of partner increased with the number of condom demonstrations seen in the last month (adjusted odds ratio = 2.1 per demonstration, p < 0.025), while condom use at last sex act with a casual (but not main) partner increased with the number of condoms received from the intervention (adjusted odds ratio = 1.4 per condom, p = 0.04).

Conclusions

Direct contact with Avahan program staff is associated with increased reported condom use among men who have sex with men in Bangalore. Reported consistent condom use and condom use at last sex act are associated with contacts involving demonstrations of correct condom use, and with receiving condoms, respectively.

【 授权许可】

   
2014 Mitchell et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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