Depression, Human Right Abuses and Sexual Risk Behaviour among Men who Have Sex with Men in Nepal: A Cross-Sectional Study

American Journal of Science and Technology

RakeshSingh¹  SharikaMahato² 

[1] Community Department, National Medical College, Birgunj, Nepal.;Program Department, International Development Enterprise Nepal, Janakpur, Nepal.

关键词: Depression;    Abuse;    Risk Behaviour;    Men who Have Sex with Men;   

学科分类：工程和技术（综合）

来源: AASCIT

【 摘 要 】

Stigma towards men who have sex with men has resulted in a hidden population making them as high-risk group for HIV and AIDS and mental health problems. The objectives of the study were to assess human right abuses and correlates of depression and sexual risk behaviour to HIV infection among men who have sex with men in selected districts of Nepal. A descriptive cross-sectional study among 170 self indentified men who have sex with men in Kathmandu, Bhaktapur, Lalitpur, Makwanpur and Parsa was carried from 20th May 2010 to 25th September 2010. Both descriptive and inferential statistics were used for data analysis. Very high proportion of men who have sex with men had depression. Depression among them was found to be independent of their age and dependent of education and living status. A large percentage of them were found to be the victims of human right abuses like being raped (61%), sexually abused during childhood (59%), blackmailed (59%), beaten up by police official (60%), being teased by people (65.9%).They were found to be involved in high risk sexual behaviour. The proportion of respondent having consistent use of condom with the clients was 69.5% whereas only 14.6% were in good level of prevention and treatment. Condom use was found to be significantly associated with alcohol drinking, attitude towards condom use, accessibility and access to free condom supply and the reinforcing factors like support from the peers and clients. There was a positive significant correlation between the depression and sexual risk behavior among them. The first thing to be done is to bring positive change in attitudes and resultant behaviour towards them. Men facing problem due to having sex with men and condom use should be addressed comprehensively and synchronized in order to formulate appropriate programs for their proper care. Follow-up study is recommended along with further researches among them.

【 授权许可】

Unknown