Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance
Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterosexual epidemics in India and cre...
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| Veröffentlicht in: | PloS one 2014-09, Vol.9 (9), p.e107439-e107439 |
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| creator | Godbole, Sheela Sane, Suvarna Kamble, Pranil Raj, Yujwal Dulhani, Nisha Venkatesh, Srinivasan Reddy, D C S Chavan, Laxmikant Bhattacharya, Madhulekha Bindoria, Suchitra Kadam, Dilip Thakur, Savita Narwani, Prakash Pereira, Elmira Paranjape, Ramesh Risbud, Arun |
| description | Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterosexual epidemics in India and create specific interventions for bisexual MSM. The challenge is to identify and intervene this hard to reach population. Data from HIV Sentinel Surveillance 2011 among MSM in four Indian states were analyzed to assess predictors and prevalence of bisexual behaviour in MSM.
Between March-May 2011, 4682 men (15-49 years) who had anal/oral sex with a male partner in the past month, attending intervention sites and consenting for an un-linked anonymous survey answered an 11- item questionnaire and provided blood for HIV test by finger stick at 19 designated surveillance sites.
Of 4682 MSM tested overall, 5% were illiterate, 51% reported only receptive anal intercourse, 21% only penetrative and 28% both. 36% MSM had ever received money for sex. Overall 6.8% were HIV infected. 44% MSM were bisexual in the last six months. On multivariate analysis, 'being bisexual' was found to be independently associated with 'older age': 26-30 years [AOR = 3.1, 95% CI(2.7, 3.7)], >30 years [AOR = 6.5, 95% CI(5.5, 7.7)]; 'reporting penetrative behaviour alone' with other men [AOR = 5.8, 95% CI(4.8, 7.0), p |
| doi_str_mv | 10.1371/journal.pone.0107439 |
| format | Article |
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Between March-May 2011, 4682 men (15-49 years) who had anal/oral sex with a male partner in the past month, attending intervention sites and consenting for an un-linked anonymous survey answered an 11- item questionnaire and provided blood for HIV test by finger stick at 19 designated surveillance sites.
Of 4682 MSM tested overall, 5% were illiterate, 51% reported only receptive anal intercourse, 21% only penetrative and 28% both. 36% MSM had ever received money for sex. Overall 6.8% were HIV infected. 44% MSM were bisexual in the last six months. On multivariate analysis, 'being bisexual' was found to be independently associated with 'older age': 26-30 years [AOR = 3.1, 95% CI(2.7, 3.7)], >30 years [AOR = 6.5, 95% CI(5.5, 7.7)]; 'reporting penetrative behaviour alone' with other men [AOR = 5.8, 95% CI(4.8, 7.0), p<0.01] and 'reporting both penetrative and receptive behaviour' [AOR = 2.7, 95% CI(2.3, 3.1) p<0.01]. Those who both paid and received money for sex [AOR = 0.49, 95% CI (0.38, 0.62)] were significantly less likely to be bisexual.
A substantial proportion of men receiving services from Targeted Intervention programs are bisexual and the easy opportunity for intervention in this setting should be capitalised upon. Focusing on older MSM, as well as MSM who show penetrative behaviour with other men, could help in reaching this population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0107439</identifier><identifier>PMID: 25211511</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; Analysis ; Biology and Life Sciences ; Bisexual ; Bisexuality ; Condoms ; Councils ; Disease prevention ; Disease transmission ; Epidemics ; Female ; Heterosexuality ; HIV ; HIV Infections - prevention & control ; HIV Infections - transmission ; HIV tests ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Intervention ; Male ; Marriage ; Medical research ; Medicine and health sciences ; Men ; Middle Aged ; Multivariate analysis ; Population ; Prevention ; Risk-Taking ; Safe Sex ; Sex ; Sexual behavior ; Sexually transmitted diseases ; Society ; Surveillance ; Women ; Young Adult</subject><ispartof>PloS one, 2014-09, Vol.9 (9), p.e107439-e107439</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Godbole et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Godbole et al 2014 Godbole et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-72bc1a0829a0450ee9a8bf5e68a83d081f99bc50cb6357168ee13ffe4dc0027f3</citedby><cites>FETCH-LOGICAL-c692t-72bc1a0829a0450ee9a8bf5e68a83d081f99bc50cb6357168ee13ffe4dc0027f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161389/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161389/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,2103,2929,23871,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25211511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Paraskevis, Dimitrios</contributor><creatorcontrib>Godbole, Sheela</creatorcontrib><creatorcontrib>Sane, Suvarna</creatorcontrib><creatorcontrib>Kamble, Pranil</creatorcontrib><creatorcontrib>Raj, Yujwal</creatorcontrib><creatorcontrib>Dulhani, Nisha</creatorcontrib><creatorcontrib>Venkatesh, Srinivasan</creatorcontrib><creatorcontrib>Reddy, D C S</creatorcontrib><creatorcontrib>Chavan, Laxmikant</creatorcontrib><creatorcontrib>Bhattacharya, Madhulekha</creatorcontrib><creatorcontrib>Bindoria, Suchitra</creatorcontrib><creatorcontrib>Kadam, Dilip</creatorcontrib><creatorcontrib>Thakur, Savita</creatorcontrib><creatorcontrib>Narwani, Prakash</creatorcontrib><creatorcontrib>Pereira, Elmira</creatorcontrib><creatorcontrib>Paranjape, Ramesh</creatorcontrib><creatorcontrib>Risbud, Arun</creatorcontrib><title>Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterosexual epidemics in India and create specific interventions for bisexual MSM. The challenge is to identify and intervene this hard to reach population. Data from HIV Sentinel Surveillance 2011 among MSM in four Indian states were analyzed to assess predictors and prevalence of bisexual behaviour in MSM.
Between March-May 2011, 4682 men (15-49 years) who had anal/oral sex with a male partner in the past month, attending intervention sites and consenting for an un-linked anonymous survey answered an 11- item questionnaire and provided blood for HIV test by finger stick at 19 designated surveillance sites.
Of 4682 MSM tested overall, 5% were illiterate, 51% reported only receptive anal intercourse, 21% only penetrative and 28% both. 36% MSM had ever received money for sex. Overall 6.8% were HIV infected. 44% MSM were bisexual in the last six months. On multivariate analysis, 'being bisexual' was found to be independently associated with 'older age': 26-30 years [AOR = 3.1, 95% CI(2.7, 3.7)], >30 years [AOR = 6.5, 95% CI(5.5, 7.7)]; 'reporting penetrative behaviour alone' with other men [AOR = 5.8, 95% CI(4.8, 7.0), p<0.01] and 'reporting both penetrative and receptive behaviour' [AOR = 2.7, 95% CI(2.3, 3.1) p<0.01]. Those who both paid and received money for sex [AOR = 0.49, 95% CI (0.38, 0.62)] were significantly less likely to be bisexual.
A substantial proportion of men receiving services from Targeted Intervention programs are bisexual and the easy opportunity for intervention in this setting should be capitalised upon. Focusing on older MSM, as well as MSM who show penetrative behaviour with other men, could help in reaching this population.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Analysis</subject><subject>Biology and Life Sciences</subject><subject>Bisexual</subject><subject>Bisexuality</subject><subject>Condoms</subject><subject>Councils</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Epidemics</subject><subject>Female</subject><subject>Heterosexuality</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>HIV tests</subject><subject>Homosexuality, Male</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Marriage</subject><subject>Medical research</subject><subject>Medicine and health sciences</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Population</subject><subject>Prevention</subject><subject>Risk-Taking</subject><subject>Safe Sex</subject><subject>Sex</subject><subject>Sexual behavior</subject><subject>Sexually transmitted diseases</subject><subject>Society</subject><subject>Surveillance</subject><subject>Women</subject><subject>Young 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of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance</title><author>Godbole, Sheela ; Sane, Suvarna ; Kamble, Pranil ; Raj, Yujwal ; Dulhani, Nisha ; Venkatesh, Srinivasan ; Reddy, D C S ; Chavan, Laxmikant ; Bhattacharya, Madhulekha ; Bindoria, Suchitra ; Kadam, Dilip ; Thakur, Savita ; Narwani, Prakash ; Pereira, Elmira ; Paranjape, Ramesh ; Risbud, Arun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-72bc1a0829a0450ee9a8bf5e68a83d081f99bc50cb6357168ee13ffe4dc0027f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Analysis</topic><topic>Biology and Life 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USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Godbole, Sheela</au><au>Sane, Suvarna</au><au>Kamble, Pranil</au><au>Raj, Yujwal</au><au>Dulhani, Nisha</au><au>Venkatesh, Srinivasan</au><au>Reddy, D C S</au><au>Chavan, Laxmikant</au><au>Bhattacharya, Madhulekha</au><au>Bindoria, Suchitra</au><au>Kadam, Dilip</au><au>Thakur, Savita</au><au>Narwani, Prakash</au><au>Pereira, Elmira</au><au>Paranjape, Ramesh</au><au>Risbud, Arun</au><au>Paraskevis, Dimitrios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-09-11</date><risdate>2014</risdate><volume>9</volume><issue>9</issue><spage>e107439</spage><epage>e107439</epage><pages>e107439-e107439</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterosexual epidemics in India and create specific interventions for bisexual MSM. The challenge is to identify and intervene this hard to reach population. Data from HIV Sentinel Surveillance 2011 among MSM in four Indian states were analyzed to assess predictors and prevalence of bisexual behaviour in MSM.
Between March-May 2011, 4682 men (15-49 years) who had anal/oral sex with a male partner in the past month, attending intervention sites and consenting for an un-linked anonymous survey answered an 11- item questionnaire and provided blood for HIV test by finger stick at 19 designated surveillance sites.
Of 4682 MSM tested overall, 5% were illiterate, 51% reported only receptive anal intercourse, 21% only penetrative and 28% both. 36% MSM had ever received money for sex. Overall 6.8% were HIV infected. 44% MSM were bisexual in the last six months. On multivariate analysis, 'being bisexual' was found to be independently associated with 'older age': 26-30 years [AOR = 3.1, 95% CI(2.7, 3.7)], >30 years [AOR = 6.5, 95% CI(5.5, 7.7)]; 'reporting penetrative behaviour alone' with other men [AOR = 5.8, 95% CI(4.8, 7.0), p<0.01] and 'reporting both penetrative and receptive behaviour' [AOR = 2.7, 95% CI(2.3, 3.1) p<0.01]. Those who both paid and received money for sex [AOR = 0.49, 95% CI (0.38, 0.62)] were significantly less likely to be bisexual.
A substantial proportion of men receiving services from Targeted Intervention programs are bisexual and the easy opportunity for intervention in this setting should be capitalised upon. Focusing on older MSM, as well as MSM who show penetrative behaviour with other men, could help in reaching this population.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25211511</pmid><doi>10.1371/journal.pone.0107439</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-09, Vol.9 (9), p.e107439-e107439 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1561465157 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS Analysis Biology and Life Sciences Bisexual Bisexuality Condoms Councils Disease prevention Disease transmission Epidemics Female Heterosexuality HIV HIV Infections - prevention & control HIV Infections - transmission HIV tests Homosexuality, Male Human immunodeficiency virus Humans Intervention Male Marriage Medical research Medicine and health sciences Men Middle Aged Multivariate analysis Population Prevention Risk-Taking Safe Sex Sex Sexual behavior Sexually transmitted diseases Society Surveillance Women Young Adult |
| title | Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance |
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