Same-Sex Behavior and High Rates of HIV Among Men Attending Sexually Transmitted Infection Clinics in Pune, India (1993-2002)
OBJECTIVES:To determine HIV/sexually transmitted infection (STI) prevalence, trends, and risk behaviors of men who have sex with men (MSM) and compare these with those of non-MSM attending STI clinics in Pune, India over a 10-year period. DESIGN:Cross-sectional. METHODS:From 1993 through 2002, men a...
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| Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2006-12, Vol.43 (4), p.483-490 |
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| container_title | Journal of acquired immune deficiency syndromes (1999) |
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| creator | Gupta, Amita Mehta, Shruti Godbole, Sheela V Sahay, Seema Walshe, Louise Reynolds, Steven J Ghate, Manisha Gangakhedkar, Raman R Divekar, Anand D Risbud, Arun R Mehendale, Sanjay M Bollinger, Robert C |
| description | OBJECTIVES:To determine HIV/sexually transmitted infection (STI) prevalence, trends, and risk behaviors of men who have sex with men (MSM) and compare these with those of non-MSM attending STI clinics in Pune, India over a 10-year period.
DESIGN:Cross-sectional.
METHODS:From 1993 through 2002, men attending 3 STI clinics in Pune underwent HIV/STI screening. Demographic, risk behavior, clinical, and laboratory data were collected using standardized questionnaires and laboratory procedures.
RESULTS:Of 10,785 men screened, 708 (6.6%) were MSM. Among these 708 MSM, 189 (31.7%) had 10 or more lifetime partners, 253 (35.7%) were married, 163 (23.1%) had sex with a hijra (eunuch), and 87 (13.3%) had exchanged money for sex. A total of 134 (18.9%) were HIV-positive, 149 (21.5%) had genital ulcer disease (GUD), 37 (5.8%) had syphilis, and 29 (4.3%) had gonorrhea (GC). Over the decade, neither HIV nor GC prevalence changed among MSM (P = 0.7), but syphilis and GUD decreased significantly (P < 0.0001). Compared with non-MSM, MSM were more likely to initiate sexual activity at age 10 lifetime partners, to have sex with a hijra, and to use condoms regularly, but they did not differ significantly in HIV prevalence and had a lower prevalence of GC, GUD, and syphilis. Independent factors associated with HIV among MSM were employment (adjusted odds ratio [AOR] = 3.08; P = 0.02), history of GUD (AOR = 1.86; P = 0.003), and syphilis (AOR = 2.09; P = 0.05).
CONCLUSIONS:Same-sex and high-risk sexual behaviors are prevalent among men attending STI clinics in India. Although syphilis and GUD rates decreased, HIV prevalence remained high during the decade, highlighting the importance of additional targeted efforts to reduce HIV risk among all men, including MSM, in India. |
| doi_str_mv | 10.1097/01.qai.0000243097.27029.b7 |
| format | Article |
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DESIGN:Cross-sectional.
METHODS:From 1993 through 2002, men attending 3 STI clinics in Pune underwent HIV/STI screening. Demographic, risk behavior, clinical, and laboratory data were collected using standardized questionnaires and laboratory procedures.
RESULTS:Of 10,785 men screened, 708 (6.6%) were MSM. Among these 708 MSM, 189 (31.7%) had 10 or more lifetime partners, 253 (35.7%) were married, 163 (23.1%) had sex with a hijra (eunuch), and 87 (13.3%) had exchanged money for sex. A total of 134 (18.9%) were HIV-positive, 149 (21.5%) had genital ulcer disease (GUD), 37 (5.8%) had syphilis, and 29 (4.3%) had gonorrhea (GC). Over the decade, neither HIV nor GC prevalence changed among MSM (P = 0.7), but syphilis and GUD decreased significantly (P < 0.0001). Compared with non-MSM, MSM were more likely to initiate sexual activity at age <16 years, to have >10 lifetime partners, to have sex with a hijra, and to use condoms regularly, but they did not differ significantly in HIV prevalence and had a lower prevalence of GC, GUD, and syphilis. Independent factors associated with HIV among MSM were employment (adjusted odds ratio [AOR] = 3.08; P = 0.02), history of GUD (AOR = 1.86; P = 0.003), and syphilis (AOR = 2.09; P = 0.05).
CONCLUSIONS:Same-sex and high-risk sexual behaviors are prevalent among men attending STI clinics in India. Although syphilis and GUD rates decreased, HIV prevalence remained high during the decade, highlighting the importance of additional targeted efforts to reduce HIV risk among all men, including MSM, in India.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/01.qai.0000243097.27029.b7</identifier><identifier>PMID: 17019372</identifier><identifier>CODEN: JDSRET</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; AIDS/HIV ; Ambulatory Care ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; Disease Outbreaks ; Epidemiology ; Fundamental and applied biological sciences. Psychology ; HIV ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - virology ; HIV-1 ; Homosexuality, Male ; Human bacterial diseases ; Human immunodeficiency virus ; Human viral diseases ; Humans ; India - epidemiology ; Infectious diseases ; Male ; Medical sciences ; Men ; Microbiology ; Miscellaneous ; Prevalence ; Risk-Taking ; Same sex marriage ; Sentinel Surveillance ; Sexual Behavior ; Sexually transmitted diseases ; Sexually Transmitted Diseases - diagnosis ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - prevention & control ; STD ; Treponema pallidum ; Viral diseases ; Virology</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2006-12, Vol.43 (4), p.483-490</ispartof><rights>2006 Lippincott Williams & Wilkins, Inc.</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Dec 1, 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5026-a7dfff6db116b028244df5fcf74824d36c2d254e4f84d81ecccb9b22bae4be403</citedby><cites>FETCH-LOGICAL-c5026-a7dfff6db116b028244df5fcf74824d36c2d254e4f84d81ecccb9b22bae4be403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00126334-200612010-00016$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,776,780,4595,27901,27902,65206</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18323737$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17019372$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, Amita</creatorcontrib><creatorcontrib>Mehta, Shruti</creatorcontrib><creatorcontrib>Godbole, Sheela V</creatorcontrib><creatorcontrib>Sahay, Seema</creatorcontrib><creatorcontrib>Walshe, Louise</creatorcontrib><creatorcontrib>Reynolds, Steven J</creatorcontrib><creatorcontrib>Ghate, Manisha</creatorcontrib><creatorcontrib>Gangakhedkar, Raman R</creatorcontrib><creatorcontrib>Divekar, Anand D</creatorcontrib><creatorcontrib>Risbud, Arun R</creatorcontrib><creatorcontrib>Mehendale, Sanjay M</creatorcontrib><creatorcontrib>Bollinger, Robert C</creatorcontrib><title>Same-Sex Behavior and High Rates of HIV Among Men Attending Sexually Transmitted Infection Clinics in Pune, India (1993-2002)</title><title>Journal of acquired immune deficiency syndromes (1999)</title><addtitle>J Acquir Immune Defic Syndr</addtitle><description>OBJECTIVES:To determine HIV/sexually transmitted infection (STI) prevalence, trends, and risk behaviors of men who have sex with men (MSM) and compare these with those of non-MSM attending STI clinics in Pune, India over a 10-year period.
DESIGN:Cross-sectional.
METHODS:From 1993 through 2002, men attending 3 STI clinics in Pune underwent HIV/STI screening. Demographic, risk behavior, clinical, and laboratory data were collected using standardized questionnaires and laboratory procedures.
RESULTS:Of 10,785 men screened, 708 (6.6%) were MSM. Among these 708 MSM, 189 (31.7%) had 10 or more lifetime partners, 253 (35.7%) were married, 163 (23.1%) had sex with a hijra (eunuch), and 87 (13.3%) had exchanged money for sex. A total of 134 (18.9%) were HIV-positive, 149 (21.5%) had genital ulcer disease (GUD), 37 (5.8%) had syphilis, and 29 (4.3%) had gonorrhea (GC). Over the decade, neither HIV nor GC prevalence changed among MSM (P = 0.7), but syphilis and GUD decreased significantly (P < 0.0001). Compared with non-MSM, MSM were more likely to initiate sexual activity at age <16 years, to have >10 lifetime partners, to have sex with a hijra, and to use condoms regularly, but they did not differ significantly in HIV prevalence and had a lower prevalence of GC, GUD, and syphilis. Independent factors associated with HIV among MSM were employment (adjusted odds ratio [AOR] = 3.08; P = 0.02), history of GUD (AOR = 1.86; P = 0.003), and syphilis (AOR = 2.09; P = 0.05).
CONCLUSIONS:Same-sex and high-risk sexual behaviors are prevalent among men attending STI clinics in India. Although syphilis and GUD rates decreased, HIV prevalence remained high during the decade, highlighting the importance of additional targeted efforts to reduce HIV risk among all men, including MSM, in India.</description><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Ambulatory Care</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>Disease Outbreaks</subject><subject>Epidemiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - virology</subject><subject>HIV-1</subject><subject>Homosexuality, Male</subject><subject>Human bacterial diseases</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Microbiology</subject><subject>Miscellaneous</subject><subject>Prevalence</subject><subject>Risk-Taking</subject><subject>Same sex marriage</subject><subject>Sentinel Surveillance</subject><subject>Sexual Behavior</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - diagnosis</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>STD</subject><subject>Treponema pallidum</subject><subject>Viral diseases</subject><subject>Virology</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhiMEoqXwF5BVCQQSCf6KnXBbVsCuVASihavl2OOuS-K0dkLpgf-Ot7vSSlzwxWPP886M9booTgmuCG7lW0yqG-0rnBflLN9UVGLaVp18UByTlvNSNg1_mOOa1iUnrD4qnqR0hTERnLePiyMiMWmZpMfFn3M9QHkOv9F72OhffoxIB4tW_nKDvukJEhodWq1_oMUwhkv0GQJaTBME6_Mpy2bd93foIuqQBp8TFq2DAzP5MaBl74M3CfmAvs4B3uSU9Rq9Im3LSpqHf_20eOR0n-DZfj8pvn_8cLFclWdfPq2Xi7PS1JiKUkvrnBO2I0R0mDaUc-tqZ5zkObZMGGppzYG7htuGgDGmaztKOw28A47ZSfFyV_c6jjczpEkNPhnoex1gnJMSDWGiZeS_ICWYYXFf8fQf8GqcY8iPUJQxkWeUPEPvdpCJY0oRnLqOftDxThGstlYqTFS2Uh2sVPdWqk5m8fN9h7kbwB6ke-8y8GIP6GR077IHxqcD1zDKJNsW4jvuduwniOlnP99CVBvQ_bTJrQkVjPGtIYJQTHCJtx-F_QXvs7UA</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Gupta, Amita</creator><creator>Mehta, Shruti</creator><creator>Godbole, Sheela V</creator><creator>Sahay, Seema</creator><creator>Walshe, Louise</creator><creator>Reynolds, Steven J</creator><creator>Ghate, Manisha</creator><creator>Gangakhedkar, Raman R</creator><creator>Divekar, Anand D</creator><creator>Risbud, Arun R</creator><creator>Mehendale, Sanjay M</creator><creator>Bollinger, Robert C</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7T5</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7QL</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>Same-Sex Behavior and High Rates of HIV Among Men Attending Sexually Transmitted Infection Clinics in Pune, India (1993-2002)</title><author>Gupta, Amita ; Mehta, Shruti ; Godbole, Sheela V ; Sahay, Seema ; Walshe, Louise ; Reynolds, Steven J ; Ghate, Manisha ; Gangakhedkar, Raman R ; Divekar, Anand D ; Risbud, Arun R ; Mehendale, Sanjay M ; Bollinger, Robert C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5026-a7dfff6db116b028244df5fcf74824d36c2d254e4f84d81ecccb9b22bae4be403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Ambulatory Care</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>Disease Outbreaks</topic><topic>Epidemiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>HIV</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - virology</topic><topic>HIV-1</topic><topic>Homosexuality, Male</topic><topic>Human bacterial diseases</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Microbiology</topic><topic>Miscellaneous</topic><topic>Prevalence</topic><topic>Risk-Taking</topic><topic>Same sex marriage</topic><topic>Sentinel Surveillance</topic><topic>Sexual Behavior</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - diagnosis</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Sexually Transmitted Diseases - prevention & control</topic><topic>STD</topic><topic>Treponema pallidum</topic><topic>Viral diseases</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, Amita</creatorcontrib><creatorcontrib>Mehta, Shruti</creatorcontrib><creatorcontrib>Godbole, Sheela V</creatorcontrib><creatorcontrib>Sahay, Seema</creatorcontrib><creatorcontrib>Walshe, Louise</creatorcontrib><creatorcontrib>Reynolds, Steven J</creatorcontrib><creatorcontrib>Ghate, Manisha</creatorcontrib><creatorcontrib>Gangakhedkar, Raman R</creatorcontrib><creatorcontrib>Divekar, Anand D</creatorcontrib><creatorcontrib>Risbud, Arun R</creatorcontrib><creatorcontrib>Mehendale, Sanjay M</creatorcontrib><creatorcontrib>Bollinger, Robert C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, Amita</au><au>Mehta, Shruti</au><au>Godbole, Sheela V</au><au>Sahay, Seema</au><au>Walshe, Louise</au><au>Reynolds, Steven J</au><au>Ghate, Manisha</au><au>Gangakhedkar, Raman R</au><au>Divekar, Anand D</au><au>Risbud, Arun R</au><au>Mehendale, Sanjay M</au><au>Bollinger, Robert C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Same-Sex Behavior and High Rates of HIV Among Men Attending Sexually Transmitted Infection Clinics in Pune, India (1993-2002)</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><addtitle>J Acquir Immune Defic Syndr</addtitle><date>2006-12</date><risdate>2006</risdate><volume>43</volume><issue>4</issue><spage>483</spage><epage>490</epage><pages>483-490</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><coden>JDSRET</coden><abstract>OBJECTIVES:To determine HIV/sexually transmitted infection (STI) prevalence, trends, and risk behaviors of men who have sex with men (MSM) and compare these with those of non-MSM attending STI clinics in Pune, India over a 10-year period.
DESIGN:Cross-sectional.
METHODS:From 1993 through 2002, men attending 3 STI clinics in Pune underwent HIV/STI screening. Demographic, risk behavior, clinical, and laboratory data were collected using standardized questionnaires and laboratory procedures.
RESULTS:Of 10,785 men screened, 708 (6.6%) were MSM. Among these 708 MSM, 189 (31.7%) had 10 or more lifetime partners, 253 (35.7%) were married, 163 (23.1%) had sex with a hijra (eunuch), and 87 (13.3%) had exchanged money for sex. A total of 134 (18.9%) were HIV-positive, 149 (21.5%) had genital ulcer disease (GUD), 37 (5.8%) had syphilis, and 29 (4.3%) had gonorrhea (GC). Over the decade, neither HIV nor GC prevalence changed among MSM (P = 0.7), but syphilis and GUD decreased significantly (P < 0.0001). Compared with non-MSM, MSM were more likely to initiate sexual activity at age <16 years, to have >10 lifetime partners, to have sex with a hijra, and to use condoms regularly, but they did not differ significantly in HIV prevalence and had a lower prevalence of GC, GUD, and syphilis. Independent factors associated with HIV among MSM were employment (adjusted odds ratio [AOR] = 3.08; P = 0.02), history of GUD (AOR = 1.86; P = 0.003), and syphilis (AOR = 2.09; P = 0.05).
CONCLUSIONS:Same-sex and high-risk sexual behaviors are prevalent among men attending STI clinics in India. Although syphilis and GUD rates decreased, HIV prevalence remained high during the decade, highlighting the importance of additional targeted efforts to reduce HIV risk among all men, including MSM, in India.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>17019372</pmid><doi>10.1097/01.qai.0000243097.27029.b7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of acquired immune deficiency syndromes (1999), 2006-12, Vol.43 (4), p.483-490 |
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| source | MEDLINE; Journals@Ovid LWW Legacy Archive; Free E- Journals; Journals@Ovid Complete |
| subjects | Adult AIDS/HIV Ambulatory Care Bacterial diseases Bacterial diseases of the genital system Biological and medical sciences Disease Outbreaks Epidemiology Fundamental and applied biological sciences. Psychology HIV HIV Infections - diagnosis HIV Infections - epidemiology HIV Infections - virology HIV-1 Homosexuality, Male Human bacterial diseases Human immunodeficiency virus Human viral diseases Humans India - epidemiology Infectious diseases Male Medical sciences Men Microbiology Miscellaneous Prevalence Risk-Taking Same sex marriage Sentinel Surveillance Sexual Behavior Sexually transmitted diseases Sexually Transmitted Diseases - diagnosis Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - prevention & control STD Treponema pallidum Viral diseases Virology |
| title | Same-Sex Behavior and High Rates of HIV Among Men Attending Sexually Transmitted Infection Clinics in Pune, India (1993-2002) |
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