High-risk behaviour in young men attending sexually transmitted disease clinics in Pune, India

Brahme, Radhika; Sahay, Seema; Malhotra-Kohli, R.; Divekar, A; Gangakhedkar, Raman; Parkhe, Aparna; Kharat, Mahesh; Risbud, Arun; Bollinger, Robert C.; Mehendale, Sanjay; Paranjape, Ramesh

doi:10.1080/09540120412331299771

Cited by 33 publications

(26 citation statements)

References 20 publications

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“…Furthermore, designing and implementing specific education and sensitization programs for health care providers, both to counteract ignorance and end outright prejudice and discrimination, is also essential to supporting HIV prevention and treatment among MSM. The implementation of collaborative efforts with the health care system will need to be conducted in a manner that acknowledges cultural taboos related to sexuality (Brahme et al, 2005) and that influences medical staff (Elamon, 2005). Additionally, extensive education and widespread monitoring of police is a vital component of reducing vulnerability among kothis.…”

Section: Recommendationsmentioning

confidence: 99%

Structural Violence AgainstKothi–Identified Men Who Have Sex with Men in Chennai, India: A Qualitative Investigation

Chakrapani¹,

Newman²,

Shunmugam³

et al. 2007

AIDS Education and Prevention

138

181

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This qualitative investigation explored the experiences and contexts of stigma and discrimination among HIV-positive and high-risk kothi-identified men who have sex with men (MSM) in Chennai, India, and ramifications for HIV prevention. MSM were recruited through community agencies (n = 10) and public sex environments (n = 8), along with three key informants. In-depth, semistructured interviews were conducted, audiotaped, and transcribed. Narrative thematic analysis and a constant comparative method were used to identify themes. Findings revealed multiple intersecting social and institutional contexts and experiences of stigmatization, discrimination, and violence across police, community, family, and health care systems, as well as illuminating consequences for MSM. Multisystemic structural violence places kothis at extreme vulnerability for HIV infection and AIDS. Public mass media antidiscrimination campaigns, education and training of health care providers and police, funding of indigenous MSM community organizations, and decriminalization of consensual sex between same-sex adults may help to combat stigma, discrimination, and violence against MSM, which is fundamental to effective HIV prevention.

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Section: Recommendationsmentioning

confidence: 99%

Structural Violence AgainstKothi–Identified Men Who Have Sex with Men in Chennai, India: A Qualitative Investigation

Chakrapani¹,

Newman²,

Shunmugam³

et al. 2007

AIDS Education and Prevention

138

181

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show abstract

“…Data obtained in this research study were subjected to simple statistical tool package of analysis by using total, mean and percentage in order to ascertain, and verify the dispersion and central tendency of variables being obtained as described by Stroud and Booth and as performed (Tables 1-20) [5].…”

Section: Discussionmentioning

confidence: 99%

Survey of Trend of HIV/AIDS Epidemic in Awka Metropolis, Nigeria

Eb¹,

Umeh²,

Gm³

et al. 2017

Glob J Res Rev

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This research study reports the state of HIV/AIDS infection amongst the attendants of General Hospital Arnaku and Regina Caeli hospitals, Awka for screening between 2012 and 2013 the attendees were screened for HIV, data on demographics and sexual behavior were collected through the admission of questionnaires at baseline. The overall HIV prevalence was 8.4% and 10% of the women involved were at risk of HIV infection. The spread of HIV in Nigeria is predominantly through heterosexual transmission (68.5%). The study revealed that the attendees' married, but involved into extra-marital affairs (multiple Partners) were vulnerable to HIV infection among the attendees. Nevertheless, they were high level prior knowledge of existing of HIV infection especially among the female attendees, due to the impact created by National Agency for HIV control in Nigeria. The use of condoms (43.7%) was given attention to and this was through adequate efforts of counseling and education by Heart to Heart units in Nigeria, hence considerably reduction in incidence of HIV acquisition. HIV infection was prevalence amongst the commercial drivers, (Bus, Tricycles, Taxi drivers) 37.0%. They were socially closed to free women, especially commercial sex workers, and lack of knowledge of HIV contributed to the incidence of HIV among male attendees. The need for focused targeted interventions at this group, through awareness creation and appropriate education to reduce the risk of HIV infection by both the privates. Non-Governmental Organizations and Governmental Agencies are recommended. Keywords Materials and Methods MaterialsSites used: All the materials used in this study were obtained from the Regina Caeli General Hospital Amaku and General Hospital Awka, Anambra state of Nigeria and were of analytical quality. The two hospitals are located at the centre of Awka town, and were used for collection of samples and analyzed. Methods Distribution of questionnaires:The compound structured, open and closed ended questionnaires were distributed to the respondents or populace and were guided on the filling of questionnaires. The filled-in Questionnaires were retrieved back from the respondents. Data were collected and analyzed.Samples collection: Ml blood samples used in this study were collected from patients attended the two hospitals for serological screening for HIV infection status. All HIV infected and HIV uninfected individuals were provided with intensive reduction pre-test and post -test counseling at each visit before collection of blood samples. Before samples collection, informed consents were obtained from the patients. Data analysisData obtained in this research study were subjected to simple statistical tool package of analysis by using total, mean and percentage in order to ascertain, and verify the dispersion and central tendency of variables being obtained as described by Stroud and Booth and as performed (Tables 1-20) [5].The result has made attempt to examine the trends of HIV/AIDS infection in Awka metropolis. The ...

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“…Studies conducted among STI patients in Pune, India, have documented that HIV infection is independently associated with commercial sex work and other related sexual risk behaviours, such as multiple sexual partners, receptive anal intercourse and lack of condom use (Bentley et al 1998). Men having STIs and engaged in sexual risk behaviours are suggested to play the role of the bridge population between the high-risk core populations of commercial sex workers and the low or no risk populations (Brahme et al 2005). Young HIV-infected men are believed to play a particularly important role in the spread of HIV in India because they have a longer time span of being sexually active.…”

Section: Introductionmentioning

confidence: 97%

Factors influencing sexual initiation, multiple partners and condom use among male slum youth in Pune, India

Potdar

Mmari

2011

Global Public Health

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This study examines the factors that influence sexual behaviours among young unmarried males living in urban slums in India, a population characterised by high vulnerability to STI and HIV infections. Data were collected from 600 unmarried male slum youth to examine the relationships between three outcomes of heterosexual behaviour (age at sexual initiation, number of sexual partners and condom use at first intercourse) and factors within the family/household social environment, peer environment and individual level during the respondents' formative years. Regression analyses found factors within the family and peer-level domains such as growing up in a two-parent household, having adequate levels of parental supervision, experiencing violence in the home and having peers who drank significantly impact the age of sexual debut and the subsequent number of lifetime partners. Condom use at first intercourse appears to be significantly influenced by age of sexual debut and type of sexual partner. These findings indicate that in low-resource urban settings, the influence of family and friends as role models can play an important role in determining the initiation of sexual behaviour among male youth and in making behaviour choices that result in favourable health outcomes.

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High-risk behaviour in young men attending sexually transmitted disease clinics in Pune, India

Cited by 33 publications

References 20 publications

Structural Violence AgainstKothi–Identified Men Who Have Sex with Men in Chennai, India: A Qualitative Investigation

Structural Violence AgainstKothi–Identified Men Who Have Sex with Men in Chennai, India: A Qualitative Investigation

Survey of Trend of HIV/AIDS Epidemic in Awka Metropolis, Nigeria

Factors influencing sexual initiation, multiple partners and condom use among male slum youth in Pune, India

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