ArticleBMC public health2006
How much attention is needed towards men who sell sex to men for HIV prevention in India?
Article in BMC public health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Physical-mental health and awareness of HIV/STIs among men who have sex with men in selected cities of India.BMC public health · 2023Article
- Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey.Global health action · 2018Article
- Descriptive Epidemiology of Factors Associated with HIV Infections Among Men and Transgender Women Who Have Sex with Men in South India.LGBT health · 2016Article
- A new public health context to understand male sex work.BMC public health · 2015Review
- Patterns of condom use by men who have sex with men before and after the Avahan intervention in Andhra Pradesh state of India.BMC public health · 2014Article
- An exploration of elevated HIV and STI risk among male sex workers from India.BMC public health · 2013Article
- Ensuring it works: a community-based approach to HIV prevention intervention development for men who have sex with men in Chennai, India.AIDS education and prevention : official publication of the International Society for AIDS Education · 2012Article
- Article
- Co-infection with human immunodeficiency virus and tuberculosis in Asia.Tuberculosis (Edinburgh, Scotland) · 2007Review
- A population-based study of human immunodeficiency virus in south India reveals major differences from sentinel surveillance-based estimates.BMC medicine · 2006Article
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Authors and funding
7 authors.
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Abstract
backgroundHIV prevention in India has mostly focussed on heterosexual transmission. Data on homosexual transmission are not readily available from India. We therefore assessed the probability of acquiring and transmitting HIV for men who sell sex to men and compared this with women who sell sex in India.
methodsSexual behaviour characteristics of 6661 men who have sex with men and 6648 women who sell sex were obtained in the Indian state of Andhra Pradesh through confidential interviews. These, along with estimates of HIV rates among them and risk of HIV transmission per unprotected sex act from other sources, were used to calculate their annual probability of acquiring and transmitting HIV.
resultsOf 6661 men who have sex with men in this sample, 1776 (26.7%) had sold sex to men. For every 1000 men who sell sex to men, annually 146 (95% confidence interval [CI] 116-179) would acquire HIV and HIV would be transmitted to 55 (95% CI 42-71) men who do not sell sex or women. These estimates were higher by 6.7 (95% CI 4.9-9.2) times for acquiring HIV and 2.5 (95% CI 2.0-3.2) times for transmitting HIV to sex partners outside their group, as compared with similar estimates for women who sell sex. In this sample, the average annual probability of acquiring HIV was higher among men who have sex with men but do not sell sex as compared with women who sell sex.
conclusionThese data indicate that men who sell sex to men are at much higher risk of acquiring and transmitting HIV than women who sell sex. Therefore, men who sell sex to men and their clients warrant substantial attention for comprehensive HIV prevention in India.
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