ArticleBMC public health2014
Patterns of condom use by men who have sex with men before and after the Avahan intervention in Andhra Pradesh state of India.
Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Strengthening resilience to reduce HIV risk in Indian MSM: a multicity, randomised, clinical efficacy trial.The Lancet. Global health · 2021Trial
- Condom use social norms and self-efficacy with different kinds of male partners among Chinese men who have sex with men: results from an online survey.BMC public health · 2018Trial
- A scoping review of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI+) people's health in India.PLOS global public health · 2023Article
- Changes in condom use among males who have sex with males (MSM): Measuring the effect of HIV prevention programme in Dhaka city.PloS one · 2020Article
- Using data from 'visible' populations to estimate the size and importance of 'hidden' populations in an epidemic: A modelling technique.Infectious Disease Modelling · 2020Article
- Effectiveness of community outreach HIV prevention programs in Vietnam: a mixed methods evaluation.BMC public health · 2019Article
- High HIV prevalence and incidence among MSM across 12 cities in India.AIDS (London, England) · 2015Article
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6 authors.
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Abstract
backgroundTwo rounds of integrated biological and behavioural assessment (IBBA) surveys were done among men who have sex with men (MSM) in Andhra Pradesh during 2006 and 2009. Avahan, the India AIDS initiative, funded by the Bill and Melinda Gates Foundation implemented HIV prevention interventions among MSM starting around the time of the first round of IBBA.
methodsData on socio-demographic, sex behaviour characteristics and HIV status of MSM from the two IBBA rounds were used. Changes in the rates of consistent condom use over the past one month by MSM with various types of partners between the two rounds were assessed. Multivariate analysis was performed to assess associations between various factors and inconsistent condom use for sex with regular partners as well as HIV in MSM.
resultsA significant increase in consistent condom use by MSM was noted from 2006 to 2009 for paid male partners (19.5% to 93.8%), occasional male partners (13.2% to 86.2%), and paid female partners (25.9% to 94.2%). Consistent condom use with regular sex partners also increased but remained lower with regular male partner (75.8%) and very low with regular female partners (15.7%). MSM who used condoms inconsistently with their regular male partner were also more likely to use condoms inconsistently with their regular female partner. Multivariate analysis showed MSM who used condoms inconsistently with regular male partner had higher odds of HIV (odds ratio 1.8; 95% CI 1.2-2.7). MSM who received condoms from Avahan had the lowest odds (odds ratio 0.3; 95% CI 0.1-0.5) of inconsistent condom use with regular male partners.
conclusionsCondom use by MSM increased markedly after implementation of Avahan, though a causal association cannot be assessed with the available data. The relatively lower condom use with regular partners of MSM suggests that additional programme effort is needed to address this aspect specifically.
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