Sexual behavior, STD and HIV prevalence among men who have sex with men (MSM) attending a government STD clinic in Chennai, India
Background: The study objective was to document the sexual behavior, STD and HIV prevalence among men who have sex with men (MSM) attending the STD outpatient clinic of the Institute of STD, Madras Medical College, Chennai.
Methods: 150 MSM aged >18 years attending this clinic from April 2001 to March 2002 were enrolled. Informed consent was obtained and a structured questionnaire was administered. Clinical examination & serological tests for HIV (ELISA), HBV (HBsAg) & Syphilis (VDRL/TPHA) were done.
Results: Among the 150 MSM, half [50.7%] were 18–25 years & 43.3% were 26-35 years. Majority were from lower socioeconomic status & less educated. About one-third (18.7%) were married heterosexually. Sexual behavior in the last year: 42.7% had sex with both males & females and 41.3% had sex only with males; 40.7% had sex with female sex workers & 22% had sex with transsexual sex workers; 11.3% received money for sex; more than two-third (78%) had anogenital sex with males; and in anogenital sex, 46.7% never used condoms & 32.7% occasionally used. Pattern of STDs: Syphilis - Early Latent Syphilis (ELS) alone - 11.3%, secondary syphilis alone - 3.3%, and primary chancre - 5.3%; genital herpes alone - 6% and chancroid alone - 1.3%; ELS & genital herpes - 1.3%; Non-Gonococcal Urethritis - 6% and Acute Gonococcal Urethritis alone - 3.3%; perianal warts alone - 1.3% and ELS with perianal warts - 0.6%. Other: Balanoposthitis - 6%, candidal intertrigo alone - 3.3 %, Molluscum Contagiosum alone - 2.6%, genital scabies alone - 2.6% and Prostatitis alone - 5.3%. 24% were VDRL reactive & 14.7% were TPHA reactive; 13.3% were HIV+; and 10.7% HBsAg+. 3 were HIV & VDRL reactive, 6 were VDRL reactive & HBsAg+, and 7 were both HIV+ & HBsAg+.
Conclusions: This study shows high prevalence of STD & HIV among MSM attending a government STD clinic. Clinicians should enquire about bisexual behavior in men and screen for co-infections.
The XV International AIDS Conference
"B Srinivasan, , et al.
Sexual behavior, STD and HIV prevalence among men who have sex with men (MSM) attending a government STD clinic in Chennai, India.
The XV International AIDS Conference: