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Abstract



Sexual behaviours and STIs among male sex workers in Mumbai, India

H. Jerajani1, S. Shinde1, A. Row Kavi2, V. Anand2

Background: Male sex workers have recently been recognised as an important risk group for STIs and HIV. There are few such studies describe the behavioural patterns and STIs among this population in India.


Methods: The Dept of Dermatology, LTMM College, Mumbai, collaborates with the Humsafar Trust to provide STI services and HIV counselling and testing facilities to MSM and Transgenders. We present the sexual behaviours, STIs and HIV among those reporting sex work.


Results: A total of 75 individuals, 24 males and 51 transgenders reported sex work in our clinic. The overall HIV infection was 33% (14% among males vs. 41% among transgenders, p=0.04). The overall STI infection was 47% (42% among males vs. 49% among transgenders, p=0.5). All the individuals reported anal sex (87% anal receptive sex and 13% anal insertive sex). Oral sex was reported by 82% of them. About 39% of them reported always using a condom and 21% never using a condom during anal sex. Syphilis was the most common STI - 28%, followed by HSV - 27% and HbsAg - 9%. HIV infection was common in syphilis (48% Males vs. 28% TG) and HbsAg (43%Males vs. 32%TG). Although the association was not statistically significant, we adjusted for gender and found no interaction with it. The adjusted OR for STIs was 1.3 (0.5-3.5) and for syphilis was 2.2 (0.7-6.4).


Conclusions: The male sex workers have high-risk behaviours, low consistent condom use and high STI and HIV infections. Although males had relatively lower HIV infection compared with transgenders, they do have similar STI infection. Thus, these groups should be the focus of intensive behavioural intervention - safe sex & condom use, STI prevention and care programmes.





AIDS 2006 - XVI International AIDS Conference
Abstract no. CDC0621


Suggested Citation
"H.Jerajani, et al. Sexual behaviours and STIs among male sex workers in Mumbai, India. : AIDS 2006 - XVI International AIDS Conference: Abstract no. CDC0621"