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Abstract



High risk behaviors among HIV positive and negative men having sex with men (MSM) attending Mythri clinics in Andhra Pradesh, India

K. Sravankumar, P. Prabhakar, Mythri STI/HIV Study Group

Background: The data on the prevalence HIV and risk behaviors in men having sex with men (MSM) are not readily available to develop HIV intervention programs in India.

Objectives: The objective of the study was to determine risk behaviors and sexually transmitted infections among MSM with known sero-status attending Mythri clinics in Andhra Pradesh, India


Methods: A cross sectional retrospective study of 539 MSM attending Mythri Centers between July to December, 2005 was conducted in 10 intervention sites in Andhra Pradesh, India. Demographic, sexual and clinical data from MSM were collected by using male clinic Attendance form. The data were entered and analyzed using EPI info version 3.2.2 (CDC, USA).

Results: The overall prevalence of HIV in MSM was 18.2%. The rate of HIV was higher in men reporting receptive anal intercourse (35.5%) compared to men reporting anal-insertive (15.3%) and men reporting both insertive and receptive behavior (12.5%) of MSM (P=.003) The average number of sex partners within the last one-month in HIV positive MSMs was 3.4 compared to 5.3 in HIV negative (P=NS). Twenty five percent (25%) of HIV positive MSM practicing bisexual behavior Sexually Transmitted infections rates: Urethral discharge 36.5 vs. 26.5 and Ano-rectal discharge RD 9.6 vs. 5.0, were higher in HIV negative MSMs compared to HIV positive MSMs.(P=0.01). Mean duration of symptoms was significantly longer (21 days) in HIV negative clinic attendees compared to HIV positive MSM. (8days) (P=0.004). Twenty nine percent of HIV positive MSM reported consistent condom use with male partners.


Conclusions: The rate of HIV in MSM in our study clearly indicates the need for implementation of positive prevention program. MSM interventions should also enhance efforts to target their partners including women to reduce the vulnerability to STIs and HIV.





AIDS 2006 - XVI International AIDS Conference
Abstract no. MOPE0582


Suggested Citation
"K.Sravankumar, et al. High risk behaviors among HIV positive and negative men having sex with men (MSM) attending Mythri clinics in Andhra Pradesh, India. : AIDS 2006 - XVI International AIDS Conference: Abstract no. MOPE0582"