Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance.
<h4>Background</h4>Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterose...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2014-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0107439 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850124826525564928 |
|---|---|
| author | Sheela Godbole Suvarna Sane Pranil Kamble Yujwal Raj Nisha Dulhani Srinivasan Venkatesh D C S Reddy Laxmikant Chavan Madhulekha Bhattacharya Suchitra Bindoria Dilip Kadam Savita Thakur Prakash Narwani Elmira Pereira Ramesh Paranjape Arun Risbud |
| author_facet | Sheela Godbole Suvarna Sane Pranil Kamble Yujwal Raj Nisha Dulhani Srinivasan Venkatesh D C S Reddy Laxmikant Chavan Madhulekha Bhattacharya Suchitra Bindoria Dilip Kadam Savita Thakur Prakash Narwani Elmira Pereira Ramesh Paranjape Arun Risbud |
| author_sort | Sheela Godbole |
| collection | DOAJ |
| description | <h4>Background</h4>Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterosexual epidemics in India and create specific interventions for bisexual MSM. The challenge is to identify and intervene this hard to reach population. Data from HIV Sentinel Surveillance 2011 among MSM in four Indian states were analyzed to assess predictors and prevalence of bisexual behaviour in MSM.<h4>Methods</h4>Between March-May 2011, 4682 men (15-49 years) who had anal/oral sex with a male partner in the past month, attending intervention sites and consenting for an un-linked anonymous survey answered an 11- item questionnaire and provided blood for HIV test by finger stick at 19 designated surveillance sites.<h4>Results</h4>Of 4682 MSM tested overall, 5% were illiterate, 51% reported only receptive anal intercourse, 21% only penetrative and 28% both. 36% MSM had ever received money for sex. Overall 6.8% were HIV infected. 44% MSM were bisexual in the last six months. On multivariate analysis, 'being bisexual' was found to be independently associated with 'older age': 26-30 years [AOR = 3.1, 95% CI(2.7, 3.7)], >30 years [AOR = 6.5, 95% CI(5.5, 7.7)]; 'reporting penetrative behaviour alone' with other men [AOR = 5.8, 95% CI(4.8, 7.0), p<0.01] and 'reporting both penetrative and receptive behaviour' [AOR = 2.7, 95% CI(2.3, 3.1) p<0.01]. Those who both paid and received money for sex [AOR = 0.49, 95% CI (0.38, 0.62)] were significantly less likely to be bisexual.<h4>Conclusions</h4>A substantial proportion of men receiving services from Targeted Intervention programs are bisexual and the easy opportunity for intervention in this setting should be capitalised upon. Focusing on older MSM, as well as MSM who show penetrative behaviour with other men, could help in reaching this population. |
| format | Article |
| id | doaj-art-83994e284c934bc7b15439d920733cd3 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-83994e284c934bc7b15439d920733cd32025-08-20T02:34:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0199e10743910.1371/journal.pone.0107439Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance.Sheela GodboleSuvarna SanePranil KambleYujwal RajNisha DulhaniSrinivasan VenkateshD C S ReddyLaxmikant ChavanMadhulekha BhattacharyaSuchitra BindoriaDilip KadamSavita ThakurPrakash NarwaniElmira PereiraRamesh ParanjapeArun Risbud<h4>Background</h4>Indian cultural tradition demanding marriage, many MSM howsoever they self-identify are likely to be married or have sex with women. To consolidate India's HIV prevention gains, it is important to understand and address the interaction between the MSM and heterosexual epidemics in India and create specific interventions for bisexual MSM. The challenge is to identify and intervene this hard to reach population. Data from HIV Sentinel Surveillance 2011 among MSM in four Indian states were analyzed to assess predictors and prevalence of bisexual behaviour in MSM.<h4>Methods</h4>Between March-May 2011, 4682 men (15-49 years) who had anal/oral sex with a male partner in the past month, attending intervention sites and consenting for an un-linked anonymous survey answered an 11- item questionnaire and provided blood for HIV test by finger stick at 19 designated surveillance sites.<h4>Results</h4>Of 4682 MSM tested overall, 5% were illiterate, 51% reported only receptive anal intercourse, 21% only penetrative and 28% both. 36% MSM had ever received money for sex. Overall 6.8% were HIV infected. 44% MSM were bisexual in the last six months. On multivariate analysis, 'being bisexual' was found to be independently associated with 'older age': 26-30 years [AOR = 3.1, 95% CI(2.7, 3.7)], >30 years [AOR = 6.5, 95% CI(5.5, 7.7)]; 'reporting penetrative behaviour alone' with other men [AOR = 5.8, 95% CI(4.8, 7.0), p<0.01] and 'reporting both penetrative and receptive behaviour' [AOR = 2.7, 95% CI(2.3, 3.1) p<0.01]. Those who both paid and received money for sex [AOR = 0.49, 95% CI (0.38, 0.62)] were significantly less likely to be bisexual.<h4>Conclusions</h4>A substantial proportion of men receiving services from Targeted Intervention programs are bisexual and the easy opportunity for intervention in this setting should be capitalised upon. Focusing on older MSM, as well as MSM who show penetrative behaviour with other men, could help in reaching this population.https://doi.org/10.1371/journal.pone.0107439 |
| spellingShingle | Sheela Godbole Suvarna Sane Pranil Kamble Yujwal Raj Nisha Dulhani Srinivasan Venkatesh D C S Reddy Laxmikant Chavan Madhulekha Bhattacharya Suchitra Bindoria Dilip Kadam Savita Thakur Prakash Narwani Elmira Pereira Ramesh Paranjape Arun Risbud Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. PLoS ONE |
| title | Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. |
| title_full | Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. |
| title_fullStr | Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. |
| title_full_unstemmed | Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. |
| title_short | Predictors of bisexual behaviour among MSM attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in India: data from HIV sentinel surveillance. |
| title_sort | predictors of bisexual behaviour among msm attending intervention sites may help in prevention interventions for this bridge to the heterosexual epidemic in india data from hiv sentinel surveillance |
| url | https://doi.org/10.1371/journal.pone.0107439 |
| work_keys_str_mv | AT sheelagodbole predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT suvarnasane predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT pranilkamble predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT yujwalraj predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT nishadulhani predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT srinivasanvenkatesh predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT dcsreddy predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT laxmikantchavan predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT madhulekhabhattacharya predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT suchitrabindoria predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT dilipkadam predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT savitathakur predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT prakashnarwani predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT elmirapereira predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT rameshparanjape predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance AT arunrisbud predictorsofbisexualbehaviouramongmsmattendinginterventionsitesmayhelpinpreventioninterventionsforthisbridgetotheheterosexualepidemicinindiadatafromhivsentinelsurveillance |