An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India

Background: A high proportion of sexual minorities like Hijras/Eunuch engage in sex work and thus become a high-risk population for HIV and sexually transmitted infections (STIs). Hence, we conducted a study with objective to assess prevalence of high-risk behavior among self-identified Hijras/Eunuc...

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Main Authors: Deepak K. Mundhe, Saniya S. Qureshi, Yuvaraj B. Chavan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:https://journals.lww.com/10.4103/ijcm.ijcm_740_23
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author Deepak K. Mundhe
Saniya S. Qureshi
Yuvaraj B. Chavan
author_facet Deepak K. Mundhe
Saniya S. Qureshi
Yuvaraj B. Chavan
author_sort Deepak K. Mundhe
collection DOAJ
description Background: A high proportion of sexual minorities like Hijras/Eunuch engage in sex work and thus become a high-risk population for HIV and sexually transmitted infections (STIs). Hence, we conducted a study with objective to assess prevalence of high-risk behavior among self-identified Hijras/Eunuch and associated factors. Material and Methods: A cross-sectional study was conducted in a field practice area of Tertiary Care Hospital from December 2019 to December 2020. All participants in the age group of 18 to 45 years were interviewed. Univariate and bivariate analysis was done to determine the correlates. Results: Out of 163, 85% of participants were involved in high-risk sexual behavior and 46.63% did only sex work, 51.5% of participants had comprehensive knowledge about HIV/STI. On applying logistic regression, the factors associated with high-risk sexual behavior include 18–24 years of age group, history of addiction, practicing paid sex, using psychotropic substances, comprehensive knowledge regarding HIV/STI, and comprehensive exposure to preventive measures. Conclusion: Our study findings suggest the urgent need for appropriate preventive measures to understand and address sexual health and risk behavior vulnerabilities faced by Hijras to make significant progress against the HIV epidemic in the country.
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spelling doaj-art-d87f7d9ced3a49e68c53416b36c76c3b2025-02-06T05:32:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812025-01-01501485210.4103/ijcm.ijcm_740_23An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, IndiaDeepak K. MundheSaniya S. QureshiYuvaraj B. ChavanBackground: A high proportion of sexual minorities like Hijras/Eunuch engage in sex work and thus become a high-risk population for HIV and sexually transmitted infections (STIs). Hence, we conducted a study with objective to assess prevalence of high-risk behavior among self-identified Hijras/Eunuch and associated factors. Material and Methods: A cross-sectional study was conducted in a field practice area of Tertiary Care Hospital from December 2019 to December 2020. All participants in the age group of 18 to 45 years were interviewed. Univariate and bivariate analysis was done to determine the correlates. Results: Out of 163, 85% of participants were involved in high-risk sexual behavior and 46.63% did only sex work, 51.5% of participants had comprehensive knowledge about HIV/STI. On applying logistic regression, the factors associated with high-risk sexual behavior include 18–24 years of age group, history of addiction, practicing paid sex, using psychotropic substances, comprehensive knowledge regarding HIV/STI, and comprehensive exposure to preventive measures. Conclusion: Our study findings suggest the urgent need for appropriate preventive measures to understand and address sexual health and risk behavior vulnerabilities faced by Hijras to make significant progress against the HIV epidemic in the country.https://journals.lww.com/10.4103/ijcm.ijcm_740_23eunuchhigh-risk sexual behaviorhijrassexually transmitted diseasesurban health
spellingShingle Deepak K. Mundhe
Saniya S. Qureshi
Yuvaraj B. Chavan
An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India
Indian Journal of Community Medicine
eunuch
high-risk sexual behavior
hijras
sexually transmitted diseases
urban health
title An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India
title_full An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India
title_fullStr An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India
title_full_unstemmed An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India
title_short An Assessment of High-Risk Sexual Behavior and Associated Factors Among Self-identified Hijras Residing in an Urban Slum of Mumbai, India
title_sort assessment of high risk sexual behavior and associated factors among self identified hijras residing in an urban slum of mumbai india
topic eunuch
high-risk sexual behavior
hijras
sexually transmitted diseases
urban health
url https://journals.lww.com/10.4103/ijcm.ijcm_740_23
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