An exploration of elevated HIV and STI risk among male sex workers from India

Prakash Narayanan, Anjana Das, Guy Morineau, Parimi Prabhakar, Gururaj Rao Deshpande, Raman Gangakhedkar, Arun Risbud

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: Men who have sex with men (MSM) who also report transactional sex (male sex workers or MSWs) are known to be at higher risk for HIV and sexually transmitted infections (STIs). The study aimed to profile socio-demographic characteristics and risk factors associated with high HIV prevalence among MSWs. Methods. A cross-sectional study was conducted in 2008-9 among 483 high-risk MSM who attended STI clinics at Mumbai and Hyderabad, two large cities in India. Results: About 70% of the MSM reported transactional sex. As compared to other MSM, MSWs had more male partners (8.9 versus 2.5, p < 0.001) and higher rates of receptive anal sex (96% versus 72%, p < 0.001). HIV prevalence among MSWs and other MSM was 43.6% and 18.1% respectively. HIV prevalence among MSWs was associated with the place of residence (MSWs from Hyderabad were 7.3 times more likely to be infected), positive syphilis serology (3.8 times) and duration of sex work (increased by 8% for every additional year). Conclusion: The study showed that MSWs are at high risk for HIV acquisition/transmission, which highlights the need for intensified interventions for personalized risk-reduction counselling and STI screening. Newer biomedical interventions such as pre-exposure prophylaxis and treatment as prevention could also be considered.

Original languageEnglish
Article number1059
JournalBMC Public Health
Volume13
Issue number1
DOIs
Publication statusPublished - 22-11-2013

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Sex Workers
Sexually Transmitted Diseases
India
HIV
Sex Work
Serology
Risk Reduction Behavior
Syphilis
Sexual Behavior
Counseling
Cross-Sectional Studies
Demography

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Narayanan, P., Das, A., Morineau, G., Prabhakar, P., Deshpande, G. R., Gangakhedkar, R., & Risbud, A. (2013). An exploration of elevated HIV and STI risk among male sex workers from India. BMC Public Health, 13(1), [1059]. https://doi.org/10.1186/1471-2458-13-1059
Narayanan, Prakash ; Das, Anjana ; Morineau, Guy ; Prabhakar, Parimi ; Deshpande, Gururaj Rao ; Gangakhedkar, Raman ; Risbud, Arun. / An exploration of elevated HIV and STI risk among male sex workers from India. In: BMC Public Health. 2013 ; Vol. 13, No. 1.
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Narayanan, P, Das, A, Morineau, G, Prabhakar, P, Deshpande, GR, Gangakhedkar, R & Risbud, A 2013, 'An exploration of elevated HIV and STI risk among male sex workers from India', BMC Public Health, vol. 13, no. 1, 1059. https://doi.org/10.1186/1471-2458-13-1059

An exploration of elevated HIV and STI risk among male sex workers from India. / Narayanan, Prakash; Das, Anjana; Morineau, Guy; Prabhakar, Parimi; Deshpande, Gururaj Rao; Gangakhedkar, Raman; Risbud, Arun.

In: BMC Public Health, Vol. 13, No. 1, 1059, 22.11.2013.

Research output: Contribution to journalArticle

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Narayanan P, Das A, Morineau G, Prabhakar P, Deshpande GR, Gangakhedkar R et al. An exploration of elevated HIV and STI risk among male sex workers from India. BMC Public Health. 2013 Nov 22;13(1). 1059. https://doi.org/10.1186/1471-2458-13-1059