Burden and correlates of HIV risk among men who have sex with men in Nagaland, India: analysis of sentinel surveillance data

Dynamics of HIV epidemic are largely understudied among men having sex with men (MSM) in India, while their potentially critical role in HIV spread is often stressed. Unfortunately, the epidemic has probably concentrated in this hard-to-reach population in the north-eastern high HIV-prevalent areas,...

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Bibliographic Details
Published in:PloS one 2015-02, Vol.10 (2), p.e0117385-e0117385
Main Authors: Saha, Malay Kumar, Mahapatra, Tanmay, Biswas, Subrata, Ghosh, Piyali, Kire, Medo
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
AIDS
Anal sex
Bisexual
Bisexuality
Bivariate analysis
Cross-Sectional Studies
Demographics
Demography
Disease prevention
Epidemics
Exchanging
Health risks
HIV
HIV Infections - economics
HIV Infections - epidemiology
HIV tests
Homosexuality, Male
Human immunodeficiency virus
Humans
India
India - epidemiology
Male
Men
Middle Aged
Odds Ratio
Prevalence
Regression analysis
Risk
Risk factors
Sentinel Surveillance
Sex
Sexual Behavior
Sexually transmitted diseases
STD
Surveillance
Surveys and Questionnaires
Vibrio cholerae
Womens health
Young Adult
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Summary:Dynamics of HIV epidemic are largely understudied among men having sex with men (MSM) in India, while their potentially critical role in HIV spread is often stressed. Unfortunately, the epidemic has probably concentrated in this hard-to-reach population in the north-eastern high HIV-prevalent areas, especially in the bordering state of Nagaland, where HIV prevalence among MSM was found to be 2nd highest in the whole country. Dearth of information regarding the socio-behavioral correlates of HIV acquisition among MSM in this remote hilly region thus called for detailed analyses of the HIV Sentinel Surveillance (HSS) data. During the first ever conducted HSS among MSM in Nagaland, between March and May, 2011, as per the operational guideline of Indian National AIDS Control Program, 243 MSM were recruited, interviewed and tested for HIV. Anonymous data on socio-demographics, sexual behavior and laboratory results were analyzed using SAS version-9.2 to conduct descriptive and logistic regression analyses. Among the recruited MSM, mean age was 28.30 years, 46.09% were illiterate, 27.16% were unemployed, 57.02% identified them as Kothi (predominantly receptive anal sex partner), 14.81% were bisexual, 19.75% exchanged money for sex (within last 1 year) with men and 13.58% were HIV sero-positive. Increasing age (for 25-34yrs, adjusted odds ratio: AOR = 3.89, p = 0.046; reference =
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0117385