DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20191412

Prevalence of sexually transmitted infections among men having sex with men of urban Vadodara

Preeti P. Panchal, Kalpita S Shringarpure, Jivraj R. Damor, Vihang S. Mazumdar

Abstract


Background: Men having sex with men (MSM) are at higher risk of getting STIs, including HIV. Their role as bridge population is also very important in the spread of HIV. This study was done with the objective to study the demographic and behavioural factors of MSM and to measure the prevalence of STI among MSM using laboratory facilities of regional RTI/STI centre.

Methods: This was a cross sectional study conducted at a targeted intervention (TI) site of Vadodara city. Sixty-eight MSM were enrolled, counselled regarding HIV and other STI testing followed by an interview using a pretested semi-structured study instrument for the information regarding socio-demographic status, sexual behaviour, present and past history of STI and health seeking behaviour. Following that, clinical examination for presence of any signs of STI and sample collection [oro-pharyngeal, urethral and anorectal swab] was done in an examination room and blood samples were collected. The samples were tested for various STIs at Regional RTI/STI centre.

Results: Thirty-seven percent of MSM were bisexual. 37% MSM were not using condom consistently with ‘unavailability at all the time’ being the main reason. Six out of 68 MSM found positive of STI. Prevalence was maximum for Chlamydia infection followed by HSV2, HBsAg.

Conclusions: Prevalence of STI was 8.82% among MSM of Vadodara city.


Keywords


Men having sex men, Sexually transmitted infection, HIV, Prevalence, Homosexual

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References


STI Factsheet, World Health Organization. August, 2016. Available at: http://www.who.int/news-room /fact-sheets/detail/sexually-transmitted-infections (stis). Accessed on 2 January 2019.

National Guidelines on Prevention, Management and Control of Reproductive Tract Infections including Sexually Transmitted Infections. Ministry of Health and Family Welfare, Govt of India. August, 2007.

National AIDS Control Organisation, Annual Report 2016-17. National AIDS Control Organisation, Department of AIDS Control, Government of India, 2018.

State Epidemiological Fact Sheets, WEST and SOUTH REGIONS. National AIDS Control Organization, Ministry of Health and Family Welfare, Govt of India, 2017. Available at: http://www.naco.gov.in/. Accessed on 2 January 2019.

Gupta A, Mehta S, Godbole SV, Sahay S, Walshe L, Reynolds SJ, et al. Same-sex behavior and high rates of HIV among men attending sexually transmitted infection clinics in Pune, India (1993-2002). J Acquir Immune Defic Syndr. 2006;43(4):483–90.

The pre-surveillance assessment Guidelines for planning serosurveillance of HIV, prevalence of sexually transmitted infections and the behavioural components of second generation surveillance of HIV. UNAIDS/WHO Working Group on Global HIV/AIDS and STI Sur, 2005. Available at: http://www.who.int/hiv/pub/surveillance/psaguidelines.pdf?ua=1. Accessed on 2 January 2019.

Gujarat AIDS Control Society, Annual Report 2016-17, Gujarat AIDS Control Society, Department of Health and Family Welfare, Government of Gujarat, 2017.

Operational Guidelines For Implementing HIV Targeted Interventions Among Men Who Have Sex With Men in India - Guidelines For CBOs/NGOs, SACs And TSUs. National AIDS Control Organisation, Department of AIDS Control, Ministery of Health and Family Welfare. Available at: http://naco.gov.in/sites/default/files/MSM-OG. pdf. Accessed on 2 January 2019.

Ramesh BM, Moses S, Washington R, Isac S, Mohapatra B, Mahagaonkar SB, et al. Determinants of HIV prevalence among female sex workers in four south Indian states: analysis of cross-sectional surveys in twenty-three districts. AIDS. 2008;22(5):35-44.

Evans C, Lambert H. The limits of behaviour change theory: Condom use and contexts of HIV risk in the Kolkata sex industry. Cult Health Sex. 2008;10(1):27-42.

Kumta S, Lurie M, Weitzen S, Jerajani H, Gogate A, Row-kavi A, et al. Bisexuality, Sexual Risk Taking, and HIV Prevalence Among Men Who Have Sex With Men Accessing Voluntary Counseling and Testing Services in Mumbai, India. J Acquir Immune Defic Syndr. 2010;53(2):227-33.

Verma RK, Collumbien M. Homosexual activity among rural Indian men: implications for HIV interventions. AIDS. 2004;18(13):1845–7.

Dandona L, Dandona R, Gutierrez JP, Kumar GA, McPherson S, Bertozzi SM, et al. Sex behaviour of men who have sex with men and risk of HIV in Andhra Pradesh, India. AIDS. 2005;19(6):611–9.

Hernandez AL, Lindan CP, Mathur M, Ekstrand M, Madhivanan P, Stein ES, et al. Sexual Behavior Among Men Who have Sex with Women, Men, and Hijras in Mumbai, India—Multiple Sexual Risks. AIDS Behav. 2006;10(1):5–16.

Tomori C, McFall AM, Srikrishnan AK, Mehta SH, Nimmagadda N, Anand S, et al. The prevalence and impact of childhood sexual abuse on HIV-risk behaviors among men who have sex with men (MSM) in India. BMC Public Health. 2016;16(1):784.

Setia MS, Lindan C, Jerajani HR, Kumta S, Ekstrand M, Mathur M, et al. Men who have sex with men and transgenders in Mumbai, India: An emerging risk group for STIs and HIV. Indian J Dermatol Venereol Leprol. 2006;72:425-31.

Prabahar P, Ranganathan T, Vijayabhaskar C, Kalaivani S, Balamurugan L, Sivasankri P. Sexually transmitted infections among men who have sex with men : a retrospective study in a tertiary care hospital. Int J Res Med Sci. 2017;5(7)3222-6.