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Male Sex Workers: Are We Ignoring a Risk Group in Mumbai, India?
Ist Teil von
Indian journal of dermatology, venereology, and leprology, 2009-01, Vol.75 (1), p.41-46
Ort / Verlag
India: Medknow Publications on behalf of The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL)
Erscheinungsjahr
2009
Quelle
MEDLINE
Beschreibungen/Notizen
Background: Male sex workers (MSWs) have recently been recognized as an
important risk group for sexually transmitted infections (STIs)
including human immunodeficiency virus (HIV) infection. Although there
are global studies on MSWs, few such studies describe the behavioral
patterns and STIs among this population in India. Methods: MSWs were
evaluated at the Humsafar trust, a community based organization
situated in suburban Mumbai, India. We report on the demographics,
sexual behaviors, and STIs including HIV of these sex workers.
Results: Of the 75 MSWs, 24 were men and 51 were transgenders. The
mean age of the group was 23.3 (+ 4.9) years. About 15% were married or
lived with a permanent partner. Of these individuals, 85% reported sex
work as a main source of income and 15% as an additional source. All
the individuals reported anal sex (87% anal receptive sex and 13% anal
insertive sex). About 13% of MSWs had never used a condom. The HIV
prevalence was 33% (17% in men vs 41% in transgenders, P = 0.04). The
STI prevalence was 60% (58% in men vs 61% in transgenders, P = 0.8).
Syphilis was the most common STI (28%) in these MSWs. HIV was
associated with being a transgender (41 vs 17%, P = 0.04), age > 26
years (57 vs 28%, P = 0.04), more than one year of sex work (38 vs 8%,
P = 0.05), and income < Rs. 2000 per month (62 vs 27%, P = 0.02).
Conclusions: The MSWs have high-risk behaviors, low consistent condom
use, and high STI/HIV infections. These groups should be the focus of
intensive public health interventions aimed at reduction of risky
sexual practices, and STI/HIV prevention and care.