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Women Connected to at Risk Indian Men Who Have Sex with Men: An Unexplored Network

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Abstract

Little is known about the women connected to Indian MSM and their impact on HIV risk. We surveyed 240 Indian MSM, who identified their social networks (n = 7,092). Women (n = 1,321) comprised 16.7 % of the network, with 94.7 % representing non-sexual connections. MSM were classified as having low, moderate, or high female network proportion. MSM with moderate female network proportion (8–24 % total network) had significantly lowered odds of HIV seropositivity (AOR = 0.24, 95 % CI = 0.1–0.6). This suggests moderate proportions of female connections could mediate HIV risk. HIV prevention interventions in India could consider the greater involvement of women among their target audiences.

Abstracto

Se sabe poco sobre las mujeres conectadas a HSH en India y su impacto en el riesgo de VIH. Se encuestó a 240 HSH indios, quienes identificaron sus redes sociales (n = 7,092). Las mujeres (n = 1,321) formaron al 16.7 % de la red, del cual el 94.7 % representa conexiones no sexuales. Los HSH se clasificaron como baja, moderada o alta proporción de red femenina. HSH con proporción moderada de red femenina (8–24 % del red total) tuvieron un riesgo significativamente reducido de seropositividad de VIH (AOR = 0,24; IC 95 % = 0,1–0,6). Esto sugiere que tener una proporción moderada de contactos femeninos podría atenuar el riesgo de VIH. Las intervenciones de prevención del VIH en India podrían considerar una mayor participación de las mujeres en su público objetivo.

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References

  1. National AIDS control organisation. Department of AIDS control: Annual report. 2011. http://www.naco.gov.in/upload/REPORTS/NACO%20Annual%20Report%202010-11.pdf. Accessed Dec 22 2013.

  2. Thomas B, Mimiaga MJ, Kumar S, Swaminathan S, Safren SA, Mayer KH. HIV in indian MSM: reasons for a concentrated epidemic & strategies for prevention. Indian J Med Res. 2011;134(6):920–9.

    Article  PubMed Central  PubMed  Google Scholar 

  3. United nations development programme, Asia-pacific coalition on male sexual health, UNAIDS, HIV and AIDS data hub. HIV and men who have sex with men: country snapshots- India. http://www.snap-undp.org/elibrary/Publications/HIV-2012-MSM-Snapshots-India.pdf. Accessed Dec 2012.

  4. Solomon S.S., Mehta S.H., McFall A., D.D. NCA Study Group. High incidence and prevalence of HIV infection among men who have sex with men in India. Poster presented at International AIDS Conference in Melbourne, July 2014.

  5. Asthana S, Oostvogels R. The social construction of male “homosexuality”in india: implications for HIV transmission and prevention. Soc Sci Med. 2001;52(5):707–21.

    Article  CAS  PubMed  Google Scholar 

  6. Brahmam GN, Kodavalla V, Rajkumar H, Rachakulla HK, Kallam S, Shiva Prakash Myakala, et al. Sexual practices, HIV and sexually transmitted infections among self-identified men who have sex with men in four high HIV prevalence states of India. AIDS. 2008;22(Suppl 5):S45–57.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  PubMed Central  PubMed  Google Scholar 

  8. Schneider JA, Michaels S, Gandham SR, McFadden R, Liao C, Yeldandi VV, et al. A protective effect of circumcision among receptive male sex partners of indian men who have sex with men. AIDS Behav. 2011;16(2):350–9.

    Article  Google Scholar 

  9. Schneider JA, Zhou AN, Laumann EO. A new HIV prevention network approach: sociometric peer change agent selection. Soc Sci Med. 2014;30:1–11.

    Google Scholar 

  10. Thomas B, Mimiaga MJ, Menon S, Chandrasekaran V, Murugesan P, Swaminathan S, et al. Unseen and unheard: predictors of sexual risk behavior and HIV infection among men who have sex with men in chennai. India AIDS Educ Prev. 2009;21:372–83.

    Article  Google Scholar 

  11. Setia MS, Sivasubramanian M, Anand V, Row-Kavi A, Jerajani HR. Married men who have sex with men: the bridge to HIV prevention in mumbai. India Int J Public Health. 2010;55(6):687–91.

    Article  Google Scholar 

  12. Yoshikawa H, Alan-David Wilson P, Chae DH, Cheng J-F. Do family and friendship networks protect against the influence of discrimination on mental health and HIV risk among asian and pacific islander gay men? AIDS Educ Prev. 2004;16(1):84–100.

    Article  PubMed  Google Scholar 

  13. Schneider J, Michaels S, Bouris A. Family network proportion and HIV risk among black men who have sex with men. JAIDS J Acquir Immune Defic Syndr. 2012;61(5):627–35.

    Article  Google Scholar 

Download references

Acknowledgments

Author would like to thank Study Respondents, Sabitha Gandham (SHARE India) and Chuanhong Liao-University of Chicago Biostatistics Department.This work was funded by the National Institutes of Health: R21AI098599 and R21HD068352.

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Correspondence to John A. Schneider.

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The second author, Abhinav Kapur—deceased.

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Satyanarayan, S., Kapur, A., Azhar, S. et al. Women Connected to at Risk Indian Men Who Have Sex with Men: An Unexplored Network. AIDS Behav 19, 1031–1036 (2015). https://doi.org/10.1007/s10461-014-0946-1

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