DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20200041

Sexual risk behaviour and sexually transmitted infections in men who have sex with men

Murugan Swamiappan, Manjula Jagannathan, Aysha Abdulla

Abstract


Background: In India the estimated men who have sex with men (MSM) population is around 352, 000, among that 4.3% are living with HIV. The incidence of sexually transmitted infections (STIs) in MSM is greater than that reported in women and men who have sex with women only. The aim of the study is to determine the trends of sexual behaviour and the pattern of sexually transmitted infections in men who have sex with men.

Methods: A retrospective study of the data collected from the clinical records of all MSM, who had attended the STI clinic of Kilpauk Medical College, Chennai, Tamil Nadu, during the three-year study period, from July 2016 to June 2019. Demographic data, sexual risk behaviour, condom usage and STIs, among the MSM, were computed and analyzed.

Results: During the study period 489 MSM attended the STI clinic, 51.9% were bisexual and 48.1 % were homosexual. Among them, exclusive penetrative sex in 50.7%, exclusive receptive sex in 15.7% and both in 33.6% were reported. Condom usage was consistent in 18.8%, inconsistent in 28.8% and 52.9% never used condom. Unprotected sex is more common in oral sex than with anal sex. STIs were seen in 20.9% and HIV in 1.4% of MSM. Syphilis was the most common STI seen.

Conclusions: Our study elucidated the high prevalence of STIs among MSM and increasing trends of sexual risk behaviour. Health service providers must take necessary steps to improve the provision of biological and medical measures to screen, treat and prevent infections.

 


Keywords


MSM, Sexually transmitted infections, Condom, Syphilis

Full Text:

PDF

References


Prevention and treatment of HIV and other sexually transmitted infections among men who have sex with men and transgender people:Recommendations for a public health approach. World Health Organization, United Nations Joint Programme on HIV/AIDS, German Federal Ministry for Economic Cooperation and Development, The Global Forum on MSM & HIV, United Nations Development Programme; 2011. Availble at: http://whqlibdoc. who.int/publications/2011/9789241501750_eng.pdf. Accessed on 3 November 2019.

Setia MS, Brassard P, Jerajani HR, B harat S, Gogate A, Kumta S, et al. Men who have sex with men in India: A systematic review of the literature. JLGBT Health Res 2008;4:51-70.

Phillips AE, Boily MC, Lowndes CM, Garnett GP, Gurav K, Ramesh BM, et al. Sexual identity and its contribution to MSM risk behaviour in Bengaluru (Bangalore), India: The results of a two-stage cluster sampling survey. J LGBT Health Res. 2008;4:111-26.

Patel VV, Maver KH, Makondon HJ. Men who have sex with men in India: A diverse population in need of medical attention. Indian J Med Res. 2012;136(4):563-70.

Strategic Technical Alignment for Results (Star) Process, PEPFAR India. Country Operational Plan, COP 2017. Strategic Direction Summary; 2017.

Mid-Term Appraisal of National AIDS Control Programme, Phase IV. National AIDS Control Organization. Ministry of Health & Family Welfare. Government of India. 2016.

Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance, 2017. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Division of STD Prevention, September 2018. Atlanta: U.S. Department of Health and Human Services. Available at: http://www.cdc.gov/std/stats09/ default. htm. Accessed on 3 November 2019.

Purcell DW, Johnson C, Lansay A, Prejean J, Stein R, Denning P, et al. Calculating disease rates for risk groups: Estimating the national population size of men who have sex with men (abstract) paper presented at: National STD Prevention Conference. Atlanta, Georgia; 2010.

Bjekic MD, Sipetic-Grujicic SB, Vlajinac HD, Nikolic AM. Oral sex related knowledge and oral sex behavior among homosexual and heterosexual men in Belgrade: A cross-sectional study. Indian J Dermatol Venereol Leprol. 2018;84:563-8.

Silan V, Kant S, Haldar P, Goswami K, Rai SK, Misra P. HIV risk behavior among men who have sex with men. North Am J Med Sci 2013;5:515-22.

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(6):425-31.

Brahmam GN, Kodavalla V, Rajkumar H, Rachakulla HK, Kallam S, Myakala SP, 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.

Garg T, Chander R, Jain A, Barara M. Sexually transmitted diseases among men who have sex with men: A retrospective analysis from Suraksha clinic in a tertiary care hospital. Indian J Sex Transm Dis. 2012;33:16-9.