Newman P A, Chakrapani V, Cook C, Shunmugam M, Kakinami L
University of Toronto, Factor-Inwentash Faculty of Social Work/Center for Applied Social Research, Toronto, Ontario, Canada.
J LGBT Health Res. 2008;4(2-3):81-7. doi: 10.1080/15574090902913669.
We conducted structured interviews with 200 men who have sex with men (MSM) recruited using time-space sampling from public sex environments (PSEs) in Chennai, India. Predictors of sexual risk behavior were assessed with chi2 tests and multiple logistic regression. One-third reported unprotected receptive anal sex (URAS) last time and 36% inconsistent condom use in the past month. URAS was associated with younger age, less than high school education, low income, and low HIV transmission knowledge (adjusted odds ratio [AOR] = 2.1, 2.5, 3.7 and 2.5, respectively). Inconsistent condom use was associated with less than high school education (AOR = 3.2) and low HIV transmission knowledge (AOR = 3.5). Multilevel HIV prevention strategies tailored for low socioeconomic kothis and other MSM in PSEs in Chennai should include peer interventions to increase knowledge of HIV transmission risks and sexually transmitted infections (STIs), and structural interventions to expand economic and educational opportunities, and accessible STI testing and treatment.
我们对200名男男性行为者（MSM）进行了结构化访谈，这些受访者是通过时空抽样从印度金奈的公共性环境（PSEs）中招募而来的。通过卡方检验和多重逻辑回归评估性风险行为的预测因素。三分之一的人报告称上次有过无保护的肛交行为（URAS），36%的人在过去一个月中存在不固定使用避孕套的情况。URAS与年龄较小、未接受过高中教育、低收入以及对艾滋病毒传播知识了解较少有关（调整后的优势比[AOR]分别为2.1、2.5、3.7和2.5）。不固定使用避孕套与未接受过高中教育（AOR = 3.2）以及对艾滋病毒传播知识了解较少（AOR = 3.5）有关。针对金奈PSEs中社会经济地位较低的kothis和其他男男性行为者制定的多层次艾滋病毒预防策略应包括同伴干预，以增加对艾滋病毒传播风险和性传播感染（STIs）的了解，以及结构性干预，以扩大经济和教育机会，提供可及的性传播感染检测和治疗。
