Department of Mathematical Demography and Statistics, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai, 400088, India.
Arch Sex Behav. 2021 Jan;50(1):333-346. doi: 10.1007/s10508-020-01814-8. Epub 2020 Oct 15.
Modern Indian society has witnessed rapid sociocultural transformation where loosening of cultural values is observed at all levels. In the era of transition, traditional norms and values are changing where young male individuals are found to be associated with high-risk multi-partner sexual behavior. Findings are based on a nationally representative sample of 45,231 and 65,704 men aged 15-54 during the period 2005-2006 and 2015-2016, respectively. The burden of high-risk sexual behaviors among men aged 15-54 years in India over the last decade remains disproportionately higher among younger, unmarried, and urban men, who are mainly from economically better-off households. Despite tremendous efforts of the government of India as well as various state governments in condom promotion as part of the HIV/AIDS prevention program, the improvements in condom use over the last decade are not impressive as it has not yet reached the desired threshold level. The disparities in high-risk sexual behavior among men aged 15-54 years, coming from rich and poor households, have narrowed. The findings of the study also underline an apparent paradox in the relationship between knowledge of HIV/AIDS and indulgence in high-risk sexual behavior and adopting safe sexual practices. It is recommended that all the HIV prevention programs in India should promote the concept of men as the responsible sexual partner. This concept may be promoted among young and unmarried men by reinforcing the shift from violence to respect and projecting the condom as a sexual stimulus rather than a means of disease prevention.
现代印度社会见证了快速的社会文化转型，在各个层面都观察到文化价值观的松动。在转型时代，传统规范和价值观正在发生变化，年轻男性被发现与高风险多伴侣性行为有关。研究结果基于 2005-2006 年和 2015-2016 年期间分别代表年龄在 15-54 岁的 45231 名和 65704 名男性的全国代表性样本。在过去十年中，印度 15-54 岁男性的高风险性行为负担在年轻、未婚和城市男性中仍然不成比例地更高，这些男性主要来自经济状况较好的家庭。尽管印度政府和各邦政府在推广避孕套方面做出了巨大努力，将其作为艾滋病毒/艾滋病预防计划的一部分，但过去十年中避孕套使用的改善并不令人印象深刻，因为它尚未达到预期的门槛水平。来自贫富家庭的 15-54 岁男性的高风险性行为差异已经缩小。研究结果还强调了艾滋病毒/艾滋病知识与高风险性行为和安全性行为之间关系的明显悖论。建议印度所有艾滋病毒预防计划都应推广男性作为负责任的性伴侣的概念。可以通过加强从暴力到尊重的转变，将避孕套作为性刺激而不是疾病预防手段，向年轻和未婚男性宣传这一概念。
