Centre for Economic Data and Analysis (CEDA), Ashoka University, Sonepat, India.
School of Health Systems Studies, Tata Institute of Social Sciences, Mumbai, India.
Int J STD AIDS. 2024 Oct;35(12):924-934. doi: 10.1177/09564624241273033. Epub 2024 Aug 13.
Studies in India and other low-income countries find an inconsistent association between mobility/migration and sexually transmitted infections (STIs) among men. This study comprehensively examined the association between mobility and STIs among men in India. It also assessed heterogeneous associations of mobility, alcohol consumption, and risky sexual behavior with STIs using interaction analysis.
We utilized a sample of 71,128 sexually active men aged 15-54 years from the 2019-21 National Family Health Survey-5. Binary logistic regression models were employed to study the associations.
Among the study participants, 16% were mobile and away from home for a month or more in the last 12 months. Around 29% of men reported alcohol consumption and 6% had risky sexual behavior (sexual intercourse with a non-marital/non-cohabitating partner). Regression results suggest that mobility (AOR: 1.41, 95% CI: 1.29-1.55 [short-duration]; AOR: 1.95, 95% CI: 1.77-2.13 [long-duration]) and alcohol consumption (AOR: 1.32, 95% CI: 1.24-1.40) were significantly associated with an increased risk of STIs, even after controlling for socio-demographic covariates. Interaction analysis further reveals that mobile men who consumed alcohol and engaged in risky sexual behavior had a significantly higher likelihood of contracting an STI-twice as high in cases of short-duration mobility and three times higher in cases of long-duration mobility.
Our study indicates that both short and long-duration mobility are significantly associated with an increased risk of STIs among men. Alcohol consumption and risky sexual behavior further exacerbate the risk of STIs in mobile men. Initiatives for STI/HIV prevention among men must pay particular attention to temporary mobile men for both short and long durations.
印度和其他低收入国家的研究发现，男性的流动性/迁移与性传播感染（STIs）之间的关联不一致。本研究全面研究了印度男性流动性与 STIs 之间的关联。它还使用交互分析评估了流动性、饮酒和危险性行为与 STIs 之间的异质关联。
我们利用了 2019-21 年全国家庭健康调查-5 的 71128 名 15-54 岁的活跃男性样本。使用二元逻辑回归模型研究关联。
在研究参与者中，16%的人在过去 12 个月中离家一个月或更长时间。约 29%的男性报告饮酒，6%的男性有危险性行为（与非婚姻/非同居伴侣发生性关系）。回归结果表明，流动性（AOR：1.41，95%CI：1.29-1.55[短期]；AOR：1.95，95%CI：1.77-2.13[长期]）和饮酒（AOR：1.32，95%CI：1.24-1.40）与 STIs 的风险增加显著相关，即使在控制了社会人口统计学协变量后也是如此。交互分析进一步表明，饮酒和从事危险性行为的流动男性感染 STI 的可能性显著更高-短期流动性的可能性增加两倍，长期流动性的可能性增加三倍。
我们的研究表明，短期和长期流动性都与男性 STIs 的风险增加显著相关。饮酒和危险性行为进一步加剧了流动男性的 STIs 风险。STI/HIV 预防计划必须特别关注短期和长期的临时流动男性。
