Association between alcohol use and HIV-related sexual risk behaviors among men who have sex with men (MSM) : findings from a multi-site bio-behavioral survey in India
Yadav, D.; Chakrapani, V.; Goswami, P.; Ramanathan, S.; Ramakrishnan, L.; George, B.; Sen, S.; Subramanian, T.; Rachakulla, H.; Paranjape, R.S.
Aids and Behavior 18(7): 1330-1338
2014
ISSN/ISBN: 1090-7165 PMID: 24458782 DOI: 10.1007/s10461-014-0699-xDocument Number: 625741
This paper examines the association between alcohol use and HIV-related sexual risk behaviors among men who have sex with men (MSM). A cross-sectional bio-behavioral survey was conducted among 3,880 MSM, recruited using time-location cluster sampling from cruising sites in three Indian states. Nearly three-fifths of the participants reported alcohol use. Among frequent users (40 % of the sample), defined as those who consumed alcohol daily or at least once a week, 66 % were aged 25 years and above, 53 % self-identified as kothi (feminine/receptive), and 63 % consistently used condoms with male paying partners. Multivariate logistic regression demonstrated that frequent users were more likely to be aged 25 years and above, less likely to self-identify as kothi, and less likely to consistently use condoms with male paying (AOR = 0.7; 95 % CI 0.5-0.9) and male regular (AOR = 0.7; 95 % CI 0.6-0.9) partners. HIV prevention interventions for MSM need to provide tailored information on alcohol use-related sexual risk, especially for MSM in sex work and MSM with male regular partners.
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