Document 2071
 DOCN  M94A2071
 TI    Intervention development with men who have sex men in Madras.
 DT    9412
 AU    Pradeep K; Kumar MS; Nagarajan; Hariharan AJ; Community Action Network,
       Virugambakkam, Madras.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):388 (abstract no. PD0158). Unique
       Identifier : AIDSLINE ICA10/94370504
 AB    OBJECTIVE: To develop and test intervention strategies with Men who have
       Sex with Men in Madras to reduce risk of HIV transmission. METHODS:
       Combination of qualitative and ethnographic research methodology.
       Concepts, identities and lifestyles, sexual behaviors, settings and
       practices obtained. Quanti fied circuits of MSM and of core groups at
       highest risk of HIV infection. The latter groups are typified by a high
       number of sexual partners and/or a high incidence of high risk sexual
       practices such as unprotected anal intercourse. These core groups and
       the context and setting in which they operate are the main targets of
       interve ntion to promote safer sex. Uses Enabling and persuasive
       approaches and focuses on outreach at cruising areas and key Brokers to
       reach circuit of Commercial boys. RESULTS: Different core groups of MSM
       at high risk of HIV infection were identified; Strategies designed to
       promote safer sex and a plan on how to reduce risk practices is being
       tested. Targets 1,400 Men (Danga and Double Deckers) cruising in Madras
       at various pick up points and Panthis (active partners). Most sexual
       practices involve oral sex. However it is estimated that 30% of these
       practices involve anal intercourse (Danga being the receptive partner).
       Condoms are made available close to where sex takes place. Skills in
       condom use being developed. The commercial sex workers are targeted
       through brokers who are being trained as change agents and condom sales
       agents. Panthi men who have sex with Danga on a very regular basis and
       have a preference for being inserters in anal intercourse are targeted
       with IEC on HIV/AIDS and need for condom use. STD prevalence in circuit
       is high. STD treatment center integrated with general health that is non
       stigmatizing towards MSM and acceptable to them started. Counseling and
       community support center started. CONCLUSIONS: Strategies of
       intervention in MSM circuits where men do not identify themselves as
       Gay/Homosexual in a homosocial setting being explored.
 DE    Adolescence  Adult  Condoms  *Developing Countries  *Health Education
       *Homosexuality  Human  HIV Infections/*PREVENTION & CONTROL/TRANSMISSION
       India  Knowledge, Attitudes, Practice  Male  Prostitution  Risk Factors
       *Sex Behavior  Sex Education  Social Environment  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).