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M94A2071.TXT
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1994-10-24
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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).