PMID- 20467890 OWN - NLM STAT- MEDLINE DCOM- 20101220 LR - 20211020 IS - 1573-3254 (Electronic) IS - 1090-7165 (Print) IS - 1090-7165 (Linking) VI - 14 IP - 5 DP - 2010 Oct TI - The emerging HIV epidemic among men who have sex with men in Tamil Nadu, India: geographic diffusion and bisexual concurrency. PG - 1001-10 LID - 10.1007/s10461-010-9711-2 [doi] AB - In India, men who have sex with men (MSM) remain hidden because anal intercourse was criminalized and marriage socially required. We characterize HIV/STI prevalence among MSM in Tamil Nadu. Eligible participants were recruited using respondent-driven sampling in eight cities (n = 721). Median age was 28, 34% were married and 40% self-identified as homosexual. Median number of male partners in the prior year was 15; 45% reported any unprotected anal intercourse (UAI). HIV, herpes simplex virus-2 (HSV-2), chronic hepatitis B virus (HBV) and syphilis prevalence were 9, 26, 2 and 8%, respectively; among married men, all were higher: 14, 32, 3 and 11% (p < 0.01 for HIV and HSV-2). Less education, HSV-2, more male partners, UAI and not having a main male partner were associated with HIV prevalence. The high STI and UAI prevalence may lead to a burgeoning HIV epidemic among MSM, reinforcing the need for focused preventive measures incorporating complex circumstances. FAU - Solomon, Sunil Suhas AU - Solomon SS AD - YR Gaitonde Centre for AIDS Research and Education (YRGCARE), VHS Adyar, Taramani, Chennai, India. sunil@yrgcare.org FAU - Srikrishnan, Aylur K AU - Srikrishnan AK FAU - Sifakis, Frangiscos AU - Sifakis F FAU - Mehta, Shruti H AU - Mehta SH FAU - Vasudevan, Canjeevaram K AU - Vasudevan CK FAU - Balakrishnan, Pachamuthu AU - Balakrishnan P FAU - Mayer, Kenneth H AU - Mayer KH FAU - Solomon, Suniti AU - Solomon S FAU - Celentano, David D AU - Celentano DD LA - eng GR - D43 TW000237/TW/FIC NIH HHS/United States GR - R01 MH089266/MH/NIMH NIH HHS/United States GR - U01 AI069406/AI/NIAID NIH HHS/United States GR - 2D 43 TW000010-20-AITRP/TW/FIC NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - AIDS Behav JT - AIDS and behavior JID - 9712133 SB - IM MH - Adult MH - *Bisexuality MH - Epidemics MH - HIV Infections/*epidemiology/transmission MH - Homosexuality, Male/*statistics & numerical data MH - Humans MH - India/epidemiology MH - Logistic Models MH - Male MH - Prevalence MH - Risk Assessment MH - Sexual Partners MH - Sexually Transmitted Diseases/*epidemiology/transmission MH - Social Class MH - Surveys and Questionnaires MH - Unsafe Sex MH - Young Adult PMC - PMC4890540 MID - NIHMS786963 EDAT- 2010/05/15 06:00 MHDA- 2010/12/21 06:00 PMCR- 2016/06/02 CRDT- 2010/05/15 06:00 PHST- 2010/05/15 06:00 [entrez] PHST- 2010/05/15 06:00 [pubmed] PHST- 2010/12/21 06:00 [medline] PHST- 2016/06/02 00:00 [pmc-release] AID - 10.1007/s10461-010-9711-2 [doi] PST - ppublish SO - AIDS Behav. 2010 Oct;14(5):1001-10. doi: 10.1007/s10461-010-9711-2.