We also estimate the absolute number of men who used FSW in India in Estimates for the absolute number of FSW clients in were calculated by applying the stratum-specific sample prevalences of FSW use to the projected male population in each stratum. Study population NACO conducted national surveys of sexual behaviour in and Here we report a nationally representative study on the prevalence and correlates of having any non-regular sex partners NRP and of using FSW among men aged 15—49 years in the Indian general population. July 5, ; Published: The risk of FSW use rose sharply with increasing number of non-regular partners in the past year. HIV can be transmitted by mosquito bites or through sharing food with an HIV-infected person, and cannot be transmitted from a healthy-looking person. This nationally representative study examined the prevalence and correlates of FSW use among 31, men aged 15—49 years in India in
Study variables Two self-reported outcomes in the previous year were examined: January 13, ; Accepted: Of the 48 men interviewed nationally, we excluded men from the seven northeastern states i. The male population for each stratum was derived by combining Indian census projections of the male population by age and state  with Sample Registration System data on the age and marital status distributions of the male population . This nationally representative study examined the prevalence and correlates of FSW use among 31, men aged 15—49 years in India in In the round, trained interviewers administered questionnaires in the household to 48 men and 48 women. Socio-demographic characteristics included age, urban residency, level of education and employment in the transport sector. Of the 43 men in the remaining 28 states, we excluded 11 men who reported no lifetime sexual activity and sexually active men for whom information on NRP in the past year was missing, leaving 31 men in the study population. Estimates for the absolute number of FSW clients in were calculated by applying the stratum-specific sample prevalences of FSW use to the projected male population in each stratum. Prevalences of NRP and of using FSW were stratified by HIV region and marital status, and standardized to the age distribution of all unmarried, married and previously married men in the study population. July 5, ; Published: Prior research on factors associated with FSW use in India has been limited to high-risk male subpopulations, such as urban homeless men  , urban sexually transmitted infection STI clinic attendees  , or rural voluntary counselling and testing VCT clinic attendees  , and to general population-based studies in small geographical areas  , . The risk of FSW use rose sharply with increasing number of non-regular partners in the past year. National HIV prevalence at ages 15—49 years is about 0. Multi-stage, stratified cluster sampling was used to select a nationally representative probability sample of men and women aged 15—49 years in the general population. Men were assessed as receiving interpersonal education if they answered positively to either of two questionnaire items: Introduction India had about 1. July 29, Copyright: Univariate associations between FSW use and explanatory variables were first assessed by Chi-squared tests; a backward stepwise approach was then used to generate multivariate Poisson regression models to estimate adjusted prevalence ratios. The authors have declared that no competing interests exist. This secondary analysis of these data was approved by the ethics review board of St Michael's Hospital, Toronto, Ontario, Canada. Study population NACO conducted national surveys of sexual behaviour in and We also estimate the absolute number of men who used FSW in India in More than half of all FSW clients were married. A Nationally Representative Behavioural Survey. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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