HIV and homosexuality in Pakistan

Aga Khan University Hospital, Karachi, Pakistan.
The Lancet Infectious Diseases (Impact Factor: 22.43). 05/2009; 9(4):204; author reply 205-6. DOI: 10.1016/S1473-3099(09)70065-9
Source: PubMed
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    ABSTRACT: Consistent condom use, particularly by promiscuous individuals, is a major safeguard against sexually transmitted diseases, including HIV/AIDS. This study examines some demographic factors that may affect such use among Bangladeshi female commercial sex workers at a brothel in Tangail (n = 196; mean age = 23.44 years), and the streets of Dhaka (n = 112; mean age = 25.92 years). The chi2 results indicated that sex workers over 19 years of age were 2.52 times more likely than adolescents under 19 to work on the street rather than at a brothel (chi2 = 8.73, p < .0.01, OR = 2.52, 95% CI = 1.35-4.72). Brothel sex workers aged over 19 years reported 3.26 probability to regularly use condom with clients than those adolescents aged below 19 years (chi2 = 6.23, p < 0.01, OR = 3.26, 95% CI = 1.25-8.53). This study found age to be a significant demographic correlate of regular condom use, particularly, among the brothel workers.
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    ABSTRACT: In Pakistan, seven times more men are reported to be infected with HIV than women. Among the Pakistani population, modes of HIV transmission include infection through sexual contact, contaminated blood and blood products, injecting drug use, and mother-to-child transmission. Although most sexual transmission of HIV results from unsafe heterosexual contact, homosexual and bisexual contact also represent important modes of transmission. According to unpublished reports, the prevalence of HIV among homosexual and bisexual Pakistani men is reaching alarming proportions. We describe the Pakistani homosexual and bisexual culture, review statistics regarding HIV prevalence and risk behaviour, and identify areas of improvement in the HIV policy with specific focus on men who have sex with men.
    The Lancet Infectious Diseases 08/2008; 8(8):511-5. DOI:10.1016/S1473-3099(08)70183-X · 22.43 Impact Factor