Alcohol Use by Men Is a Risk Factor for the Acquisition of Sexually Transmitted Infections and Human Immunodeficiency Virus From Female Sex Workers in Mumbai, India

Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, CA 94720-7360, USA.
Sex Transm Dis (Impact Factor: 2.84). 12/2005; 32(11):685-90. DOI: 10.1097/01.olq.0000175405.36124.3b
Source: PubMed


We investigated whether men who were under the influence of alcohol when visiting female sex workers (FSW) were at greater risk for sexually transmitted infections (STI) and human immunodeficiency virus (HIV).
A cross-sectional analysis using baseline data from a randomized controlled trial of an HIV prevention intervention for high-risk men in Mumbai, India.
The overall HIV prevalence among 1741 men sampled was 14%; 64% had either a confirmed STI or HIV; 92% reported sex with an FSW, of whom 66% reported having sex while under the influence of alcohol (SUI). SUI was associated with unprotected sex (odds ratio [OR]: 3.1; 95% confidence interval [CI], 2.3-4.1), anal sex (OR: 1.5; 1.1-2.0), and more than10 FSW partners (OR: 2.2; 1.8-2.7). SUI was independently associated with having either an STI or HIV (OR: 1.5; 1.2-1.9).
Men who drink alcohol when visiting FSWs engage in riskier behavior and are more likely to have HIV and STIs. Prevention programs in India need to raise awareness of this relationship.

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    • "Alcohol use and its association with HIV-related sexual risk is well documented by studies in other countries [4–7], including studies on MSM [8–11]. Studies in India have found alcohol use to be associated with HIV-related sexual risk across a range of male populations—married men [12], male migrant workers [13], men from low income communities [14], male clients of female sex workers (FSWs) [15], and male patrons of wine shops [16]. However, little information is available on alcohol use among Indian MSM and its association with HIV-related sexual risk. "
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