title: Sexual behaviors among men who have sex with men: a quantitative cross sectional study in Kathmandu Valley, Nepal.
abstract: Unprotected sexual transmission is the cause of approximately 70%-80% of human immunodeficiency virus (HIV) infections worldwide. Prevalence of HIV infection in 2011 was more than ten fold higher (3.8%) among men who have sex with men (MSM) than in the general population (0.33%) in Nepal. This study aimed to explore sexual behaviors, and social and demographic characteristics of MSM in Kathmandu Valley, Nepal. A quantitative cross sectional study was conducted among 113 MSM. MSM is a hidden population in Nepalese society, therefore, it was difficult to construct a sample frame for this research so, respondent driven sampling was used which gives unbiased estimates of population parameters and has the potential to reach MSM, who are not easily accessible. A structured interview was used to obtain the information. The majority of respondents were above 20 years old (mean = 27.9 years, SD = 7.4 years). Most respondents were receptive, 43.4% identified themselves as Meti. Forty six percent of respondents were married. The majority had sex with males which was predominantly anal. MSM had an average number of 74 sex partners (last three months). Nearly 95% had used a condom, and 92% had used lubricant during their last sex act. Thirty eight percent perceived themselves as at risk of HIV. The majority knew of a place for confidential HIV testing in Kathmandu. This study highlights the importance of partner tracing during HIV counseling and testing, the importance of drop-in centers to increase access to condoms, and supports the need to increase comprehensive health services and peer led participatory behavioral change communication activities to this population in the national HIV response.
authors: Naulo Ghumti Nepal,Tanahun, Nepal.
authors: Shiva Raj
authors: SR
authors: Mishra
authors: Vishnu
authors: V
authors: Khanal
keywords: Nepal; cross sectional; men who have sex with men; quantitative; sexual behavior
references: Arch Sex Behav. 2010 Aug;39(4):950-8
references: 18719988
references: Proc Natl Acad Sci U S A. 2010 Apr 13;107(15):6743-7
references: 20351258
references: AIDS Educ Prev. 2004 Feb;16(1):19-30
references: 15058708
references: J Acquir Immune Defic Syndr. 2003 Jan 1;32(1):80-5
references: 12514418
references: BMC Womens Health. 2011 Sep 26;11:42
references: 21943102
references: Sex Transm Infect. 2009 Apr;85(2):132-8
references: 19060036
references: AIDS Care. 2003 Dec;15(6):829-37
references: 14617504
references: J Health Popul Nutr. 2009 Dec;27(6):772-83
references: 20099761
references: Int J Chron Obstruct Pulmon Dis. 2012;7:253-7
references: 22563245
references: J Urban Health. 2006 Nov;83(6 Suppl):i1-5
references: 17058119
references: PLoS Med. 2007 Dec;4(12):e339
references: 18052602
references: J Acquir Immune Defic Syndr. 2011 Apr 15;56(5):437-42
references: 22046601
references: PLoS One. 2012;7(6):e39834
references: 22768137
references: AIDS Care. 2007 Jul;19(6):799-810
references: 17573601
references: Biosci Trends. 2008 Jun;2(3):97-100
references: 20103910
references: PLoS One. 2011;6(11):e27447
references: 22102896
references: AIDS. 2005 May;19 Suppl 2:S67-72
references: 15930843
references: Crit Care. 2002 Aug;6(4):335-41
references: 12225610
references: Cochrane Database Syst Rev. 2008 Jul 16;(3):CD001230
references: 18646068