title: Factors Associated with Use of Latex Condom-Compatible Lubricants by Men Who Have Sex with Men in India: Implications for HIV Prevention.
abstract: We examined the prevalence and type of rectal lubricants use and factors associated with exclusive use of latex-condom compatible lubricants (water-based lubricants) among men who have sex with men (MSM) using data from a large-scale cross-sectional survey conducted in 2009/10 in three Indian states. Using time-location cluster sampling, 3880 MSM were recruited from cruising sites. We used multiple logistic regression to assess the association between type of lubricants used and sociodemographic and programmatic indicators. Among those who reported using lubricants (64%) more than half (53%) exclusively used water-based lubricants, less than one-tenth used exclusively oil-based lubricants, and nearly 40% used both water-based and oil-based lubricants. Factors associated with exclusive use of water-based lubricants were exposure to HIV prevention interventions (AOR: 6.18, 95% CI 4.82 to 7.92) and kothi-identified MSM-feminine/anal-receptive (AOR: 2.56, 95% CI 2.12 to 3.10). Targeted HIV interventions among MSM need to promote and distribute latex condom-compatible lubricants for use during anal sex-irrespective of their presumed or stated sexual role in anal sex, and educate them not to use oil-based lubricants with condoms.
authors: FHI 360 India, H-5 (Ground Floor), Green Park Extension, New Delhi 110016, India.
authors: Shreena
authors: S
authors: Ramanathan
authors: Centre for Sexuality and Health Research and Policy (C-SHaRP), 38 (Old No. 167), Rangarajapuram Main Road, Kodmbakkam, Chennai 600 024, India.
authors: Venkatesan
authors: V
authors: Chakrapani
authors: FHI 360 India, H-5 (Ground Floor), Green Park Extension, New Delhi 110016, India.
authors: Lakshmi
authors: L
authors: Ramakrishnan
authors: FHI 360 India, H-5 (Ground Floor), Green Park Extension, New Delhi 110016, India.
authors: Prabuddhagopal
authors: P
authors: Goswami
authors: FHI 360 India, H-5 (Ground Floor), Green Park Extension, New Delhi 110016, India.
authors: Diwakar
authors: D
authors: Yadav
authors: FHI 360 India, H-5 (Ground Floor), Green Park Extension, New Delhi 110016, India.
authors: Bitra
authors: B
authors: George
authors: FHI 360 India, H-5 (Ground Floor), Green Park Extension, New Delhi 110016, India.
authors: Shrabanti
authors: S
authors: Sen
authors: National Institute of Nutrition (ICMR), Tarnaka, Jamai Osmania, Hyderabad 500007, India.
authors: Harikumar
authors: H
authors: Rachakulla
authors: National Institute of Epidemiology (ICMR), Second Main Road, TNHB, Ayapakkam, Chennai 600 077, India.
authors: Thilakavathi
authors: T
authors: Subramanian
authors: National AIDS Research Institute (ICMR), T 71-1A/2, M.I.D.C., Telco Road, Bhosari, Pune 411 026, India.
authors: Ramesh S
authors: RS
authors: Paranjape