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

Madhivanan, Purnima; Hernandez, Alexandra L.; Gogate, A; Stein, Ellen; Gregorich, Steven E.; Setia, Maninder Singh; Kumta, Sameer; Ekstrand, Maria; Mathur, M; Jerajani, Hema; Lindan, Christina

doi:10.1097/01.olq.0000175405.36124.3b

Cited by 71 publications

(63 citation statements)

References 19 publications

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“…Our finding that alcohol use before sex is associated with unsafe sex with non-regular partners supports similar findings from other populations in India (e.g., Madhivanan et al, 2005). Taken along with findings of heavy and frequent drinking among wine shop patrons, the data suggest a need to address the role of responsible drinking and binge drinking in HIV prevention messages (e.g., see Carey, 2001).…”

Section: Discussionsupporting

confidence: 77%

“…Behavioral surveillance conducted by NACO shows that 75% of a nationwide sample of female sex workers consumed an alcoholic drink occasionally before sex; among their male clients, 23% reported drinking on a daily basis (National AIDS Control Organization, 2001). Other studies evaluating behavioral factors associated with sexual risk in India report that alcohol use is associated with heterosexual risk markers such as prevalent sexually transmitted diseases and sex with female sex workers (Madhivanan et al, 2005), extra-marital sex (Schensul et al, 2006) and non-use of condoms (Gupta, Sharma and Ramachandran, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Male alcohol use and unprotected sex with non-regular partners: Evidence from wine shops in Chennai, India

Sivaram

Srikrishnan

Latkin

et al. 2008

Drug and Alcohol Dependence

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Male alcohol use and unprotected sex with non-regular partners: Evidence from wine shops in Chennai, India

Sivaram

Srikrishnan

Latkin

et al. 2008

Drug and Alcohol Dependence

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“…In the general population, 40% (1 million) live in various slum pockets and almost 80% (2 million) are poorly educated (Pallikadavath, Garda, Apte, Freedman & Stones, 2005). It is hypothesised that because of the high traffic of rural commuters to and from cities like Ahmadabad 255 km to the north (where 13% of commercial sex workers are HIV-infected) and Mumbai 263 km to the south (where 54% of commercial sex workers are HIV-infected and injection drug use is more accessible), the epidemic may build a stronghold here (Fung et al, 2007;Madhivanan et al, 2005;Pallikadavath et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

A comparison in HIV-associated stigma among healthcare workers in urban and rural Gujarat

Vyas

Patel

Shukla³

et al. 2010

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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The present study measures levels of stigma within health care settings in urban and rural Gujarat, in an attempt to understand how this may have contributed to the state's increasing HIV incidence. Two sites were studied: a rural hospital in Bardoli and an urban hospital in Surat. HIV-associated stigma among healthcare workers (N=170) was assessed using a Stigma Index. Overall, analyses suggest an increase in medical education was found to be associated with higher stigmatisation (p<0.001). Furthermore, a statistically significant difference between stigma scores of HCWs in rural and urban Gujarat was not observed. RésuméCette étude mesure les niveaux de stigmatisation dans des environnementaux médicaux situés dans les zones urbaines et rurales du Gujarat, afin d' essayer de comprendre comment la stigmatisation pourrait avoir contribué à l'incidence croissante du VIH dans l'Etat. Deux sites ont été étudiés : un hôpital situé en zone rurale à Bardoli et un hôpital urbain à Surat. La stigmatisation associée au VIH parmi les travailleurs de la santé (N=170) a été évaluée en utilisant un indice de stigmatisation. Globalement, les analyses suggèrent qu'une meilleure éducation médicale était associée à une plus forte stigmatisation (p<0.001). De plus, aucune différence statistiquement importante entre les résultats de la stigmatisation des travailleurs de la santé dans les zones rurales et ceux des zones urbaines du Gujarat n'a été observée.

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“…Second, preliminary studies by our team comparing a community-based sample to wine shops suggested that the wine shop sample had significantly higher sexual risk behaviors. 18 Finally, alcohol use has been associated with HIV and STDs and sex with female sex workers 19 and with behavior risk factors such as extramarital sex among men in urban India. 20 Driven by these reasons, we began our exploratory study.…”

Section: Introductionmentioning

confidence: 99%

Exploring “Wine Shops” as a Venue for HIV Prevention Interventions in Urban India

et al. 2007

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Addressing male heterosexual risk is a high priority for HIV prevention efforts in India. Particularly in urban India, which draws men for employment opportunities, these efforts are gaining momentum with a focus on understanding possible risk facilitators such as alcohol use. However, little is known about venues where such efforts might be targeted. In this paper, we explore community-based alcohol outlets or Bwine shops^in Chennai, India, as potential venues. We conducted ethnographic research with wine shop staff and clients to understand alcohol use and sexual behaviors. We then surveyed 118 wine shop patrons to quantify these risk behaviors and plan an appropriate intervention. Our results show that wine shops are a venue where social and sexual networks converge. Reports and observations of regular and heavy drinking were frequent. Over 50% of patrons surveyed reported three or more sexual partners in the past 3 months, and 71% of all patrons reported a history of exchanging sex for money. Condom use history was low overall but, in the adjusted analyses, was significantly higher (OR=20.1) among those who reported that their most recent partner was a sex worker and lower (OR=0.28) among those who reported they drank to feel disinhibited. The data suggest that wine shops may be an appropriate location to target men for HIV prevention interventions. We discuss how these findings helped design such an intervention in Chennai.

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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

Abstract: 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.

Cited by 71 publications

References 19 publications

Male alcohol use and unprotected sex with non-regular partners: Evidence from wine shops in Chennai, India

Male alcohol use and unprotected sex with non-regular partners: Evidence from wine shops in Chennai, India

A comparison in HIV-associated stigma among healthcare workers in urban and rural Gujarat

Exploring “Wine Shops” as a Venue for HIV Prevention Interventions in Urban India

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