Informal confidential voting interviewing in a sexual risk assessment of men who have sex with men (MSM) and transgenders (hijra) in Bangalore, India

Phillips, Anna E.; Molitor, John; Boily, Marie‐Claude; Lowndes, Catherine M; Gurav, Kaveri; Blanchard, James; Alary, Michel

doi:10.1136/sextrans-2011-050373

Cited by 13 publications

(12 citation statements)

References 18 publications

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“…Four studies examined interviewer‐controlled voting instrument (ICVI), where respondents marked their responses to sensitive questions privately and then posted them into a locked box (Gregson et al. 2002, 2004; Phillips et al. 2007; Hanck et al.…”

Section: Resultsmentioning

confidence: 99%

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How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries

Langhaug

Sherr

Cowan

2010

Tropical Medicine &Amp; International Health

180

165

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Summary Objectives To systematically review comparative research from developing countries on the effects of questionnaire delivery mode. Methods We searched Medline, EMbase and PsychINFO and ISSTDR conference proceedings. Randomized-controlled trials and quasi-experimental studies were included if they compared two or more questionnaire delivery modes, were conducted in a developing country, reported on sexual behaviours, and occurred after 1980. Results 28 articles reporting on 26 studies met the inclusion criteria. Heterogeneity of reported trial outcomes between studies made it inappropriate to combine trial outcomes. 18 studies compared audio computer-assisted survey instruments (ACASI) or its derivatives (PDA or CAPI) against another self-administered questionnaires, face-to-face interviews, or random response technique. Despite wide variation in geography and populations sampled, there was strong evidence that computer-assisted interviews lowered item-response rates and raised rates of reporting sensitive behaviours. ACASI also improved data entry quality. A wide range of sexual behaviours were reported including vaginal, oral, anal and/or forced sex, age of sexual debut, condom use at first and/or last sex. Validation of self-reports using biomarkers was rare. Conclusions These data reaffirm that questionnaire delivery modes do affect self-reported sexual ehaviours and that use of ACASI can significantly reduce reporting bias. Its acceptability and feasibility in developing country settings should encourage researchers to consider its use when conduct ing sexual health research. Triangulation of self-reported data using biomarkers is recommended. Standardising sexual behaviour measures would allow for meta-analysis.

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Section: Resultsmentioning

confidence: 99%

“…in Zimbabwe: multiple sex partners males OR = 1.33, P = 0.028; females OR = 5.21, P < 0.001). Only among transgendered males was there increased reporting of some behaviours but not others (Phillips et al. 2007).…”

Section: Resultsmentioning

confidence: 99%

How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries

Langhaug

Sherr

Cowan

2010

Tropical Medicine &Amp; International Health

180

165

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“…MSM were informed that their participation, refusal to participate, or withdrawal from the study in no way would affect their services at Sahodaran. Hijra (transgender women) were not included in the current study, as previous studies have shown that hijra have a distinct set of needs and specific interventions should be designed to target gender minority populations (Altaf, Zahidie, & Agha, 2012; Phillips et al, 2013; Sahastrabuddhe et al, 2012). The assessment battery was administered in Tamil by a trained research assistant in a private room at the National Institute for Research on Tuberculosis in Chennai.…”

Section: Methodsmentioning

confidence: 99%

Transactional sex and the challenges to safer sexual behaviors: a study among male sex workers in Chennai, India

et al. 2016

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Male sex workers (MSW) are a significant but invisible population in India who are at risk for HIV/STI. Few studies from India have documented HIV risk factors and motivations for sex work in this population. Between 2013 and 2014, a community-based convenience sample of 100 MSW in Chennai (south India) completed a baseline risk assessment as part of a behavioral intervention. Participants were ≥18 years, and reported current sex work. We report medians and proportions, and Wilcoxon-Mann-Whitney and chi-square tests are used to examine differences between sex work and sexual behavior measures by income source. Participants were engaged in sex work for 5.0 years (IQR=2.3-10.0), and earned 3,000 (IQR=2000-8000) Rupees (<50 USD) per month from sex work. Sixty-four percent reported ever testing for HIV and 20.2% for any STI. The most common reasons for starting sex work were money (83.0) and pleasure (56.0%). Participants reported 8.0 (IQR=3.0-15.0) male clients and 7 (IQR=4.0-15.0) condomless anal sex acts with male clients in the past month. Compared to participants with an additional source of income, those whose only source of income was sex work reported more male clients in the past month (10.0 vs. 6.0, p=0.017), as well as more condomless anal sex acts with male clients (8.0 vs. 5.0, p=0.008). Nearly 70.0% were offered more money not to use a condom during sex with a client, and 74.2% reported accepting more money not to use a condom. Three-quarters reported having experienced difficulty using condoms with clients. MSW in India engage in high levels of sexual risk for HIV/STIs. Money appears to be a driving factor for engaging in sex work and condomless sex with clients. HIV prevention interventions with MSW should focus on facilitating skills that will support their ability to negotiate sexual safety in the context of monetary disincentives.

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“…Interviews were then conducted by a social worker who was providing social support services to trans individuals. Unlike other contexts, such as India in which local terms approximate – to some degree – the North American usage of ‘transgender’ (Phillips et al, 2013), there is no equivalent term in Arabic that is used in Lebanon. Individuals use the term ‘trans’ due to a lack of local indigenous terminology; this gap has been identified as a need to be addressed within the trans community in Lebanon (El Khoury, 2014).…”

Section: Examples From the Fieldmentioning

confidence: 99%

In the name of brevity: The problem with binary HIV risk categories

Kaplan

Sevelius

Ribeiro

2016

Global Public Health

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According to the ‘Consolidated Guidelines on HIV Prevention, Diagnosis, Treatment and Care for Key Populations’ there are five groups of people at elevated risk of HIV, including ‘transgender women or transgender men who have receptive anal sex with men.’ Although cost effectiveness strategies and best practice lessons recommend targeting specific populations for HIV prevention, existing risk categories lack specificity, and may in fact cause further confusion. Existing categories of risk often perpetuate notions of gender and sexuality that can erroneously exclude, alienate, and stigmatize those who are at the highest risk and thus should be prioritized. We review the troubled history of the MSM category and the problematic conflation of trans feminine individuals and MSM in much of the existing HIV literature, and how this practice has stymied progress in slowing the HIV epidemic in the most at-risk groups, including those who do not fit neatly into binary notions of gender and sex. We draw from examples in the field, specifically among trans feminine people in Beirut and San Francisco, to illustrate the lived experiences of individuals whose identities may not fit into Euro-Atlantic constructs of HIV prevention categories.

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Informal confidential voting interviewing in a sexual risk assessment of men who have sex with men (MSM) and transgenders (hijra) in Bangalore, India

Cited by 13 publications

References 18 publications

How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries

How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries

Transactional sex and the challenges to safer sexual behaviors: a study among male sex workers in Chennai, India

In the name of brevity: The problem with binary HIV risk categories

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