Ensuring it works: A community-based approach to HIV prevention intervention development for men who have sex with men in Chennai, India

Beena Thomas, Matthew J. Mimiaga, Kenneth H. Mayer, Elizabeth F. Closson, Carey V. Johnson, Sunil Menon, Jamuna Mani, R. Vijaylakshmi, Meenalochini Dilip, Theresa Betancourt, Steven A. Safren

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Men who have sex with men (MSM) in India have an HIV seroprevalence 22 times greater than the country's general population and face unique challenges that may hinder the effectiveness of current HIV prevention efforts. To obtain an understanding of the logistical and sociocultural barriers MSM experience while accessing HIV prevention services, focus groups and key informant interviews were conducted with 55 MSM in Chennai, India. Qualitative data were analyzed using descriptive qualitative content analysis. Sixty-five percent of participants identified as kothi (receptive partners), 9% as panthi (insertive partners), 22% as double decker (receptive and insertive), and 4% did not disclose. Themes included: (a) fatigue with current HIV risk reduction messages; (b) increased need for non-judgmental and confidential services; and (c) inclusion of content that acknowledges individual and structural-level determinants of risk such as low self-esteem, depression, and social discrimination. MSM interventions may benefit from approaches that address multilevel psychosocial factors, including skills building and strategies to foster self-acceptance and increased social support.

Original languageEnglish (US)
Pages (from-to)483-499
Number of pages17
JournalAIDS Education and Prevention
Volume24
Issue number6
DOIs
StatePublished - Dec 2012

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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