The influence of stigma on HIV risk behavior among men who have sex with men in Chennai, India

Beena Thomas, Matthew J. Mimiaga, Kenneth H. Mayer, Nicholas S. Perry, Soumya Swaminathan, Steven Safren

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Stigma has been shown to increase vulnerability to HIV acquisition in many settings around the world. However, limited research has been conducted examining its role among men who have sex with men (MSM) in India, whose HIV prevalence is far greater than the general population. In 2009, 210 MSM in Chennai completed an interviewer-administered assessment, including questions about stigma, sexual risk, demographics, and psychosocial variables. More than one fifth of the MSM reported unprotected anal sex (UAS) in the past three months. Logistic regression procedures were used to examine correlates of having experienced stigma. The 11-item stigma scale had high internal consistency reliability (Cronbach's alpha=0.99). Almost 2/5 (39%) reported a high-level of experienced stigma (≥12 mean scale-score) in their lifetime, and the mean stigma scale score was 12 (SD=2.0). Significant correlates of having experienced prior stigma, after adjusting for age and educational attainment, included the following: identifying as a kothi (feminine acting/appearing and predominantly receptive in anal sex) compared to a panthi (masculine appearing, predominantly insertive) (AOR=63.23; 95% CI: 15.92-251.14; p

Original languageEnglish (US)
Pages (from-to)1401-1406
Number of pages6
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume24
Issue number11
DOIs
StatePublished - Nov 1 2012
Externally publishedYes

Fingerprint

Risk-Taking
risk behavior
Sexual Behavior
India
HIV
Unsafe Sex
Logistic Models
Demography
Interviews
Research
Population
vulnerability
logistics
regression
interview

Keywords

  • depression
  • HIV
  • India
  • men who have sex with men
  • MSM
  • stigma

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

The influence of stigma on HIV risk behavior among men who have sex with men in Chennai, India. / Thomas, Beena; Mimiaga, Matthew J.; Mayer, Kenneth H.; Perry, Nicholas S.; Swaminathan, Soumya; Safren, Steven.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 24, No. 11, 01.11.2012, p. 1401-1406.

Research output: Contribution to journalArticle

Thomas, Beena ; Mimiaga, Matthew J. ; Mayer, Kenneth H. ; Perry, Nicholas S. ; Swaminathan, Soumya ; Safren, Steven. / The influence of stigma on HIV risk behavior among men who have sex with men in Chennai, India. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2012 ; Vol. 24, No. 11. pp. 1401-1406.
@article{f4c2bd85816f415ebdc9edb3963f4757,
title = "The influence of stigma on HIV risk behavior among men who have sex with men in Chennai, India",
abstract = "Stigma has been shown to increase vulnerability to HIV acquisition in many settings around the world. However, limited research has been conducted examining its role among men who have sex with men (MSM) in India, whose HIV prevalence is far greater than the general population. In 2009, 210 MSM in Chennai completed an interviewer-administered assessment, including questions about stigma, sexual risk, demographics, and psychosocial variables. More than one fifth of the MSM reported unprotected anal sex (UAS) in the past three months. Logistic regression procedures were used to examine correlates of having experienced stigma. The 11-item stigma scale had high internal consistency reliability (Cronbach's alpha=0.99). Almost 2/5 (39{\%}) reported a high-level of experienced stigma (≥12 mean scale-score) in their lifetime, and the mean stigma scale score was 12 (SD=2.0). Significant correlates of having experienced prior stigma, after adjusting for age and educational attainment, included the following: identifying as a kothi (feminine acting/appearing and predominantly receptive in anal sex) compared to a panthi (masculine appearing, predominantly insertive) (AOR=63.23; 95{\%} CI: 15.92-251.14; p",
keywords = "depression, HIV, India, men who have sex with men, MSM, stigma",
author = "Beena Thomas and Mimiaga, {Matthew J.} and Mayer, {Kenneth H.} and Perry, {Nicholas S.} and Soumya Swaminathan and Steven Safren",
year = "2012",
month = "11",
day = "1",
doi = "10.1080/09540121.2012.672717",
language = "English (US)",
volume = "24",
pages = "1401--1406",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",
number = "11",

}

TY - JOUR

T1 - The influence of stigma on HIV risk behavior among men who have sex with men in Chennai, India

AU - Thomas, Beena

AU - Mimiaga, Matthew J.

AU - Mayer, Kenneth H.

AU - Perry, Nicholas S.

AU - Swaminathan, Soumya

AU - Safren, Steven

PY - 2012/11/1

Y1 - 2012/11/1

N2 - Stigma has been shown to increase vulnerability to HIV acquisition in many settings around the world. However, limited research has been conducted examining its role among men who have sex with men (MSM) in India, whose HIV prevalence is far greater than the general population. In 2009, 210 MSM in Chennai completed an interviewer-administered assessment, including questions about stigma, sexual risk, demographics, and psychosocial variables. More than one fifth of the MSM reported unprotected anal sex (UAS) in the past three months. Logistic regression procedures were used to examine correlates of having experienced stigma. The 11-item stigma scale had high internal consistency reliability (Cronbach's alpha=0.99). Almost 2/5 (39%) reported a high-level of experienced stigma (≥12 mean scale-score) in their lifetime, and the mean stigma scale score was 12 (SD=2.0). Significant correlates of having experienced prior stigma, after adjusting for age and educational attainment, included the following: identifying as a kothi (feminine acting/appearing and predominantly receptive in anal sex) compared to a panthi (masculine appearing, predominantly insertive) (AOR=63.23; 95% CI: 15.92-251.14; p

AB - Stigma has been shown to increase vulnerability to HIV acquisition in many settings around the world. However, limited research has been conducted examining its role among men who have sex with men (MSM) in India, whose HIV prevalence is far greater than the general population. In 2009, 210 MSM in Chennai completed an interviewer-administered assessment, including questions about stigma, sexual risk, demographics, and psychosocial variables. More than one fifth of the MSM reported unprotected anal sex (UAS) in the past three months. Logistic regression procedures were used to examine correlates of having experienced stigma. The 11-item stigma scale had high internal consistency reliability (Cronbach's alpha=0.99). Almost 2/5 (39%) reported a high-level of experienced stigma (≥12 mean scale-score) in their lifetime, and the mean stigma scale score was 12 (SD=2.0). Significant correlates of having experienced prior stigma, after adjusting for age and educational attainment, included the following: identifying as a kothi (feminine acting/appearing and predominantly receptive in anal sex) compared to a panthi (masculine appearing, predominantly insertive) (AOR=63.23; 95% CI: 15.92-251.14; p

KW - depression

KW - HIV

KW - India

KW - men who have sex with men

KW - MSM

KW - stigma

UR - http://www.scopus.com/inward/record.url?scp=84868574088&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84868574088&partnerID=8YFLogxK

U2 - 10.1080/09540121.2012.672717

DO - 10.1080/09540121.2012.672717

M3 - Article

VL - 24

SP - 1401

EP - 1406

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

IS - 11

ER -