January-March 2018

Study of sexual practices and relationship patterns in men who have sex with men

Rajat M. Oswal1*, Dinesh M. Rathor2, Falguni M. Patel3, Kamlesh R. Dave4, Ritambhara Y. Mehta5

1Assistant Professor, Department of Psychiatry, Medical College Baroda, Vadodara.
2Associate Professor and Medical Superintendent, Institute of Mental Health and Hospital, Agra, U.P.
3Assistant Professor, Department of Psychiatry, SMIMER Medical College, Surat.
4Associate Professor, 5 Professor & Head, Department of Psychiatry, Government Medical College Surat, Gujarat, India.


BACKGROUND: Men who have sex with men (MSM) is a behaviourally determined group which forms a vital connection in HIV transmission. Their sexual practices and relationship patterns are less explored areas as this is a hidden population and the social stigma and legal issues associated with it. This study was carried to study the sexual behaviours, relationships and perception of HIV-AIDS risk in MSM. MATERIALS AND METHODS: Fifty MSM were studied who attended a community based organization for MSM. One to one interviews were carried out to study the sexual behaviours, relationships and perception of HIV-AIDS risk in MSM using a semi-structured questionnaire. RESULTS: The age of first sexual relationship with a male was less than 18 years in 82% of the subjects and it was coercive in 20% of MSM studied. Anal sex was the preferred sexual act with 88% engaged in receptive role while 48% engaged regularly in insertive role and 76% had ready availability of partners. 62 % were fearful of contracting HIV due to history of unsafe sex in recent past. Sixty two percent of the subjects were married. More than half (54%) of the MSM were having multiple sexual partners. CONCLUSION: Early first sexual relation is seen in majority of MSM and sexual coercion is a reality for many. Anal sex is the preferred sexual act and multiple relationships seem to be prevalent. Targeted interventions should keep these factors in mind in light of HIV transmission.

Keywords: Sexual behaviour, relationships, Homosexual, HIV, MSM.

[Full Text Article]  
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