Relationship between exposure to the Avahan intervention and levels of reported condom use among men who have sex with men in southern India

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dc.contributor.authorMitchell, Kate M
dc.contributor.authorFoss, Anna M
dc.contributor.authorRamesh, Banadakoppa M
dc.contributor.authorWashington, Reynold
dc.contributor.authorIsac, Shajy
dc.contributor.authorPrudden, Holly J
dc.contributor.authorDeering, Kathleen N
dc.contributor.authorBlanchard, James F
dc.contributor.authorMoses, Stephen
dc.contributor.authorLowndes, Catherine M
dc.contributor.authorBoily, Marie-Claude
dc.contributor.authorAlary, Michel
dc.contributor.authorVickerman, Peter
dc.date.accessioned2014-12-16T15:29:05Z
dc.date.available2014-12-16T15:29:05Z
dc.date.issued2014-12-04
dc.date.updated2014-12-14T00:04:40Z
dc.description.abstractAbstract Background The Avahan intervention promotes consistent (100%) condom use amongst men who have sex with men in southern India. We assessed how condom use varies with intervention exposure for men who have sex with men in Bangalore. Methods Self-reported condom use and intervention exposure data were derived from a cross-sectional survey. Consistent condom use and condom use at last sex act with all, main, and casual male sex partners were assessed. Binary and continuous variables reflecting intervention exposure (including contact(s) with intervention staff, receiving condoms and seeing condom demonstrations) were used. Multivariable logistic regression was employed to assess the relationship between condom use with each type of partner and each exposure variable independently, controlling for socio-demographic and behavioural factors associated with condom use or intervention exposure. Results Condom use with all partners was higher among those who had ever been contacted by, received condoms from, or seen a condom demonstration by intervention staff (adjusted odds ratio >2, p < 0.02 for all). Consistent condom use with all types of partner increased with the number of condom demonstrations seen in the last month (adjusted odds ratio = 2.1 per demonstration, p < 0.025), while condom use at last sex act with a casual (but not main) partner increased with the number of condoms received from the intervention (adjusted odds ratio = 1.4 per condom, p = 0.04). Conclusions Direct contact with Avahan program staff is associated with increased reported condom use among men who have sex with men in Bangalore. Reported consistent condom use and condom use at last sex act are associated with contacts involving demonstrations of correct condom use, and with receiving condoms, respectively.
dc.description.versionPeer Reviewed
dc.identifier.citationBMC Public Health. 2014 Dec 04;14(1):1245
dc.identifier.doihttp://dx.doi.org/10.1186/1471-2458-14-1245
dc.identifier.urihttp://hdl.handle.net/1993/30113
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderKate M Mitchell et al.; licensee BioMed Central Ltd.
dc.titleRelationship between exposure to the Avahan intervention and levels of reported condom use among men who have sex with men in southern India
dc.typeJournal Article
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