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HIV risk behaviours and factors affecting the use of condoms among men who have sex with men (MSM) in selected districts of Sri Lanka; A baseline cross sectional survey

Authors:

S.D.K.P. Senadhira ,

The Family Planning Association of Sri Lanka, LK
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A. Suchira Suranga,

The Family Planning Association of Sri Lanka, LK
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R.M.D.K. Rajakaruna,

The Family Planning Association of Sri Lanka, LK
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A. Abeykoon,

Lanka Jathika Sarvodaya Sramadana Sangamaya, LK
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A.K.A. Manathunge,

National STD and AIDS Control Program, LK
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D.A. Karawita

National STD and AIDS Control Program, LK
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Abstract

Introduction: In the background of rising HIV prevalence patterns among MSM (0.0% in 2007, 0.5% in 2008 and 0.9% in 2011) and relatively high estimated number of MSM (32, 796), it is important to scale up the reach and coverage of MSM in order to halt and reverse possible new HIV infections.

Objective: The main objective of this study was to identify HIV risk behaviours and factors affecting the use of condoms among MSM in selected districts Method: Cross sectional descriptive study design was used to collect data from 961 respondents recruited by snow ball samplings in the selected five districts. Questionnaire was administered through peer leaders of MSM.

Results: The mean age of the sample was 30.4 years (range 16-81 years, SD 9.26 years). Almost half of them were urban dwellers (49.4%). The proportion of bridging population (males to females) was 31 %. Nearly 5% of them were male sex workers. The average male partner exchange rate in the previous month was 9 (7 local and 2 foreign). The proportion of penetrative and receptive anal sex during last month was 23% and 21 %. Condom use at last sex was 40%. In the multivariate analysis, those who are having receptive anal sex and who have taken treatment for STIs are more likely to use condoms.

Conclusions: MSM in the sample have high to moderate rate of male partner exchange with less consistent condom use ( 40%) indicating a substantial risk for HIV. MSM who are having receptive anal sex and who have taken treatment for STIs are more likely to use condoms

Sri Lanka Journal of Venereology Vol.5(1) 2014: 35-43

How to Cite: Senadhira, S.D.K.P. et al., (2015). HIV risk behaviours and factors affecting the use of condoms among men who have sex with men (MSM) in selected districts of Sri Lanka; A baseline cross sectional survey. Sri Lanka Journal of Venereology. 5(1), pp.35–43. DOI: http://doi.org/10.4038/sljv.v5i1.7351
Published on 26 Nov 2015.
Peer Reviewed

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