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BMC Public Health
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

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

Authors: Kate M Mitchell, Anna M Foss, Banadakoppa M Ramesh, Reynold Washington, Shajy Isac, Holly J Prudden, Kathleen N Deering, James F Blanchard, Stephen Moses, Catherine M Lowndes, Marie-Claude Boily, Michel Alary, Peter Vickerman

Published in: BMC Public Health | Issue 1/2014

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Abstract

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.
Appendix
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Metadata
Title
Relationship between exposure to the Avahan intervention and levels of reported condom use among men who have sex with men in southern India
Authors
Kate M Mitchell
Anna M Foss
Banadakoppa M Ramesh
Reynold Washington
Shajy Isac
Holly J Prudden
Kathleen N Deering
James F Blanchard
Stephen Moses
Catherine M Lowndes
Marie-Claude Boily
Michel Alary
Peter Vickerman
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-1245

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