Prevalence of HIV, syphilis, and assessment of the social and structural determinants of sexual risk behaviour and health service utilisation among MSM and transgender women in Terai highway districts of Nepal: findings based on an integrated biological and behavioural surveillance survey using respondent driven sampling

BMC Infectious Diseases
Margrethe StormGaetano Marrone

Abstract

Men who have sex with men (MSM) and transgender people are disproportionately affected by HIV and sexually transmitted infections. MSM and transgender people in Nepal experience considerable discrimination and marginalisation, they are subject to abuse from legal authorities and suffer from mental health issues. These social and structural factors can lead to increased sexual risk behaviour, barriers to accessing health care and result in adverse health outcomes. This study aims to assess the prevalence of HIV and syphilis, and how individual and socio-structural factors influence sexual risk behaviour and health care service uptake, among MSM and transgender women in the Terai highway districts of Nepal. A cross-sectional survey was conducted in June 2016 in eight Terai highway districts of Nepal, recruiting 340 MSM and transgender women through respondent driven sampling. The primary outcome variables were HIV and syphilis prevalence. The secondary outcome variables were sexual risk behaviour and health care service uptake. Logistic regression models were used to assess the individual and socio-structural determinants of sexual risk behaviour and health care service uptake. The prevalence of HIV among MSM was 5%, whereas it w...Continue Reading

References

May 3, 2000·Paediatric and Perinatal Epidemiology·T R StancilM Watt-Morse
Jul 6, 2004·Epidemiologic Reviews·K E PoundstoneD D Celentano
Nov 9, 2010·Culture, Health & Sexuality·Erin WilsonMaria Ekstrand
Jul 27, 2011·Journal of Immigrant and Minority Health·Shira M GoldenbergOmar Sued
Apr 14, 2012·Asia-Pacific Journal of Public Health·Keshab DeubaKrishna Kumar Rai
May 18, 2012·BMC International Health and Human Rights·Sonal SinghLuke C Mullany
Jul 24, 2012·Lancet·Chris BeyrerRon Brookmeyer
Jul 13, 2013·Journal of Community Health·Vishnu KhanalRajendra Karkee
Nov 7, 2015·Asia-Pacific Journal of Public Health·Pramod R Regmi, Edwin van Teijlingen
Jun 22, 2016·Lancet·Sari L ReisnerStefan D Baral
Jun 22, 2016·Lancet·Sam WinterKevan Wylie
Jul 20, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Tonia PoteatStefan Baral

❮ Previous
Next ❯

Citations


❮ Previous
Next ❯

Software Mentioned

SPSS
Experience of Discrimination ( EOD )
STATA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.