Pattern of Sexually Transmitted Infections among Men having Sex with Men - A Prospective Study.

Balachandar, J (2007) Pattern of Sexually Transmitted Infections among Men having Sex with Men - A Prospective Study. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION : In the wake of HIV/AIDS epidemic in India, the sexual behavior and related risk factors among various vulnerable populations have caught the imagination of the researchers and policy programmers. It is more and more felt that some sections of population are especially vulnerable because of their marginality, lack of social support and other factors. Of all the vulnerable population towards HIV/AIDS, males having sex with males [MSM] occupy a special niche. MSM are a diverse and often hard to reach group. This diversity is explained by the fact that the MSM incorporate youths experimenting sex with their same sex since male partners perhaps are more available than females and may be not dearer than commercial sex workers. Bisexual men who are married with or without kids but have sex with same sex partners and a closely knit group of men also identify with MSM. In fact MSM is a general term to encompass wide range of different sexual orientations and not merely refer to homosexuals alone, atleast in Indian context. In this study, the term MSM has been used to refer male individuals who are having sexual experience with their same sex irrespective of the fact whether they have any experience of having sex with opposite sex or not, and at times, it has also referred to the particular act of having sex between two men. In the era of AIDS epidemic, the study of MSM receives higher importance as this community is at a greater risk of contracting STI/HIV/AIDS. But the paucity of data on the socio-psycho behaviors of MSM in India seriously jeopardizes our understanding about the contexts and situation as factors in which MSM sub population resides and builds up their own network. AIMS OF THE STUDY : 1. To study the pattern of sexually transmitted infection among high risk group (MSM) attending a STD referral centre. 2. To compare the pattern of STI in Homosexuals and Bisexuals. 3. To study the prevalence of HIV infection in MSM. 4. To study the pattern of STI in MSM affected with HIV. 5. To study the Age wise distribution of STIs in MSM. CONCLUSION : 1. Viral sexually transmitted infections (12.8%) are on the rise compared to the bacterial infections (11.78%) in the Men having Sex with Men. Among viral infections, HIV is the commonest, and among bacterial infections, Latent Syphilis is the common infection. Hence regular screening with VDRL and ELISA for HIV is a must in MSM 2. Bisexual men showed more STI prevalence (63%) when compared to the homosexual men (37%), implying the multifactorial role of transmission of STI/HIV/AIDS. 3. 45 patients(7.3%) of the total MSM were HIV positive 4. HIV infection is more seen in Bisexual men(73.3%) than Homosexual men(26.7%). Overall, the prevalence of HIV is common in this high risk group (MSM), when compared to the general population. 5. Sexually transmitted infection is more common in HIV infected MSM (73.3%) when compared to non HIV infected MSM (32.58%).viral STIs are more in HIV infected(33.4%) in comparison to non HIV infected MSM(12.8%). Hence prevention of STI plays an important role in the prevention of HIV. 6. Sexually transmitted infections among MSM are more seen in younger adult in sexually active reproductive group (87%) ..Hence, the main target population among MSM, which needs to be focused in order to prevent STI/HIV, is this young population. 7. Sexually transmitted disease management in MSM requires the expert clinician to be conversant with risk assessment, the clinical presentation, and current diagnosis of certain infections, and to be familiar with new therapeutic agents. Successful STI care of MSM can be achieved because many infections are easily diagnosed and curable with simple single dose therapy. The current challenges lie in effective risk reduction and optimizing preventive care in a cost-effective manner. New molecular-based diagnostic studies will offer insights into the etiology of several clinical syndromes, but the basis of care will always rely on the same critical components of medicine: listening and talking to patients.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pattern of Sexually Transmitted Infections ; Men having Sex with Men ; Prospective Study.
Subjects: MEDICAL > Dermatology Venereology and Leprosy
Depositing User: Subramani R
Date Deposited: 05 Jul 2017 01:23
Last Modified: 05 Jul 2017 08:21

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