Additionally, this study found over a third of MSM paid to have sex with a woman and a third had regular female partners 6. Andhra Pradesh alone has at least 23 organizations dedicated to serving MSM 3. Independent variables significantly associated with HIV serostatus were included in a multivariate logistic regression model. This suggests moderate proportions of female connections could mediate HIV risk. The primary sexual role was receptive Sociodemographic data on females within the network, such as their marital status and the nature of their relationship with the MSM respondent, were analyzed using information obtained from MSM study respondents.
Additionally, this study found over a third of MSM paid to have sex with a woman and a third had regular female partners 6. Sociodemographic data on females within the network, such as their marital status and the nature of their relationship with the MSM respondent, were analyzed using information obtained from MSM study respondents. The primary sexual role was receptive Data regarding other HIV behavioral determinants, such as condom encouragement and discouragement among peers, were also collected. Cell phone information was collected on password protected laptops encrypted and stored on a secure server in the United States. Methods Setting and Participants A cross sectional survey was conducted in Hyderabad, India from — Incidence among MSM is as high as 0. This data was kept in separate files from respondent information about alters. All analytic data was protected by a Federal Certificate of Confidentiality, and further analysis was conducted on deidentified data using secure servers in the United States. MSM were classified as having low, moderate, or high female network proportion. Once the network was constructed on a secure data management system with password protection and data encryption, the data was deidentified by destroying all cell phone and name data personally identifiable information from these machines as well as the machines at the data collection site. Independent variables significantly associated with HIV serostatus were included in a multivariate logistic regression model. A full description of data collection methods have been described in further detail elsewhere 9. Additionally age and network size were included in the final model. Chi-square analyses were conducted to examine the association between network proportion, other sociodemographic and risk characteristics and the dependent variable, HIV serostatus. All analyses were performed using the Stata Release 13 statistical software package. This suggests moderate proportions of female connections could mediate HIV risk. Key leaders in the local MSM community were consulted to ensure that protection of subject confidentiality was ensured. In collaboration with two local non-governmental organizations, study staff identified MSM cruising venues areas where MSM are known to congregate in evening hours, and where paid and unpaid sex is common. Data Analysis HIV serostatus was treated as the dependent variable and network proportion as the independent variable. Respondents were also asked to share demographic and behavioral information about contact list members. Measures MSM who met inclusion criteria were asked to come to an off-site office for an interview in which respondents completed a demographic and sociobehavioral questionnaire, provided specimens for an HIV test, and provided access to their cell phone contact lists. Contact lists were downloaded through a SIM card reader, and contact list networks were created for each respondent. In this study, we use network epidemiology to characterize women and their connections with MSM in order to determine whether their presence reduces or enhances HIV risk. Inclusion criteria consisted of the following: MSM were also classified into roughly equally representative tertiles based on the proportion of their network that was female, resulting in the categories of low, moderate, or high female network proportion. Cities with higher prevalence tended to have lower incidence rates, except Hyderabad, which had both a high prevalence and high incidence
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