A cross-sectional assessment of HIV risk status and human rights abuses among men who have sex with men (MSM) in Mongolia

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A cross-sectional assessment of HIV risk status and human rights abuses among men who have sex with men (MSM) in Mongolia

F. Yasin1, A. Delegchoimbol2, N. Jamiyanjamts3, K. Mason1, S. Baral1

1Johns Hopkins Bloomberg School of Public Health, Epidemiology, Baltimore, United States, 2UNAIDS Mongolia, Ulaanbaatar, Mongolia, 3University of Alberta, School of Public Health, Alberta, Canada

 
 
 

 

Background: MSM are the highest risk group for HIV infection in Mongolia and make up the majority of prevalent cases. This study evaluates drivers of HIV risks and human rights violations among MSM in Mongolia.

Methods: 313 MSM aged ≥16 were accrued with respondent-driven sampling and administered an anonymous survey between January and April 2011. Population-based estimates were obtained using RDSAT and bivariate logistic regressions were used to evaluate factors associated with HIV risk status.

Results: Mean age of participants was 30.8 years (range 16-62), 55.3% (CI=44.6-62.0) were currently employed, 46.8% (CI=39.4-54.5) had greater than secondary-level education, and 53.4% (CI=43.6-59.6) self-identified as homosexual. Self-reported HIV prevalence was 6.3% (CI=1.3-10.8) and 48.9% (CI=37.9-56.6) of MSM were tested for HIV in the past 12 months. [tab_01] HIV-related knowledge was modest; 46.9% (CI=35.9-52.7) knew that receptive anal intercourse was highest risk for HIV and 41.2% (CI=29.7-49.7) knew that water-based lubricant was safest to use during anal intercourse. Less than half of MSM (46.4%, CI=39.5-54.55) always use condoms and 27.5% (CI=19.5-25.1) use water based lubricants for anal intercourse with men.
Human rights violations were common; 77.4% (CI=71.1-82.9) report at least one abuse, including rape (14.7%, CI=9.4-20.1), verbal harassment (54.8%, CI=48.3-62.6), legal discrimination (34.8%, CI=28.7-44.0), tested for HIV without consent (4.5%, CI=1.5-8.1), and having been beaten (10.4%,CI=6.6-13.9). [tab_02] Bivariate associations of at least one HIV test in the past 12 months include: greater than secondary-level education (OR=1.84,CI=1.1-2.9, p< 0.05), knowing receptive anal intercourse is higher risk than insertive (OR=4.5 CI=2.4-8.6, p< 0.01), knowing water based lubricants are safest to use during anal intercourse (OR=20.1 CI=9.4-42.9 p< 0.01), and being less likely to have experienced any human rights violation (OR=0.56 CI=0.3-0.9, p< 0.05). [tab_03]

Conclusions: MSM in Mongolia are at high risk for HIV infection and human rights abuses. Targeted HIV prevention programs that support the needs of MSM should be scaled up.

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Posted on July 23, 2012, in Uncategorized. Bookmark the permalink. Comments Off on A cross-sectional assessment of HIV risk status and human rights abuses among men who have sex with men (MSM) in Mongolia.

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