Niranjan Saggurti|Bidhubhusan Mahapatra|Suvakanta Swain|Anrudh K. Jain
Male migration and risky sexual behavior in rural India: is the place of origin critical for HIV prevention programs?
Population Council|Population Council|Population Council|Population Council
recent studies male migrants india indicate infected hiv spreading epidemic high risk populations high prevalence areas populations low prevalence areas context migrant men believed initiate risky sexual behaviors places destination places origin paucity information mens risky sexual behaviors places origin limits decision initiate hiv prevention interventions among populations high outmigration areas indiaa crosssectional behavioral survey conducted among nonmigrants returned migrants history migration active current migrants rural areas across two districts high levels male outmigration prakasam district andhra pradesh azamgarh district uttar pradesh surveys assessed participant demographics migration status migration history sexual behavior along migration routes place initiation sex districtstratified regression models used understand associations migration risky sexual behaviors number partners condom use last sex descriptive analyses migrants place sexual initiation continuation along migration routesthe average age migration study sample 19 years adjusted regression analyses revealed active migrants likely engage sex sex workers past 12 months prakasam 15 percent vs 8 percent adjusted odds ratio aor21 95 ci 1234 azamgarh 19 percent vs7 percent aor40 95 ci 2466 well multiple 3 sex partners prakasam 18 percent vs 9 percent aor20 95 ci 1332 azamgarh 28 percent vs 21 percent aor19 95 ci 1230 nonmigrants contrary popular belief high proportion active returned migrants almost 75 percent sex initiated sex place origin migrating equivalent proportion nonmigrants engaged sex sex workers well casual unpaid partners moreover nonmigrants likely migrants engage unprotected sexfindings study document returned migrants active migrants higher sexual risk behaviors nonmigrants migrants initiate nonmarital sex place origin many continue behaviors places destination migrants destination area behaviors linked sex sex workers continue practice behaviors place origin well unprotected sex places destination high hiv prevalence settings poses risk transmission high risk population groups migrants turn married sexual partners places origin findings suggest need controlling spread hiv among men women resulting unsafe sex places origin high vulnerability due frequent migratory nature populations