Risk behaviors of homeless men in India: a potential bridge population for HIV infection

AIDS Behav. 2008 Jul;12(4):613-22. doi: 10.1007/s10461-007-9338-0. Epub 2007 Dec 14.

Abstract

This study investigated whether homeless men are a bridge group for transmission of HIV to the general population in India. A cross-sectional study design was used to measure subjects' past and current sexual activities. We surveyed 493 of 606 homeless men aged 18-49 years who live in public places in Kolkata, India, who were invited to take part in a structured interview, using a CD player and earphones. Almost two-thirds of respondents had never attended school. Sex with commercial sex worker (CSWs), multiple sex partners, and inconsistent condom use were common. About 90% of married homeless men visited CSWs, but only 3.3% consistently used condoms. AIDS awareness and risk perception were very low. Less education and being married but not currently living with wife were associated with high-risk sexual behaviors. Homeless men should be considered a potential bridge for HIV transmission from CSWs to the general population. Appropriate non-written communication strategies targeted to homeless people are urgently needed. Community intervention programs targeting the homeless, such as the 'Popular Opinion Leader' model, should be designed and evaluated.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Condoms / statistics & numerical data
  • Cross-Sectional Studies
  • HIV Infections* / prevention & control
  • HIV Infections* / transmission
  • HIV-1
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Ill-Housed Persons*
  • India
  • Interviews as Topic
  • Logistic Models
  • Male
  • Middle Aged
  • Risk-Taking*
  • Sexual Behavior*