Cultural Patterns of Decision-Making Related to Condom Use Among Men Who Have Sex with Men in Mumbai, India

2.50
Hdl Handle:
http://hdl.handle.net/10755/243250
Category:
Abstract
Type:
Presentation
Title:
Cultural Patterns of Decision-Making Related to Condom Use Among Men Who Have Sex with Men in Mumbai, India
Author(s):
Menon, Usha; Szalacha, Laura; Prabhughate, Abhijit; Prabhughate, Priti; Subramanian, Murgesh; Anand, Vivek
Author Details:
Menon, Usha, PhD, RN, FAAN, umenon@con.ohio-state.edu; Szalacha, Laura, EdD; Prabhughate, Abhijit, PhD; Prabhughate, Priti, PhD; Subramanian, Murgesh, MSc; Anand, Vivek, MA;
Abstract:
Purpose: The purpose of this qualitative study was to describe behaviors related to prevention and decision-making among men who have sex with men (MSM) in Mumbai, India, a core high risk group in a high HIV-prevalence area.  Current epidemiological trends suggest that without a resolute and harmonized HIV prevention initiative, India may eclipse all other countries in HIV burden.

Methods: Trained community interviewers, conducted in-depth interviews Hindi or Marathi 20 self-identified MSM. Audio-recorded interviews were transcribed verbatim and translated to English. Three initial transcripts were read to develop a coding list which was used to code the remaining interviews. An intensive 2-day meeting resulted in a final concept map with themes and connected sub-themes.

Results: Knowledge about risk prevention through condom use was high.  However, cultural patterns of decision-making regarding the use of condoms (sex partner from ‘good’ family; looks clean; introduced by a family member) dominated reasons for using or not using condoms. Primary sub-themes were abuse, violence, and sex work (forced sex with clients; emotional disempowerment) and beliefs about safe sex and partners (using herbs for prevention; withdrawal before ejaculation). Challenges to conducting community-based research in an international setting in different languages are myriad and lessons learned will also be presented (sustaining solid partnerships, extensive process evaluations and feasibility testing, and training processes to build capacity in the research setting.

Conclusion: Successful behavior change interventions must be built on foundations that leverage existing cultural norms to optimize effectiveness, rather than be drawn from heterosexual and Western cultural perspectives. In India, in many areas, nurses are the only healthcare providers, dispensing both community health interventions and acute medical care. Information on factors associated with safe sex behaviors, when confirmed in through quantitative studies as we anticipate, will be integral to building a community-centered nursing prevention intervention.

Keywords:
TYPE NEW KEYWORD HERE; TYPE NEW KEYWORD HERE; TYPE NEW KEYWORD HERE
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleCultural Patterns of Decision-Making Related to Condom Use Among Men Who Have Sex with Men in Mumbai, Indiaen_GB
dc.contributor.authorMenon, Ushaen_GB
dc.contributor.authorSzalacha, Lauraen_GB
dc.contributor.authorPrabhughate, Abhijiten_GB
dc.contributor.authorPrabhughate, Pritien_GB
dc.contributor.authorSubramanian, Murgeshen_GB
dc.contributor.authorAnand, Viveken_GB
dc.author.detailsMenon, Usha, PhD, RN, FAAN, umenon@con.ohio-state.edu; Szalacha, Laura, EdD; Prabhughate, Abhijit, PhD; Prabhughate, Priti, PhD; Subramanian, Murgesh, MSc; Anand, Vivek, MA;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243250-
dc.description.abstract<b><b>Purpose</b>: </b> The purpose of this qualitative study was to describe behaviors related to prevention and decision-making among men who have sex with men (MSM) in Mumbai, India, a core high risk group in a high HIV-prevalence area.&nbsp; Current epidemiological trends suggest that without a resolute and harmonized HIV prevention initiative, India may eclipse all other countries in HIV burden. <p><b><b>Methods</b>: </b> Trained community interviewers, conducted in-depth interviews Hindi or Marathi 20 self-identified MSM. Audio-recorded interviews were transcribed verbatim and translated to English. Three initial transcripts were read to develop a coding list which was used to code the remaining interviews. An intensive 2-day meeting resulted in a final concept map with themes and connected sub-themes. <p><b><b>Results</b>: </b> Knowledge about risk prevention through condom use was high. &nbsp;However, cultural patterns of decision-making regarding the use of condoms (sex partner from &lsquo;good&rsquo; family; looks clean; introduced by a family member) dominated reasons for using or not using condoms. Primary sub-themes were abuse, violence, and sex work (forced sex with clients; emotional disempowerment) and beliefs about safe sex and partners (using herbs for prevention; withdrawal before ejaculation). Challenges to conducting community-based research in an international setting in different languages are myriad and lessons learned will also be presented (sustaining solid partnerships, extensive process evaluations and feasibility testing, and training processes to build capacity in the research setting. <p><b><b>Conclusion: </b></b> Successful behavior change interventions must be built on foundations that leverage existing cultural norms to optimize effectiveness, rather than be drawn from heterosexual and Western cultural perspectives. In India, in many areas, nurses are the only healthcare providers, dispensing both community health interventions and acute medical care. Information on factors associated with safe sex behaviors, when confirmed in through quantitative studies as we anticipate, will be integral to building a community-centered nursing prevention intervention.en_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.subjectTYPE NEW KEYWORD HEREen_GB
dc.date.available2012-09-12T09:19:37Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:19:37Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.