Understanding health needs of men who have sex with men in Agra district of India: a community based mixed method study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20204001Keywords:
Health needs, MSM, Mixed method study, HIV, CounsellingAbstract
Background: In India, after decriminalization of homosexuality, men who have sex with men (MSM) emerged as legal community but still one of the most stigmatized section of society. their health needs are distinct due to their distinct behaviour. To achieve ‘Universal health coverage’, this group health needs must be addressed as they had been living in shackles of exclusion.
Methods: This mixed method study was conducted in men who have sex with men (MSM) population in Agra district of India. For qualitative part, Audio recorded in-depth interviews were transcribed into verbatim. Potential themes were extracted as a part of analysis as per respondents’ experiences. Data saturation was achieved after 13 IDIs. For quantitative assessment, the snowball technique for sampling was used. First participants were recruited through a non-profit peer group. Further participants were subsequently referred by the participants from their peer circles.
Results: Easy /low cost availability of human immunodeficiency virus (HIV) and sexually transmitted disease (STD) testing (32.69%) was foremost cited health need. 26.92% of respondents were unable to tell anything about their health need. 25% of respondents told to increase the number of MSM friendly STD clinics. 15.38% of respondents think that doctor should be taught not to discriminate with MSM and 5.76% asked for psychiatric and medical counselling for MSM. Similarly, qualitative findings highlighted need of non-judgemental and discrimination free health facilities and also suggested MSM inclusive STD centres and psychiatric counselling.
Conclusions: The main implication of this study was need to recognize the existence and their diverse health needs and link them to appropriate health care.
References
HIV among gay and bisexual men. CDC. 2015. Available at: http://www.cdc.gov/hiv/risk/ gender/msm/facts/index.html. Accessed on 02 August 2020.
Syphilis and MSM. CDC. 2014. Available from: http://www.cdc.gov/std/Syphilis/STDFact-MSM-Syphilis.htm. Accessed on 02 May 2020.
Mark KE, Gunn RA. Gonorrhea surveillance: estimating epidemiologic and clinical characteristics of reported cases using a sample survey methodology. Sex Transm Dis. 2004;31(4):215-20.
CDC. Sexual transmission of hepatitis C virus among HIV-infected men who have sex with men-New York City, 2005-2010. MMWR. 2011;60(28):945.
Gay and bisexual men’s health. CDC. 2014. Available from: http://www.cdc.gov/msmhealth/ STD.htm. Accessed on 02 June 2020.
King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D et al. A systematic review of mental disorder, suicide, and deliberate self-harm in lesbian, gay, and bisexual people. BMC Psychiatry. 2008;8:70.
Cochran SD, Mays VM. Sexual orientation and mortality among US men aged 17 to 59 years: results from the National Health and Nutrition Examination Survey III. Am j public health. 2011;101(6):1133-8.
Badgett ML. The Economic Cost of Stigma and the Exclusion of LGBT People: A Case Study of India. World Bank Group. Available at: http://www. documents.worldbank.org/curated/en/527261468035379692/pdf/940400WP0Box380usion0of0LGBT0People.pdf. Accessed on 02 May 2020.
The Wallace Foundation. Workbook E: conducting in-depth interviews table of contents. Get started with Mark Res out-of-school time Plan a Resour Guid communities. 2007. Available at: http://www.wallace foundation.org/knowledge-center/after-school/ collecting-and-using-data/Pages/Market-Research-for-Out-of. Accessed on 02 February 2020.
Wirtz AL, Kamba D, Jumbe V, Trapence G, Gubin R, Umar E et al. A qualitative assessment of health seeking practices among and provision practices for men who have sex with men in Malawi. BMC Int Health Hum Rights. 2014;3;14:20.
Lampalzer U, Behrendt P, Dekker A, Briken P, Nieder TO. The Needs of LGBTI People Regarding Health Care Structures, Prevention Measures and Diagnostic and Treatment Procedures: A Qualitative Study in a German Metropolis. Int J Environ Rese Public Health. 2019;16:3547
Alpert AB, CichoskiKelly EM, Fox A. What Lesbian, Gay, Bisexual, Transgender, Queer and Intersex Patients Say Doctors Should Know and Do: A Qualitative study. J Homosexuality. 2017;64(10):1368-89.
