Increasing condom use and declining STI prevalence in high-risk MSM and TGs: evaluation of a large-scale prevention program in Tamil Nadu, India

Table 5 Association of Avahan program exposure to condom use outcomes and STI presence among HR-MSM and TGs in Tamil Nadu

Condom use	Group	% who received any services	Crude OR (95% CI)	Adjusted OR^ (95% CI)	p-value (Wald test)
Last time condom use with paying male partner	HR-MSM	88.3	5.3 (3.4-8.3)	4.78 (2.9-7.9)	<0.01
	TGs	86.8	1.6 (0.8-3.0)	2.82 (1.3-6.1)	<0.01
Consistent condom use with regular male partner	HR-MSM	90.7	3.46 (2.3-5.2)	3.98 (2.3-6.9)	<0.001
Consistent condom use with regular male partner	TGs	43.1	1.74 (0.9-3.4)	1.66 (0.8-3.3)	0.14
Consistent condom use with paid male partner	HR-MSM	74.8	0.76 (0.5-1.3)	1.96 (0.9-4.4)	0.10
Consistent condom use with other male partner	HR-MSM	93.1	5.46 (3.4-8.9)	5.18 (2.9-9.2)	<0.01
Consistent condom use with other male partner	TGs	38.8	4.2 (1.6-11.1)	5.46 (1.7-17.4)	<0.01
STI prevalence
Any STIs (NG, CT or high-titre syphilis)	HR-MSM	3.95	0.70 (0.34-1.4)	0.66 (0.4-1.1)	0.138
Syphilis	TGs	11.2	1.6 (0.8-3.3)	1.6 (0.7-3.8)	0.25

^FOR HR-MSM - Multivariate models were controlled for the following variables: age, literacy, marital status, occupation, self-identity, age at first sex, and residency; FOR TGs - Multivariate models were controlled for the following variables: age, literacy, marital status, occupation, self-identity, age at first sex, residency, and district.
Legend: Table 5 provides results of multivariate analysis of the link between condom use and presence of any STIs with Avahan program exposure; for both HR-MSM and TGs, using IBBA data pooled for R 1 and R 2.

ISSN: 1471-2458