However, the point is that same sex behaviours in India are prevalent and warrant attention from the medical community in delivering appropriate health care. Therefore, by default, adults are excluded and so MSM should be considered for these immunizations, since both of these hepatic viruses are readily sexually transmitted. The right-wing government, headed by the Hindu nationalist Bharatiya Janata Party, has not helped the matter. Substance abuse, including alcohol may also be another area that is of high importance. It is gender-inclusive, accepting that the perpetrators as well as the victims may be either male or female.
In itself, this approach contains much to learn from and take cognisance of for all those who engage in various ways with this issue. Verma RK, Collumbien M. High incidence of anal high-grade squamous intra-epithelial lesions among HIV-positive and HIV-negative homosexual and bisexual men. Physicians and other providers can help overcome this barrier and improve the health care of MSM by keeping a non-judgmental attitude toward these patients, differentiating sexual behaviour from sexual identity, communicating with gender neutral terms, and maintaining awareness of how their own attitudes affect clinical judgment. India already has a complex legal system in which each religion has a parallel legal system of personal laws that govern civil laws. However, appropriate interventions among this group, including health care access, counselling, and STI treatment are proven ways to decrease the transmission in this population and in controlling rates of HIV incidence in the whole population. It is also important that health care providers educate MSM that STIs including HIV can be asymptomatic and may spread to partners without the presence of any abnormalities 1. Listening to the patient by asking open-ended, nonjudgmental questions is a good way to start. American College of Physicians; However, the point is that same sex behaviours in India are prevalent and warrant attention from the medical community in delivering appropriate health care. Mitra S, Crane L. Another potential bias is the probable under-reporting of same sex behaviour due to stigma surrounding such behaviours and relationships. In STI clinics in Pune, The impact of HIV and high-risk behaviours on the wives of married men who have sex with men and injection drug users: Much more work is needed to determine how to best help MSM minimize sexual risk, address mental health concerns, and engage in healthy lives. Unfortunately, many of these recommendations are not possible for most patients in India as costs are prohibitive. Curr Infect Dis Reports. Prevalence of asymptomatic gonorrhea and Chlamydia among men having sex with men MSM in India and associated risk factors; p. Scale-up and coverage of avahan: Interactions with people in slums in urban centres for instance, reveals that many get their children married young to protect them from sexual abuse. It may seem strange that India is so progressive when it comes to trans rights yet remains regressive when it comes to gay rights, but the answer lies in Indian history. Other health issues of concern for MSM Mental health issues are another clinical area that deserves special attention for the care of MSM. This article has been cited by other articles in PMC. It is otherwise commonly assumed that sexual abuse can only be initiated by a male upon a female child. Padma Purana passages 5. Emerging trends in viral sexually transmitted infections in India. It is important to understand and distinguish between the concepts of sexual identity, orientation and behaviour.
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