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Anisuddin Ahmed Laura Reichenbach Nazmul Alam

Correlation between illicit substances, unsafe sexual behavior and symptoms suggesting sexually transmitted infections among male clients of female sex workers in Bangladesh. Anisuddin Ahmed Laura Reichenbach Nazmul Alam. Session: Drugs, Sex and HIV Session Date: 24 th July 2012

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Anisuddin Ahmed Laura Reichenbach Nazmul Alam

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  1. Correlation between illicit substances, unsafe sexual behavior and symptoms suggesting sexually transmitted infections among male clients of female sex workers in Bangladesh Anisuddin Ahmed Laura Reichenbach Nazmul Alam Session: Drugs, Sex and HIV Session Date: 24th July 2012 XIX International AIDS Conference Washington, D.C., USA

  2. Background • In Bangladesh HIV prevalence is low (<1.0%), but there high potential persists for a generalized epidemic due to: • high demand for commercial sex driven by male clients • unsafe injecting practices among injecting drug users • low condom use in sex trade settings • high prevalence of curable STIs, poor care seeking • In Bangladesh, about 18% of the men from general population reported having had non-marital sexual relationship • In Bangladesh, every year estimated 31 million unprotected non-marital sexual contacts take place by adult men • Among male IDUs in Dhaka City, HIV prevalence increased from 1.4% in 1999 to about 7% in 2006 STIs- sexually transmitted infections IDUs- intravenous drug users

  3. Summary • Above one-third of the MCs were within ≤24 years age group and nearly 30% never attended school. Above one-half of the MCs were never-married. • Nearly one-third of the MCs used ISs. Cannabis (60.6%), alcohol (51.9%), heroin (6.8%), sleeping pills (5.7%), and injecting drugs (1.5%)were used by these MCs. • Consistent condom use with non-marital sexual partners in the last one month was reported by only 13.2% of the IS-users. • Almost one-half (45.0%) of the IS-users experienced the symptom of STIs in the last 12 months. • The IS-users were 1.7 times more likely to have symptom of STIs than the non-users. MCs-male clients ISs-illicit substances

  4. Thank you

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