sexual behaviour and hiv risk in men who - Karnataka Health ...

other public places (10%), though many were also found at or near home (36%). A few ofthese contacts were made by phone (13%). Very few of the respondents reported picking uppartners in bars, nightclubs or lodges. Most of the sex with NC partners, however, wasreported to take place at home (64%), in a lodge (46%) or rented room (28%), with some alsohaving sex in public places such as gardens (31%) (Table 11).Thirty eight of the 39 respondents who reported NC sex said they knew their partners, and 16said they had NC sex with men they did not know. We asked for details of the 38 mostrecent known NC partners. They had a mean age of 24 and most (61%) were single andHindu (84%). Anal sex with these partners was common (68%), though other practices werealso quite common: oral (50%); thigh (32%) and masturbation (16%). Eleven percent of themost recent partners were also known by the respondents to buy sex from other men (Table12).We asked for some details about the sexual behaviour of the most recent known NC partnerwith whom the respondent had anal sex. Of the 26 respondents who had anal sex with themost recent known NC partner, most of the respondents reported having only receptive analsex (58%) with this partner, 35% reported insertive anal sex and 8% reported having both(Table 12). The relationships with these partners were quite lengthy (3.2 years). For some ithad been only a few days since last sex with this partner and for others more than a month.Sixteen respondents noted they had NC sex with men they did not know and 69% of thesehad anal sex with these partners with the rest having oral (50%), thigh (38%) andmasturbation (6%) (Table 13). Most of the anal sex in the last month was receptive (67%),though the denominator for anal sex with unknown NC partners in the last month was verysmall (9 respondents).Commercial sex with menMore than half the respondents (39) had at some time received money (23%) or money andgifts (29%) for sex, although this clearly did not happen at every encounter: 41% said thishad happened more than five out of the last 10 times they had sex with men, with 49%getting “paid” 4 or 5 times out of 10 with an average of 6 times (Table 14). Of these 39respondents, most (54%) had started receiving money or gifts before the age of 20 (mean age19.5 years). Most commercial partners were picked up in public places: gardens 62%; busstand 56%; railways stations 26%; toilets 21% or other public places 10%; and some werefound at or near home 18%, though this was less common than where NC partners werefound (Table 15). Forty four percent of clients were entertained at home, 51% in publicgardens, and 26% in other public places. More than half of respondents said they entertainedclients in lodges (51%) or rented rooms (26%). Clearly, given the number of responses, mostrespondents used a number of different strategies and locations for both soliciting and havingsex with paying clients.Respondents who sold sex reported working on average 7.6 days per month, and having amean of 3.4 clients on the last working day (Table 16). Of the last 10 clients, the respondentshad a mean of 3.5 new or occasional clients; some (15%) had no new clients and for themajority (67%), less than half of the last 10 clients were new clients.Of the respondents who had at least one new client out of the last 10 clients (33 respondents),anal sex was most common (76%), but oral, thigh and masturbation were also widely- 13 -