Risk taking behavior and Sexually Transmitted Diseases: a study among men

Area of Science:

• Public Health
• Epidemiology
• Sexual Health

Background:

• Sexually Transmitted Diseases (STDs) in men pose significant health risks to themselves and their partners.
• High-risk sexual behavior is a primary driver of STD transmission.
• Understanding the prevalence of these behaviors and diseases is critical for public health interventions.

Purpose of the Study:

• To assess the prevalence of high-risk sexual behaviors and Sexually Transmitted Diseases (STDs) among male patients attending a government dispensary.
• To identify specific behaviors contributing to STD transmission within the study population.

Main Methods:

• A systematic random sample of 302 men was recruited from a government dispensary's Outpatient Department (OPD).
• Risk-taking behaviors were evaluated using a structured, pre-tested questionnaire.
• STDs were diagnosed using a syndromic approach, supplemented by laboratory investigations.

Main Results:

• 39% reported pre-marital sexual relationships, and 20% had engaged with Commercial Sex Workers (CSWs).
• 12% of married men reported extramarital sexual activity, often with CSWs.
• 27% had multiple sexual partners, and only 3.6% consistently used condoms. 13% reported STD symptoms.
• Prevalence rates were 3.6% for syphilis and 0.7% for gonorrhea and other STDs.

Conclusions:

• High-risk sexual behaviors and STDs are prevalent in the studied male population.
• Targeted behavior change communication strategies are needed.
• Prompt diagnosis and treatment of STDs are essential to mitigate their public health impact.