SOCIO-ECONOMIC FEATURES OF SEXUALLY TRANSMITTED INFECTIONS AMONG MSM IN GEORGIA

Area of Science:

• Public Health
• Epidemiology
• Social Sciences

Background:

• Sexually Transmitted Infections (STIs) pose a significant public health challenge globally, particularly among vulnerable populations.
• Men who have sex with men (MSM) often experience disproportionately higher rates of STIs due to various socioeconomic and behavioral factors.
• Understanding the specific socioeconomic determinants of STI prevalence in diverse geographical and cultural contexts, such as Georgia, is crucial for targeted interventions.

Purpose of the Study:

• To investigate the correlation between socioeconomic conditions and the prevalence of STIs among MSM in Georgia.
• To identify key risk factors associated with higher STI rates within the MSM population in the study region.
• To evaluate the effectiveness of different information sources on sexual health awareness and practices among MSM.

Main Methods:

• A cross-sectional study was conducted in five major Georgian cities between 2015 and 2019.
• Data were collected using a specially designed questionnaire covering demographics, socioeconomic status, STI awareness, information sources, sexual practices, and residence type.
• Statistical analysis, including odds ratios (OR), was employed to determine correlations between variables and STI prevalence.

Main Results:

• High prevalence rates of syphilis (approx. 25.76%), gonorrhea (approx. 18.63%), and chlamydia (approx. 21.98%) were observed among MSM.
• Low-income levels and lower educational attainment were identified as significant socioeconomic risk factors for increased STI prevalence.
• Awareness of STIs and reliable information sources (healthcare workers, sexual partners) were inversely correlated with STI rates, while rural residence was associated with higher prevalence.

Conclusions:

• Socioeconomic factors, particularly income and education, play a critical role in the prevalence of STIs among MSM in Georgia.
• Healthcare professionals and sexual partners are identified as the most reliable sources for sexual health information among MSM.
• Targeted screening, prevention programs, and enhanced dissemination of sexual health information are recommended to reduce STI prevalence in this population.