caa a22 4500 606232850 CHVBK 20210128101229.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10508-014-0358-3 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0358-3 Sexual Behaviors and Partner-Specific Correlates of Heterosexual Anal Intercourse Among Truck Drivers and Their Wives in South India [Elektronische Daten] [Tarun Bhatnagar, P. Sakthivel Saravanamurthy, Roger Detels] It is important to know about patterns of sexual behaviors among married couples in order to develop effective HIV prevention strategies for them. Herein we describe the sexual behaviors, estimate prevalence of anal intercourse (AI) among truck drivers ("truckers”) and their wives, and determine partner-specific demographic and behavioral correlates of AI. We carried out a cluster-sampled cross-sectional survey among 18-49year-old wives and their trucker husbands in a south Indian district. Data were collected by same-gender research team members with color-coded computer-assisted interviews. We used random intercept logistic regression to identify the independent correlates of AI. Thirteen percent of 475 wives and 467 truckers reported ever having AI with their spouse. Of those who responded, 55% of 40 wives and 47% of 36 truckers never used condoms during AI. Of those who responded, 22 of 32 wives and 24 of 32 husbands felt that condoms were unnecessary during AI. Reporting ever having AI was associated with younger age and higher education of both husband and wife. AI reported by wives was associated with having sexual partner(s) other than husband (adjusted OR 8.8 [95% CI 3.2-24.0]), correctly answering all HIV knowledge items (adjusted OR 4.9 [95% CI 1.9-12.5]), husband's sexual debut occurring before marriage (adjusted OR 1.9 [95% CI 1.0-3.5]), and husband's high HIV risk perception (adjusted OR 2.5 [95% CI 1.2-5.4]). AI reported by truckers was associated with having sex with a male or transgender (adjusted OR 4.0 [95% CI 1.2-13.3]). Reported prevalence of AI was high considering that in India anal sex is non-normative, heavily stigmatized and, criminal. Indian heterosexual mobile populations need to be informed about the greater risk of HIV infection consequent to unprotected AI. Springer Science+Business Media New York, 2014 Sexual behavior nationallicence Heterosexual anal intercourse nationallicence Truck drivers nationallicence Wives nationallicence South India nationallicence Bhatnagar Tarun National Institute of Epidemiology (ICMR), Chennai, India aut Sakthivel Saravanamurthy P. Independent Researcher, Chennai, India aut Detels Roger Department of Epidemiology, UCLA Fielding School of Public Health, 71-269 CHS, Box 951772, 90095-1772, Los Angeles, CA, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 295-306 0004-0002 44:2<295 2015 44 10508 https://doi.org/10.1007/s10508-014-0358-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0358-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bhatnagar Tarun National Institute of Epidemiology (ICMR), Chennai, India aut NATIONALLICENCE 700 1- Sakthivel Saravanamurthy P. Independent Researcher, Chennai, India aut NATIONALLICENCE 700 1- Detels Roger Department of Epidemiology, UCLA Fielding School of Public Health, 71-269 CHS, Box 951772, 90095-1772, Los Angeles, CA, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/2(2015-02-01), 295-306 0004-0002 44:2<295 2015 44 10508