HIV risks among women who are married to men who have sex with men in india: A qualitative investigation

Cecilia Tomori, Aylur K. Srikrishnan, Shruti H. Mehta, Nymisha Nimmagadda, Santhanam Anand, Canjeevaram K. Vasudevan, David D. Celentano, Sunil S. Solomon

Research output: Contribution to journalArticle

Abstract

In countries such as India, men who have same-sex partnerships may marry women due to cultural pressures regardless of their sexual desires and preferences. The wives of such men may be at risk for HIV but limited existing research addresses this issue. This qualitative study used in-depth interviews to investigate HIV-related risk among married men who have sex with men (n = 34) and women who were aware of their husband’s same-sex behaviour (n = 13) from six research sites in five states and a Union Territory in India: Delhi (Delhi), Visakhapatnam (Andhra Pradesh), Hyderabad (Telangana), Bengaluru (Karnataka), Chennai and Madurai (Tamil Nadu). Thematic analysis revealed that wives of men who have sex with men were at risk for HIV from their husbands’ sexual practices, which are often hidden to avoid the potential consequences of stigmatisation, as well as from gender-based inequities that make husbands the primary decisionmakers about sex and condom use, even when wives are aware of their husband’s same-sex behaviour. Innovative interventions are needed to address HIV-related risk in couples where wives remain unaware of their husband’s same-sex behaviour, and for wives who are aware but remain within these marriages.

Original languageEnglish (US)
Pages (from-to)873-887
Number of pages15
JournalCulture, Health and Sexuality
Volume20
Issue number8
DOIs
StatePublished - Nov 10 2018

Keywords

  • HIV prevention
  • India
  • Marriage
  • Men who have sex with men
  • Women

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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