Men at risk: correlates of verbal, physical and sexual violence against men who have sex with men across selected cities in India.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Homosexuality, Male*/statistics & numerical data ; Homosexuality, Male*/psychology ; Sex Offenses*/statistics & numerical data ; Sex Offenses*/psychology; Humans ; Male ; India/epidemiology ; Adult ; Cross-Sectional Studies ; Middle Aged ; Young Adult ; Adolescent ; Risk Factors ; Aged ; Cities ; Sexual and Gender Minorities/statistics & numerical data ; Sexual and Gender Minorities/psychology ; Qualitative Research ; Violence/statistics & numerical data ; Violence/psychology

Background: Five distinct forms of violence - Physical, Verbal, Sexual, Cyber, and Relational - persistently afflict sexual minorities worldwide. The presence of feminine attributes in Men who have Sex with Men is inherently linked to a heightened susceptibility to various manifestations of violence, thereby exerting detrimental repercussions on both the physical and mental well-being of these individuals. This correlation stands as a principal contributor to the alarmingly elevated rates of suicide attempts among Men who have Sex with Men, particularly during their early years.
Data and Methods: This cross-sectional study investigates the risk factors for violence against Men who have Sex with Men in six metropolitan cities across India. Quantitative data were gathered from 300 self-identified Men who have Sex with Men, with 240 providing only quantitative data, while both quantitative and qualitative data were collected from a subset of 60 respondents, ranging in age from 18 to 70 years. Quantitative analysis was conducted using descriptive statistics, chi-square tests, and binary logistic regression to explore the likelihood of different types of violence. Qualitative data collected through in-depth interviews, were analyzed thematically to provide contextual depth and validate the quantitative findings, focusing on specific incidents and key themes associated with violence among Men who have Sex with Men.
Results: More than 60 per cent of the respondents encountered at least one type of violence due to their sexuality. More than half of the respondents who engaged in the receptive role during sexual activity reported experiencing sexual violence. The likelihood of encountering verbal violence was found to be nearly six times higher among respondents who were receptive than penetrative sexual partners. Respondents of Muslim religion exhibited a 2.6-fold increase in the likelihood of experiencing sexual violence compared to their Hindu counterparts.
Conclusion: Violence against Men who have Sex with Men is a pervasive issue in the six metropolitan cities studied in India, particularly affecting individuals with lower education and low income. These findings resonate with global research, which identifies similar risk factors for violence against sexual minorities, especially in regions with deep-rooted homophobia and socio-economic inequalities. Insights from this study underscore the urgent need for targeted policies and interventions to create a safer, more inclusive environment for this population in India and other parts of the Global South.
(© 2024. The Author(s).)

Arch Sex Behav. 1995 Jun;24(3):235-48. (PMID: 7611844)
J Homosex. 1998;36(2):1-18. (PMID: 9736328)
BMC Public Health. 2020 Mar 27;20(1):400. (PMID: 32220249)
J Health Soc Behav. 1995 Mar;36(1):38-56. (PMID: 7738327)
J Interpers Violence. 2021 Oct;36(19-20):NP11198-NP11217. (PMID: 31608777)
Pediatrics. 2011 May;127(5):896-903. (PMID: 21502225)
AIDS Educ Prev. 2007 Aug;19(4):346-64. (PMID: 17685847)
Am J Public Health. 2002 Dec;92(12):1964-9. (PMID: 12453817)
Int Rev Psychiatry. 2015;27(5):455-9. (PMID: 26535451)
PLoS One. 2012;7(3):e31705. (PMID: 22448214)
Am J Public Health. 2003 Jun;93(6):894-8. (PMID: 12773346)
J Interpers Violence. 2021 Feb;36(3-4):1660-1681. (PMID: 29295002)
J Community Psychol. 2018 Sep;46(7):871-884. (PMID: 30565737)
Sex Res Social Policy. 2017 Sep;14(3):324-330. (PMID: 29552236)
Nurse Res. 2013 Jan;20(3):33-7. (PMID: 23346777)
J Int AIDS Soc. 2018 Jul;21 Suppl 5:e25122. (PMID: 30033535)
Eur J Psychotraumatol. 2023;15(1):2297544. (PMID: 38197295)
J Adolesc Health. 2006 Nov;39(5):662-8. (PMID: 17046502)
Accid Emerg Nurs. 2004 Jul;12(3):176-81. (PMID: 15234716)
Arch Sex Behav. 2017 May;46(4):1011-1023. (PMID: 27178173)
Glob Public Health. 2017 Feb;12(2):250-265. (PMID: 26457339)
Transgend Health. 2019 Nov 06;4(1):316-325. (PMID: 31701013)
J Sex Res. 2012;49(2-3):142-67. (PMID: 22380586)
AIDS Care. 2012;24(11):1401-6. (PMID: 22519945)
Arch Pediatr Adolesc Med. 1999 May;153(5):487-93. (PMID: 10323629)
LGBT Health. 2019 Jul;6(5):205-215. (PMID: 31135260)
J Interpers Violence. 2023 Oct;38(19-20):10795-10813. (PMID: 37272025)
AIDS Behav. 2010 Oct;14(5):1001-10. (PMID: 20467890)
J Sch Health. 2011 May;81(5):223-30. (PMID: 21517860)
Int J Environ Res Public Health. 2022 Aug 12;19(16):. (PMID: 36011587)
Am J Public Health. 2004 Jul;94(7):1200-3. (PMID: 15226143)
AIDS. 2020 Sep 1;34 Suppl 1:S5-S18. (PMID: 32881790)
Law Hum Behav. 2012 Apr;36(2):87-95. (PMID: 22471413)
Curr Opin Psychol. 2015 Oct 1;5:72-77. (PMID: 26075291)
PLoS One. 2013 Aug 22;8(8):e74446. (PMID: 23991220)
J Interpers Violence. 2021 Jul;36(13-14):6531-6549. (PMID: 30569781)
J Homosex. 2000;40(2):31-48. (PMID: 11206420)
Global Health. 2007 Jul 11;3:8. (PMID: 17623106)
BMC Public Health. 2023 Feb 13;23(1):320. (PMID: 36782151)

Keywords: India; LGBT + rights; MSM; Physical violence; Sexual violence; Verbal violence

Date Created: 20241031 Date Completed: 20241031 Latest Revision: 20241102

20241102

PMC11526505

10.1186/s12889-024-20493-x

39478473