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Genital beading as the predictor of HIV status in male drug offenders in Taiwan

S.-C. Lee1, T.S.-H. Lee2

1National Taiwan Normal Universuty, Health Protion and Health Education, Taipei, Taiwan, Province of China, 2National Taiwan Normal University, Taipei, Taiwan, Province of China

Background: One study found that men with genital beading would have difficulties to use condoms while having sex. The purposes of this study are to describe the prevalence of male genital beading and to examine association of genital beading and HIV infection amongst drug offenders in Taiwan.
Methods: Of eligible participants, 944 male drug offenders in prisons agreed to participant in this study and 885 completed the survey at June 2007. Bivariate analyses were performed to test where there are differences between beading and non-beading participants and logistic regression was performed to identify factors associated with HIV-serostatus.
Results: Of study respondents, 363 (40%) self-reported having genital beading surgery on their penises and the prevalence rate of HIV was 25.2%. The mean age and education were 35 years and 9.8 years, respectively. About 98% had sexual experiences and the mean age of first sexual intercourse was 17.18 years old. Most of them (64.5%) indicated that they did not use condoms when they had sex last time. The t-test analyses revealed that genital beading was statistically associated with education level and age at first sex. Results from
c2 tests found significant difference between genital beading and HIV serostatus. Results from logistic regression indicated that genital beading, using condoms at last sex and knowledge about AIDS are statistically significant factors for HIV-serostatus.
Conclusions: Results of this study found that men having genital beading are at higher risk of HIV infection, indicating that more research will have be conducted on meanings of genital beading of male drug users.

[genital beading]

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