Find articles by R. Elangovan Find articles by P. Saravanan Find articles by N. Male homosexual behavior carries a high risk of transmitting sexually transmitted infections STIs.
Ignorance regarding the associated high risk, indulgence inspite of no natural homosexual orientation and not using protective barrier methods can affect the sexual health of adolescents and adults. After obtaining consent from the subjects, questionnaire - based interview used for obtaining data for this observational cross-sectional study. For those with natural homosexual orientation, the importance of protective barrier methods in homosexual behavior needs emphasis. It is essential to know the proportion of MSM who acquired this behavior because it is a high risk behavior.
If it is acquired due to certain misconceptions, then improving their level of awareness regarding involved risk of acquiring STIs and the importance of using protective barrier methods is essential. The proportion of MSM in whom it is acquired also gives an indication of the level of impact that an awareness program can achieve. This study was conducted with the aim of assessing the proportion of MSM who have a natural homosexual orientation compared to those who acquired this behavior due to various other reasons.
Another aim of this study was to assess the level of awareness regarding involved risk in homosexual behavior and the use of protective barrier methods. Among subjects who attended the out-patient department during the study period, male subjects with a history of homosexual contact were included in the study. Subjects not willing to give consent to participate in the study were excluded.
The study was conducted from November to April and 50 subjects were included in the study. Among them, only 47 subjects responded to Klein's sexual orientation grid based questions. The included subjects were requested to answer a questionnaire which consisted of patient details and details about their first homosexual act, aimed at assessing whether the subject had prior interest in homosexuality and whether he was under any other circumstance that made him indulge in homosexual behavior such as due to certain misconceptions, fear of having heterosexual contact, peer pressure, and under influence of alcohol.
The subjects were asked questions about awareness regarding risk of acquiring STIs by homosexual contact and also awareness about use of protective barrier methods like condoms.
Subjects were asked whether they believe that they had an inborn homosexual orientation or acquired the homosexual behavior. Questions regarding their willingness to indulge in heterosexual marriage were asked to unmarried subjects, which helped in assessing whether they had a natural homosexual orientation. The subject's willingness to further continue or discontinue indulgence in homosexual behavior was also an indicator of his natural sexual orientation. Subjects were also asked to respond to questions in the Klein's sexual orientation grid[ 7 ] which is primarily used in this study to assess the variation between sexual interests and sexual behavior based on scores in the respective grids.
In the Klein's sexual orientation grid, seven categories A to G were assessed for the past, present, and future.