Risk factors for HIV infection in Males who have Sex with Males (MSM) in Bangladesh
1 Department of Internal Medicine, Brown University, Providence, Rhode Island 02912, USA
2 Department of Family Medicine, University of Vermont, Burlington, Vermont 05401, USA
BMC Public Health 2007, 7:153 doi:10.1186/1471-2458-7-153Published: 12 July 2007
Recent surveillance data from Bangladesh indicate rising HIV infection among intravenous drug users (IDU) in the country. We suggest a likely association between HIV risk factors in this group and other groups, such as males who have sex with males (MSM).
Data on MSM in Bangladesh was collected and analyzed from numerous primary and secondary sources, including government ministries, non-profit health organizations, and personal communications.
The overall prevalence of HIV in Bangladesh is relatively low, but surveillance data indicate that infection has reached significant proportions in certain high-risk groups and may soon spread to other groups, specifically MSM.
The epidemiology of HIV infection in other countries suggests that increasing rates of HIV in higher-risk populations can precede an epidemic in the general population. We review the data concerning MSM, IDU and HIV in Bangladesh from a variety of sources and propose ways to prevent HIV transmission.