Determinants of multiple sexual partnerships among Hijra and transgender persons in India
Evidence from the IBBS survey
Bibliographic Data
| ID | 24228578 |
|---|---|
| Authors | Nishakar Thakur (0000-0001-7511-0616, AIIMS), Devarshi Bhoi (AIIMS), Sanjay Rai (AIIMS), Shashi Kant (0000-0001-7012-4306, AIIMS), Kiran Goswami (AIIMS), Puneet Misra (0000-0002-2019-1524, AIIMS), Partha Haldar (0000-0002-4563-3675, AIIMS), Yujwal Raj (National AIDS Control Organisation), Chandrasekhar Reddy (IMS BHU) |
| Year | 2026 |
| Pages | 1-10 |
| Publication date | 2026-10-10 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2026.2744035 |
| PMID | 42858274 |
| OpenAlex | W7221316446 |
| Language | EN |
| References cited | 17 |
Multiple sexual partnerships (MSPs) act as a risk factor, increase vulnerability to sexually transmitted diseases, including HIV, and contribute to interconnected sexual networks that may facilitate broader transmission not only within high-risk networks but also to their partners. This study aims to estimate the prevalence of MSPs and factors associated with it among Hijra and transgender persons (H/TG) in India. This is a secondary data analysis of H/TG data from the National IBBS survey. The survey was conducted in 14 domains across 11 states of India using probability-based sampling. A total of 4345H/TG individuals were analyzed. Out of these, 3774 (86.9%) reported MSPs. Factors such as living with partners (aOR: 1.86; 95% CI: 1.32, 2.62), having first sexual intercourse before the age of 18 years (aOR: 1.44; 95% CI: 1.14, 1.82), involvement in sex work (aOR: 1.69; 95% CI: 1.27, 2.26), and having a commercial partner (aOR: 11.77; 95% CI: 4.80, 28.86) were associated with MSPs among H/TG persons. The findings of this study demonstrate that MSPs are highly prevalent among H/TG persons in India. Interventions aimed at HIV and STI prevention should move beyond individual-level behavior change approaches and incorporate network-based strategies and early sexual health education.
determinants of sexual behavior · hijrah · India · multiple sexual partners · sexual minority health · Transgender people · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy
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Contextual determinants of multiple sexual partnerships amongst young people in South Africa
Structural disadvantage and HIV risk – comparing risk factors between trans women’s partnerships with cis men and trans women sexual partners
Comparing risk factors of HIV among hijra sex workers in Larkana and other cities of Pakistan
Examining Sexual Behavior Among U.S. Transgender Adolescents
| Highly cited | No |
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