An insight on initiation of same sex behavior among men who have sex with men in Agra district of India: A Qualitative study




Men Who Have Sex with Men, MSM, Child Sexual Abuse, Sexual Health, Sexuality, Sexual Violence


Background: Men who have sex with men (MSM) refer to all males (of any age) who engage in sexual relations with other males. The gross stigmatization and discrimination of homosexuals have affected the life and health of MSM. Aims & objective: To get an insight on circumstances of initiation and continuation of same sex behavior among MSM. Material & Methods: This qualitative study was conducted in MSM population in Agra district in India. Audio recorded in-depth interviews were transcribed into verbatim. Potential themes were extracted as a part of analysis as per relevant experiences of the participants. Data saturation achieved after 13 In-depth interviews. Results: The initiation of same sex behavior among MSM was at a young age and was mostly without their consent. Almost all participants were below the legal age of giving consent for sex and their first homosexual partner was a familiar, elderly in position of authority. They played a passive role in their initial sexual encounter and none of them was able to discuss it freely with their family members or friends. They mostly felt depressed after their first homosexual encounter. They had continued this sexual behavior as they have accepted their attraction towards same sex. Conclusion: There is a need to include concepts of sexuality in education curriculum and sensitize parents also and counseling of those exposed to homosexuality at a tender age is imperative.


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Centers for Disease Control and Prevention. HIV and Young Men Who Have Sex With Men. Natl Cent HIV/AIDS, VIral Hepatitis, STD TB Prev [Internet]. 2014;1–4. Available from: [ Last accessed on 2020 Dec 20]

Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle-income countries 2000-2006: a systematic review. PLoS Med. 2007 Dec;4(12):e339. doi: 10.1371/journal.pmed.0040339. PMID: 18052602; PMCID PMC2100144.[PubMed].

Beyrer, C., Baral, S. D., Walker, D., Wirtz, A. L., Johns, B., & Sifakis, F. (2010). The expanding epidemics of HIV type 1 among men who have sex with men in low- and middle-income countries: diversity and consistency. Epidemiologic reviews, 32, 137–151. .

Choi KH, Steward WT, Miège P, Gregorich SE. Unpacking the Influence of Sexual Stigma on HIV Risk: Results From a Prospective Study of Men Who Have Sex With Men in Beijing, China. J Acquir Immune Defic Syndr. 2017 Feb 1;74(2):e38-e44. doi: 10.1097/QAI.0000000000001217. PMID: 27787344; PMCID: PMC5233551.[PubMed].

UN Joint Programme on HIV/AIDS (UNAIDS). The Gap Report. Geneva: UNAIDS [Internet]. 2014; Available from: [ Last accessed on 2020 Dec, 20]

Halkitis PN, Brockwell S, Siconolfi DE, Moeller RW, Sussman RD, Mourgues PJ, Cutler B, Sweeney MM. Sexual behaviors of adolescent emerging and young adult men who have sex with men ages 13-29 in New York City. J Acquir Immune Defic Syndr. 2011 Mar 1;56(3):285-91. doi: 10.1097/QAI.0b013e318204194c. Erratum in: J Acquir Immune Defic Syndr. 2016 Nov 1;73(3):e65. PMID: 21317586.[PubMed].

Das C, Lucia MS HK, HHS Public Access. PhysiolBehav. 2017;176(3):139–48.

Hampton MC, Halkitis PN, Storholm ED, Kupprat SA, Siconolfi DE, Jones D, Steen JT, Gillen S, McCree DH. Sexual risk taking in relation to sexual identification, age, and education in a diverse sample of African American men who have sex with men (MSM) in New York City. AIDS Behav. 2013 Mar;17(3):931-8. doi: 10.1007/s10461-012-0139-8. PMID: 22298339.. [PubMed]

Jie W, Ciyong L, Xueqing D, Hui W, Lingyao H. A syndemic of psychosocialproblems places the MSM (men who have sex with men) population at greater riskof HIV infection. PLoS One. 2012;7(3):e32312. doi: 10.1371/journal.pone.0032312. Epub 2012 Mar 30. PMID: 22479319; PMCID: PMC3316524.[PubMed].

Williams JK, Wilton L, Magnus M, Wang L, Wang J, Dyer TP, Koblin BA, Hucks- Ortiz C, Fields SD, Shoptaw S, Stephenson R, O'Cleirigh C, Cummings V; HIVPrevention Trials Network 061 Study Team. Relation of Childhood Sexual Abuse, Intimate Partner Violence, and Depression to Risk Factors for HIV Among Black Men Who Have Sex With Men in 6 US Cities. Am J Public Health. 2015 Dec;105(12):2473-81. doi: 10.2105/AJPH.2015.302878. Epub 2015 Oct 15. PMID: 26469666; PMCID: PMC4638268.[PubMed].

Tomori C, McFall AM, Srikrishnan AK, Mehta SH, Nimmagadda N, Anand S, Vasudevan CK, Solomon S, Solomon SS, Celentano DD. The prevalence and impact of childhood sexual abuse on HIV-risk behaviors among men who have sex with men (MSM) in India. BMC Public Health. 2016 Aug 12;16:784. doi: 10.1186/s12889-016-3446-6. PMID: 27520978; PMCID: PMC4983056.[PubMed]

Schafer KR, Gupta S, Dillingham R. HIV-infected men who have sex with men and histories of childhood sexual abuse: implications for health and prevention. J Assoc Nurses AIDS Care. 2013 Jul-Aug;24(4):288-98. doi: 10.1016/j.jana.2012.08.008. PMID: 23790272; PMCID: PM4195447.[PubMed].

Deb S, Dutta S, Dasgupta A, Roy S. Hidden Psychiatric Morbidities and GeneralHealth Status Among Men Who have Sex with Men and Other Clients of a SexuallyTransmitted Disease Clinic of Kolkata: A Comparative Study. Indian J Community Med. 2010 Jan;35(1):193-7. doi: 10.4103/0970-0218.62566. PMID: 20606954; PMCID: PMC2888360.[PubMed].

Brandt C, Zvolensky MJ, Woods SP, Safren SA, States U, States U, et al. HHS Public Access. 2018;164–84.

The Wallace Foundation. Workbook E: conducting in-depth interviews table of contents. Get started with Mark Res out-of-school time Plan a ResourGuid communities [Internet]. 2007; Available from: [ Last accessed on 2020 Dec, 20]

UNAIDS. UNAIDS Data. Jt United Nationa Program HIV/AIDS [Internet]. 2019;1–248. Available from: [ Last accessed on 2020 Dec, 20]




How to Cite

Aqeel Khan I, Chaudhary SS, Misra SK, Geetu Singh, Singh TP, Royal A. An insight on initiation of same sex behavior among men who have sex with men in Agra district of India: A Qualitative study. Indian J Community Health [Internet]. 2020 Dec. 31 [cited 2024 Jul. 20];32(4):624-30. Available from:



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