Table 2 Sexual risk behavior, HIV knowledge, socio-structural factors, and uptake of HIV prevention services among MSM and Transgender women in Terai highway districts
|  | MSM, n = 167, n (%) | Transgender women, n = 173, n (%) | Total, n = 340, n (%) | |||
|---|---|---|---|---|---|---|
Unweighted | Weighted %a | Unweighted | Weighted %a | Unweighted | Weighted %a | |
Sexual risk behavior | ||||||
 Condom use at last sexual intercourse | ||||||
  No | 69 (41.3) | 38.8 | 76 (43.9) | 58.2 | 145 (42.6) | 46.4 |
  Yes | 96 (57.5) | 61.2 | 96 (55.5) | 41.8 | 192 (56.5) | 53.6 |
  No response | 2 (1.2) |  | 1 (0.6) |  | 3 (0.9) |  |
 Last sexual partner | ||||||
  Non-paying male partner | 80 (47.9) | 47.9 | 87 (50.3) | 54.1 | 167 (49.1) | 50.3 |
  Non-paying female partner | 20 (12.0) | 20.3 | 12 (6.9) | 7.7 | 32 (9.4) | 15.3 |
  Male client | 46 (27.5) | 16.4 | 61 (35.3) | 31.8 | 107 (31.5) | 22.5 |
  Female client | 7 (4.2) | 8.3 | 2 (1.2) | 1.2 | 9 (2.6) | 5.5 |
  Paid male sex worker | 4 (2.4) | 1.9 | 9 (5.2) | 3.4 | 13 (3.8) | 2.5 |
  Paid female sex worker | 6 (3.6) | 4.7 | 1 (0.6) | 1.2 | 7 (2.1) | 3.3 |
  No response | 4 (2.4) | 0.5 | 1 (0.6) | 0.5 | 5 (1.5) | 0.5 |
Knowledge level of HIV | ||||||
 Low knowledge | 30 (18.0) | 19.3 | 31 (17.9) | 23.7 | 61 (17.9) | 21.0 |
 High knowledge | 137 (82.0) | 80.7 | 142 (82.1) | 76.3 | 279 (82.1) | 79.0 |
Socio-structural factors | ||||||
 Forced by family to marry female | ||||||
  No | 112 (67.1) | 75.4 | 98 (56.6) | 63.1 | 210 (61.8) | 70.6 |
  Yes | 55 (32.9) | 24.6 | 73 (42.2 | 36.9 | 128 (37.6) | 29.4 |
  No Response |  |  | 2 (1.2) |  | 2 (0.6) |  |
 Forced to leave home due to sexual behavior | ||||||
  No | 148 (88.6) | 91.0 | 142 (82.1) | 87.5 | 290 (85.3) | 89.4 |
  Yes | 19 (11.4) | 9.0 | 31 (17.9) | 12.5 | 50 (14.7) | 10.6 |
 Openness to family about sexual behavior | ||||||
  No | 142 (85.0) | 93.7 | 115 (66.5) | 22.6 | 257 (75.6) | 87.3 |
  Yes | 25 (15.0) | 6.3 | 58 (33.5) | 77.4 | 83 (24.4) | 12.7 |
 Beaten due to sexual behavior past year | ||||||
  No | 157 (94.0) | 95.7 | 153 (88.4) | 94.9 | 310 (91.2) | 95.4 |
  Yes | 10 (6.0) | 4.3 | 20 (11.6) | 5.1 | 30 (8.8) | 4.6 |
 Forced to have sex past year | ||||||
  No | 144 (86.2) | 93.1 | 141 (81.5) | 82.7 | 285 (83.8) | 89.0 |
  Yes | 23 (13.8) | 6.9 | 32 (18.5) | 17.3 | 55 (16.2) | 11.0 |
 Cheated/threatened due to sexual behavior in past year | ||||||
  No | 139 (83.2) | 93.9 | 125 (72.3) | 78.9 | 264 (77.6) | 88.0 |
  Yes | 28 (16.8) | 6.1 | 47 (27.2) | 21.1 | 75 (22.1) | 12.0 |
 Don’t Remember/Know |  |  | 1 (0.6) |  | 1 (0.3) |  |
 Discrimination level | ||||||
  No discrimination | 99 (59.3) | 72.3 | 81 (46.8) | 49.0 | 180 (52.9) | 63.9 |
  In one or more situations | 68 (40.7) | 27.7 | 92 (53.2) | 51.0 | 160 (47.1) | 36.1 |
 Reaction when treated unfairly | ||||||
  Accept it/keep to self | 62 (37.1) | 35.5 | 55 (31.8) | 34.8 | 117 (34.4) | 35.2 |
  Do something/keep to self | 40 (24) | 26.6 | 60 (34.7) | 30.0 | 100 (29.4) | 28.0 |
  Do something/talk to others | 65 (38.9) | 37.9 | 58 (33.5) | 35.2 | 123(36.2) | 36.8 |
 Away from home last month | ||||||
  No | 120 (71.9) | 69.6 | 113 (65.3) | 71.1 | 233 (68.5) | 70.3 |
  Yes | 47 (28.1) | 30.4 | 60 (34.7) | 28.9 | 107 (31.5) | 29.7 |
 Cross border travel for sexual activities | ||||||
  No | 136 (81.4) | 88.9 | 138 (79.8) | 79.7 | 274 (80.6) | 85.3 |
  Yes | 30 (18) | 11.1 | 35 (20.2) | 20.3 | 65 (19.1) | 14.7 |
  No response | 1 (0.6) |  |  |  | 1 (0.3) |  |
 Interacted with PE, OE or CM or CE last 12 months | ||||||
  No | 75 (44.9) | 40.4 | 58 (33.5) | 45.4 | 133 (39.1) | 45.9 |
  Yes | 92 (55.1) | 59.6 | 113 (65.3) | 54.6 | 205 (60.3) | 54.1 |
  No response |  |  | 2 (1.2) |  | 2 (0.6) |  |
 Visited outreach center in the last 12 months | ||||||
  No | 95 (56.9) | 75.1 | 54 (31.2) | 45.8 | 149 (43.8) | 63.6 |
  Yes | 72 (43.1) | 24.9 | 119 (68.8) | 54.2 | 191 (56.2) | 36.4 |
 Visited STI clinic in the last 12 months | ||||||
  No | 146 (87.4) | 92.6 | 143 (82.7) | 86.6 | 289 (85.0) | 90.3 |
  Yes | 21 (12.6) | 7.4 | 30 (17.3) | 13.4 | 51 (15.0) | 9.7 |
 Visited HTC center in the last 12 months | ||||||
  No | 128 (76.6) | 87.4 | 128 (74.0) | 78.5 | 256 (75.3) | 83.9 |
  Yes | 39 (23.4) | 12.6 | 45 (26.0) | 21.5 | 84 (24.7) | 16.1 |