588 Understanding risky sexual behavior among migrants in India: determinants and public health implications

Abstract EP3.2, e-Poster Terminal 3, September 3, 2025, 13:05 - 14:00 Aims Risky sexual behavior (RSB) among migrants poses a major public health concern, particularly due to its role in the transmission of HIV/AIDS and other sexually transmitted infections (STIs). In India, migrants are considered a key bridge population, potentially transferring infections from high-prevalence areas to low-risk regions due to their mobility. This study investigates the determinants of RSB among migrants and offers evidence to guide effective public health responses. Methods A mixed-methods study was conducted from 2022 to 2023 across 21 districts in seven Indian states. The study included both qualitative and quantitative components. Qualitative Content Analysis (QCA) was used to identify themes from interviews and focus group discussions. Quantitatively, the prevalence of RSB was measured, and Chi-square tests were employed to explore associations between independent variables and three key outcomes: multiple sexual partners, unprotected sex, and paid sex. Binary logistic regression was used to identify significant predictors of RSB. Results RSB among migrants was found to be shaped by a range of socio demographic and economic factors. Key determinants included education, living conditions, income, age at sexual debut, marital status, alcohol use, internet exposure, and awareness of HIV/AIDS. Qualitative findings indicated a concerning lack of knowledge regarding HIV transmission, contributing to risky practices. Marital status and individual preferences influenced inconsistent condom use. Poor and overcrowded living environments increased migrants’ vulnerability to STIs and HIV, as emphasized by key informants and health officials. Conclusion Addressing the sexual health needs of migrants requires a multifaceted approach that takes into account socio-demographic, cultural, economic, and individual factors. Effective public health strategies must be grounded in a deep understanding of these complex dynamics. To promote safe sexual behaviors and enhance overall sexual health among migrant, interventions should be crafted to address the diverse determinants of RSB and improve awareness of HIV/AIDS and STIs.