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For example, around 10% of men who have sex with men in Andhra Pradesh and 5% in Maharashtra are estimated to be living with HIV.16 A 2015 study of men who have sex with men, conducted across 12 Indian cities, found 7% tested positive for HIV.

Just under a third (30%) of those who reported having anal or oral sex with a man in the past 12 months were married to a women and engaging in heterosexual sex.17 The study also found evidence of emerging epidemics among men who have sex with men in urban areas not previously recognised as having high HIV burdens.

In 2017, HIV prevalence among adults (aged 15-49) was an estimated 0.2%.

This figure is small compared to most other middle-income countries but because of India's huge population (1.3 billion people) this equates to 2.1 million people living with HIV.1 2 Overall, India’s HIV epidemic is slowing down.

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A study of men who have sex with men (sometimes referred to as MSM) who attended STI clinics at Mumbai and Hyderabad, found that 70% of them engaged in sex work.

Of those who engaged in sex work, HIV prevalence was found to be 43.6%, compared to 18.1% among all men who have sex with men attending the clinics.14 Around 2.7% of men who have sex with men in India are living with HIV, of whom around 65% are aware of their status.15 HIV prevalence varies between areas.

In September 2018, India’s Supreme Court decriminalised homosexuality between consenting adults.

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