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In this paper, we report on research conducted in the city of Chennai (formerly Madras) in southern India to understand the composition and content of interpersonal sexual communication among networks.

India has ≥5 million adult HIV infections (UNAIDS, 2004).

In this study of low-income communities residents in Chennai, India, our aim was to understand the composition of personal communication networks, the nature of information related to sex and sexual health that is exchanged in these networks and the value of communication among members of these networks. Our results indicate that information about sex and sexual health is exchanged within and between four groups: married women, married men, unmarried men and unmarried women.

Communication about sexual health can be defined as the exchange of information between individuals that can potentially promote behaviour change and reduce the risk of STDs and AIDS (Gupta ., 1999), encourage mutual testing for HIV and STDs (Hutchinson, 1998) and discuss test outcomes (Potterat, 2003).

In addition to communication between partners, communication can also take place between members of a network.

Unmarried men offer immense potential for intervention given the range of topics related to sex and sexual health that are discussed and the risky sexual behaviours practiced.

Spousal communication about sexual behaviour or sexual health is minimal and shifting norms for prevention would be difficult.

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Our study data were collected as part of the ethnographic phase of the US National Institute of Mental Health (NIMH) HIV/STD collaborative prevention trial.

This trial is a randomized controlled trial to test the efficacy of HIV prevention messages disseminated through community popular opinion leaders (CPOLs).

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