International Journal of Current Research and Review
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IJCRR - 5(4), February, 2013

Pages: 103-113

Date of Publication: 28-Feb-2013


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SEXUAL BEHAVIORS AMONG HIV PATIENTS ATTENDING ART CENTRE, TERTIARY CARE HOSPITAL, KARNATAKA, INDIA

Author: Ramesh K., Sangeetha Gandhi, Vishwas Rao

Category: Healthcare

Abstract:Introduction: AIDS is a pandemic now. It has multiple risk factors and of all the risk factors, sexual behaviour acts as a double edged sword. On one hand, the risk of HIV acquisition is known to be closely associated with unprotected sexual intercourse and on the other, diagnosis of AIDS is shown to have a paramount importance on the sexual behaviour of the person. Research shows that there are HIV infected people who do engage in unprotected sex, just as there are HIV negative people or people with unknown serostatus who do so. Sex is an integral part of one's living. As we extend our vision to the effects of sexual behaviour following diagnosis of AIDS from conventional view of sexual behaviour as a risk factor, other curious questions take wings. How exactly does diagnosis of AIDS have its influence on sexual behaviour of the diseased? Does the diagnosis of HIV positive help in reducing the risky sexual behaviour or do people still opt to continue the same way? In this study we have tried to discover answers to some of these questions. Materials and Methods: A case-series study was conducted among HIV positive patients coming to the ART centre for seeking treatment at ART Centre,Vijayanagara Institute of Medical Sciences Bellary, Karnataka from Novmber 2011 to April 2012. The sample size of the study is 400 and non probability sampling technique was used. Permission from respective authorities and written consent from study participants was obtained. Data was collected using a pre tested semi structured questionnaire. Data was analyzed using SPSS 15.0 and McNemar test was used to compare qualitative variables before and after diagnosis of AIDS. Results: The study subjects included both males (54%) and females (46%). The educational status is less than primary schooling in 88% of study subjects and 90% are married. Among patients, 48% were diagnosed on routine blood investigation and 40% on voluntary. There is no much difference in use of contraceptives before (16%) and after (18%) diagnosis but there is a significant difference in Condom use (before- 20% and after-37%). Sex with multiple partners was found in 34% of patients before diagnosis but it reduced to 13% after the diagnosis. There is no change in alcoholic behaviour. Even after diagnosis, 33% patients continued have unprotected sex with their partners and 25% of patients lost interest in sex after diagnosis. Conclusion: Even after the diagnosis, many sexual risk behaviours remain unchanged among HIV positive patients.

Keywords: Hiv, ART, Mode of transmission

Full Text:

INTRODUCTION

India has an estimated 2.4 million people living with HIV1 . The HIV epidemic is highly heterogeneous, and the majority of HIV infections occur through heterosexual transmission, with unprotected sex, particularly in the southern states2 . There is little published evidence demonstrating the efficacy of female sex worker (FSW) preventive interventions, either in India3,4 or elsewhere5 .Nowadays, interventions to stem the spread of the Human immunodeficiency virus (HIV) throughout the world are as varied as the contexts in which we find them. HIV epidemic dynamic can be curtailed by not only preventive and treatment options, but also by in depth study of sexual Behavior. This pattern of sexual behavior is widely diverse and influenced by society, culture, custom and tradition. Understanding these factors influencing sexual behavior plays vital role in formulating strategies to combat HIV spread. The predominant mode of HIV infection throughout SouthAfrica is unprotected heterosexual intercourse6 . Prevention programs that target secondary transmission between those known to be HIV positive and their sexual partner have recently gained favor7 but are still underdeveloped in general epidemic setting8,9,10 . Better understanding of patterns of sexual behavior among individuals who know their HIV status remains centered to these efforts11 . Knowledge about unsafe sexual behavior of HIV infected individuals is therefore, crucial for development of specific intervention to reduce sexual transmission12. Progress to promote safer sexual behavior is effective and should be widely disseminated. Here we present the findings of behavior changes of HIV positive patients. This provides insights into the potential prevention benefits in future.

METHODOLOGY

A descriptive case series study was conducted among HIV positive patients coming to the ART centre for seeking treatment at ART Centre, a tertiary care hospital, Bellary, Karnataka from November 2011 to April 2012. Totally 10,000 patients have registered and among them 5000 patients were on treatment at ART centre. Hence the sampling frame included those patients who were on treatment. Totally 400 patients were included for the study. These 400 patients were selected based on non probability purposive sampling technique. Data was collected using a semi structured questionnaire which contained information regarding socio demographic details and behavior. Written informed consent was taken and by interviewing patients, data was collected. After the data collection, health education was given to study subjects on Prevention and treatment of HIV. This study excluded those Patients who were seriously ill and who did not give consent. Data was entered in Microsoft excel and analyzed in SPSS 15. The statistical tests used were Proportion, Mean, Standard deviation, Mcnemar test and Wilcoxon sign rank test.

RESULTS

Out of the 400 subjects in our study 216 were males (54%) and 184 were females (46%). Out of the 216 male subjects, 40% of them were between the age of 30-39 yrs, 29.6% were in the age group of 40 – 49 years, 22.2% were between the age group of 20-29, 5.6% were between age group 50-59 and only 1.9%. Among the female subjects, unlike the male subjects in whom majority were in age group 30-39 years of age, majority were in between the age groups of 20- 29 years. Out of the 184 female subjects, 43.5% were in between the age group of 20-29 yrs. 37% were in the age group of 30-39 years, and 19.6% were in between the age group of 40-49 yrs.

Education
Out the 400 subjects taken for our study, 45% of them were illiterates, 43% had just primary education, 9% subjects had high school education and only 2% of them had completed their education till pre university level (Fig.1).

Occupation
In our study about half of the study subjects were unskilled workers primarily daily wage workers followed by semi skilled and skilled workers who formed 22% and 19% respectively;49 % were unskilled; 7% were professionals (Fig.1).

Marital status
Marital status of the patient was known to generally access the sexual behavior among the subjects. Those who are unmarried are assumed to have Pre marital sex whereas those who are married are assumed to either have sex with either their wives or indulge in extra marital sex. In our study it was found that only 10% of the HIV positive subjects are unmarried (Fig.1).

Income
Poverty is root cause of all the evil in India including the high rates of HIV. Among our study subjects 62% of them earned an income of about 3000-6000Rs per month.17% of them earned an income less than 3000 Rs per month; 21% of them earned an income of more than 6000 Rs per month (Fig.1).

Homosexuality
Homosexuality is the major mode of transmission of HIV in Western countries but in India the major mode of sexual transmission is among heterosexuals. This was also confirmed in our study in which 87% of the study subjects were ignorant to the concept of Homosexuality and did not know what it was. (Fig.2)

Mode of transmission 
Poverty and Illiteracy are both very high in India. This has led to ignorance and lack of knowledge among the people in Indian society towards the mode of spread and prevention of HIV, It was seen that about half of our study subjects (50%) got to know about the mode of spread of infection only after their diagnosis and 8% did not know the mode of transmission even after diagnosis. (Fig.2)

Sex with HIV negative spouse
In our study we tried to find out the change in the sexual behavior among subjects whose spouse were not affected with HIV (n=215) and it was found that majority of the people, 56% of study subjects have stopped having sexual intercourse completely whereas 18% of study subjects seek external partner for sex and whereas 26% of the subjects continue to have sex with their spouses. (Fig.2)

Sex with HIV positive spouse
In our study we also tried to find the Sexual behavior among study subjects whose spouse were affected with HIV(n=185) and it was found that half of the study subjects had no change in sexual behavior and continued to have sex with their partners whereas the other half stopped having sex with their infected partner. (Fig.2) Among our study subjects, 99% of the subjects confessed they had indulged in a sexual intercourse at least once. (Fig.3)

Sex before marriage
In our study out of the 396 study subjects who had intercourse at least once, 110(27.7%) of them had sexual intercourse before marriage. And among those who had sex before marriage, 84% of them had intercourse out of their own interest whereas sizeable number of the study subjects (16%) was forced (Fig.3).

Age at first act of sex
Among 396 study subjects who confessed that they had indulged in a sexual intercourse at least once, 82% of the subjects had first act of sexual intercourse between 16 to 25 years age group; 14% had below age of 15 years and 3% had above age of 25 years (Fig.3).

First time sex with
In our study, Out of the 396 study subjects, 62% of the study subjects had their first sexual encounter with their spouse. Sizeable numbers of the study subjects have had their first sexual encounter with a Commercial Sex Worker (19%) and the rest with either friend or relative. (Fig.3) We next asked the participants of our study regarding the various sexual behaviors they might have participated in and if they do so after diagnosis.

Frequency of sex
When asked about frequency of sex of the patient in the 6 months before diagnosis , nearly half (43% of the study population) of the respondents reported a frequency of 3 times a week, 24% of the respondents reported about 1- 3 times a week with none reporting abstinence from sex. In comparison, 43% reported abstinence from coitus and 17% respondents reported having sex 1-3 times a week for the past 6 months after diagnosis. There is a significant decrease in the frequency of sex after diagnosis of HIV. (Table.no.2)

Use of condoms
When we asked the respondents about their condom use in the 6 months before diagnosis an overwhelmingly large number of study subjects (80%) reported not using condom before coitus and only 20% of study subjects reported using condoms. In comparison, 37% reported using condoms in the 6 months after diagnosis and 63% respondents did not use condoms in the 6 months after diagnosis. There is a significant increase in the condom use among the HIV patients in the 6 months after diagnosis according to. (Table.no.2)

Sex with multiple partners and frequency
We then enquired with the study subjects if they engaged in sexual activity with multiple sexual partners (MSP) and if yes, what was the frequency of sexual activity with multiple sexual partners. Of the 396 study subjects 135(34%) subjects told that they did engage in sex with multiple sexual partners in the 6 months before diagnosis of HIV. Out of the 135 subjects who engaged in sex with MSP, 66% had sex with more than 10 partners, 11% with about 6-10 partners in the 6 months before diagnosis. In comparison, after diagnosis of HIV, out of the same 396 study subjects only 13% told that they did engage in sexual activity. (Table.no.2)

Alcohol consumption
We asked our study subjects about their alcohol consumption and regarding the High risk practice of sex under the influence alcohol. Out of the study subjects who consumed alcohol, 42% of the subjects reported having sex under the influence of alcohol. This value reduced after diagnosis, when only 18% of subjects reported having sex under the influence of alcohol. (Table.no.2)

Outlook on sex
The final finding of our report is the gross change in the perception and attitude of the subjects towards sex. Before the diagnosis of HIV, 90% of the subjects approached sex with excitement only 10% reporting approach to sex with fear and guilt. This outlook has drastically changed post diagnosis where only 68% of subjects approached sex with excitement. While 16% associated fear with sex, and the other 12% of subjects associated sex with guilt. (Table.no.2) So change in sexual behavior related to frequency of sex, use of condoms, sex with multiple partners, sex under the influence of alcohol, and outlook on sex were found statistically significant before and after the diagnosis.

DISCUSSION

In our study out of the 400 subjects, 54% were male subjects and 46% were female subjects. On a total, high proportion of subjects fell between age group 30-39 years. Similar findings were observed in a study conducted in India in which 41% were female subjects and 59% were male subjects; majority of them fell between age groups 30-34 years13. In another study as well maximum subjects fell between age group 35-49 years14 . Illiteracy is one of the major reasons for the rampant increase in the number of HIV positive cases. Out of the 400 subjects taken for our study, 45% of them were illiterates. Compared to the similar study done, 30% were illiterate; 24% had a primary education; 36% had a high school education and 10% had a higher education; whereas in our study there were significantly more number of illiterates and less number of subjects with pre-university education13 .

Compared to another similar study done in south India, 25% were illiterate; 50% were educated till high school; 25% were educated up to predegree, but in our study there were significantly more number of illiterates and less number of subjects with high school and pre-university education15. In our study, about half of the study subjects were unskilled workers primarily daily wage workers followed by semi skilled and skilled workers. Compared to a study in INDIA, 19% were unemployed; 81% were employed13 . Compared to another study done in Goa, 66.3% were employed, 15.7% were unemployed and 18% are students16. Whereas in our study, we have a larger unemployed population. Poverty is root cause of all the evil in India including the high rates of HIV. In this study, a maximum number of study subjects earned an income of about 3000-6000 rupees per month (62%). Compared to a similar study, 15% are poorest; 15% were poorer; 3% were middle class; 32% were rich; 15% were richest13; whereas in our study 17% have a very low income and there is no question about rich or richest in our study. Compared to other study, 16% had a low standard of living index; 32% had a medium standard of living indexand 52% had a high standard of living index17 . Marital status of the patient was known to generally access the sexual behavior among the subjects. In our study, it was found that only 10%of the HIV positive subjects are unmarried therefore it can be assumed that the pre marital sex leading to HIV is quite low. Compared to a study done in Chennai 55% are married; 35% were single; 7% were separated; 2% were divorced18. Whereas in our study a significant large number of them are married. In India, the major mode of sexual transmission is among heterosexuals. But when asked about homosexuality, 87% of the study subjects were ignorant to the concept of Homosexuality and did not know what it was. The finding is similar to a study by moni nag19 . It was seen that about half of our study subjects got to know about the mode of spread of infection only after their diagnosis and some did not know the mode of transmission even after diagnosis. Compared to a similar study by Coates TJ et al20, 40% men andwomen knew the exact mode of transmission of HIV, the findings match with our study. Compared to a similar study done in pune21 , Nearly one-third of the men had never heard of AIDS at their screening visit, and less than 25% were able to correctly answer more than nine out of 12 questions on modes of HIV transmission.the findings match with our study. Compared to a study done in uganda22, 9% of male study subjects had unprotected sex with negative partner (forced) and 5% of female study subjects had unprotected sex with negative partner (forced).whereas in our study there were significantly large number who forced their partner. Compared to a similar study23 in India, 89% male subjects were HIV positive andforced their wife for intercourse and 19% female subjects were HIV positive andforced their husband for intercourse. Whereas in our study the number is not that high, the majority stopped sexual intercourse. Among our study subjects, 99% of the study subjects confessed they had indulged in a sexual intercourse at least once. . Late adolescent age group is at threat age group; teenage pregnancies are slowly rising as well. Out of 495 subjects, 14% of the subjects had first act of sexual intercourse before 15 years of age. Compared to a similar study 20, about 12% of study subjects had sexual intercourse before 15 years of age, the findings match with our study. The major Sexual changes are brought about in between the husband and wife depending on the sero status individually. These changes may be attributable to the emotional turmoil in a person infected with HIV or may be due to apprehension of the person towards sex or due to fear of infecting their HIV negative spouse.
These changes have both desirable and undesirable effect. For example, a HIV positive individual may refrain from having sex with his wife due to fear of transmitting infection to her , which is a desirable effect but in turn might visit Commercial sex worker (CSW) and create a nidus for further spread of infection. Hence it is imperative to understand the change in sexual behaviour between husband and wife after diagnosis of HIV. In our study we found that 56% abstained from sex with sero negative spouse which is a healthy finding but 26% approached CSW. This shows the importance of counseling of the sero positive patient regarding his or her moral obligation to his/her spouse and social obligation to the society. These steps to ensure decreased transmission are even more important in the first 6 months of diagnosis of HIV as even temporary reduction in high risk sexual activity has shown to help curtail the spread of HIV within highly active sexual networks, given that per-act probability of transmission of infection is high at this stage of disease. In case of infected individual with sero positive spouse, it is safe practice to have a sexual intercourse. But in our study we found that about half the individuals refrained from sex with sero positive spouse. Almost similar results were found in the study conducted in California24. We also found that the frequency with which the sero positive study subjects had sex also had considerable decrease with increase in the number of individual who abstained frome sex. These changes may be due to apprehension of the person towards sex or due to emotional upheaval caused by diagnosis of HIV. It has been established in other studies that women face more emotional and sexual disturbances25 and men report greater sexual satisfaction and decreased sexual difficulties after diagnosis of HIV26. It has also been reported that HAART has been associated with decrease in libido in men due to increased libido.Government and NGO,s need to address this aspect of a sero positive individual to ensure HIV person leads a happy and healthy life. The biggest risk factor for contracting HIV infection and Spreading HIV infection is sexual contact with multiple sexual partners. This trend is seen in young adults and adults alike. One of the major sexual behaviors causing this trend is Pre marital sex and post marital multiple sex partners (MSP). Unlike even a decade ago, pre marital sex is increasing in India27.This trend may be attributed to increased surveillance and research as a part of HIV prevention as well as more relaxed sexual mores noted recently. These behavior may also be facilitated by communication in unmarried men social network that encourages sexual exploration but places more weight on sexual experience than sexual health. There was a considerable decrease in the number of partners and the frequency of sex with MSP after diagnosis of HIV in our study. But emphasis needs to be laid to reduce the number of partners to lead a healthy life. Condom use has been the highlight of the government efforts to prevent the spread of HIV AIDS. Its various initiatives like providing condoms free of cost, aggressive campaigning in print media and TV has had a considerable effect in reducing the HIV infection across country , especially in cities. The acceptance of condom has generally been low in the villages .Various factors like low availability, decreased privacy at the condom provider, cultural barriers have prevented success of the condom. Also the major factor is the lack knowledge among people regarding the efficacy of the condom to reduce HIV prevention. Our study showed a considerable increase in the usage of condoms after the diagnosis of HIV compared to before diagnosis. This shows the change towards healthy sexual attitude of the subject. But the bottom-line is, the change of sexual behavior is too small to be proud of (20% to 37%).Effective strategies need to be developed to improve the usage and acceptability of condoms.

CONCLUSION

HIV positive patients changed their sexual behaviors related to frequency of sex, use of condoms, sex with multiple partners and their outlook on sex significantly after the diagnosis of HIV 

References:

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10. Sexual Behavior and Reproductive Health among HIV-Infected patients in Urban and Rural South Africa. J. AIDS 2008;47: 484- 493

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A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

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