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medRxiv PreprintsInternational2 November 2026

Stigma, Place, and HIV: The Legacy of the 1984 Bhopal Gas Disaster Among Indian Men Who Have Sex with Men

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Background The 1984 Bhopal Gas Leak is widely considered the worst industrial disaster in history, and "big events" can have durable impacts on infectious disease transmission. Among men who have sex with men, we examined whether meeting sexual partners near the original gas leak site was associated with HIV, HIV-associated risk behaviors, and sexual stigma. Methods We used respondent-driven sampling to enroll MSM in Bhopal during 2023-24 (n=750). Participants reported the four locations where they most often went to meet sexual partners in the past year. Sexual stigma was defined by mechanism
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