Sexual Behavior and Risk Factors for HIV Infection Among Homosexual and Bisexual Men in Thailand

被引:63
作者
Li, Andrea [1 ,2 ]
Varangrat, Anchalee [1 ]
Wimonsate, Wipas [1 ]
Chemnasiri, Tareerat [1 ]
Sinthuwattanawibool, Chalinthorn [1 ]
Phanuphak, Praphan [3 ]
Jommaroeng, Rapeepun [3 ,4 ]
Vermund, Sten [2 ]
van Griensven, Frits [1 ,5 ]
机构
[1] Thailand Minist Publ Hlth US Ctr Dis Control & Pr, Nonthaburi 11000, Thailand
[2] Vanderbilt Univ, Sch Med, Nashville, TN 37212 USA
[3] Thai Red Cross Soc, Bangkok, Thailand
[4] Rainbow Sky Assoc Thailand, Bangkok, Thailand
[5] Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Atlanta, GA USA
关键词
Homosexuality; Bisexuality; Thailand; Human immunodeficiency virus; Sexual behavior; NORTHERN THAILAND; CONDOM USE; DRUG-USE; TRANSMISSION; KNOWLEDGE; PATTERNS; PARTNERS; GAY;
D O I
10.1007/s10461-008-9448-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
HIV prevalence and associated risk behaviors were examined among Thai bisexually active men (MSMW, n = 450) and men who have sex with men only (MSM-only, n = 1,125). Cross sectional venue-day-time sampling was used to collect data. Chi-square and logistic regression were used to identify HIV risk factors. HIV prevalence was 8.2% among MSMW and 21.2% among MSM-only. Consistent condom use with male partners was higher among MSMW (77.6%) than MSM-only (62.9%), and lower with female partners (44.4%). Lack of family confidant, migration, concern about acquiring HIV infection, and self-reported STD were associated with HIV prevalence among MSMW. Older age, lower educational level, residing in Bangkok or Chiang Mai, living away from family, recruitment from a sauna, increased frequency of visiting the surveyed venue, practicing receptive or both receptive and insertive anal intercourse, inconsistent condom use with male paying partners, and a history of drug use were associated with HIV prevalence in MSM-only.
引用
收藏
页码:318 / 327
页数:10
相关论文
共 40 条
[1]   Men who have sex with men and women: Pieces of the USHIV epidemic puzzle [J].
Adimora, Adaora A. ;
Fullilove, Robert E. .
SEXUALLY TRANSMITTED DISEASES, 2006, 33 (10) :596-598
[2]   Determinants of trends in condom use in the United States, 1988-1995 [J].
Bankole, A ;
Darroch, JE ;
Singh, S .
FAMILY PLANNING PERSPECTIVES, 1999, 31 (06) :264-271
[3]  
Beesey A, 2000, Dev Bull, P38
[4]   Methamphetamine users in northern Thailand: changing demographics and risks for HIV and STD among treatment-seeking substance abusers [J].
Beyrer, C ;
Razak, MH ;
Jittiwutikarn, J ;
Suriyanon, V ;
Vongchak, T ;
Srirak, N ;
Kawichai, S ;
Tovanabutra, S ;
Rungruengthanakit, K ;
Sawanpanyalert, P ;
Sripaipan, T ;
Celentano, DD .
INTERNATIONAL JOURNAL OF STD & AIDS, 2004, 15 (10) :697-704
[5]  
BEYRER C, 1995, AIDS, V9, P171, DOI 10.1097/00002030-199509020-00009
[6]   THE SEXUAL-BEHAVIOR OF BISEXUAL MEN IN RELATION TO HIV TRANSMISSION [J].
BOULTON, M ;
HART, G ;
FITZPATRICK, R .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1992, 4 (02) :165-175
[7]   MALE-HOMOSEXUAL TRANSMISSION OF HIV-1 [J].
CACERES, CF ;
VANGRIENSVEN, GJP .
AIDS, 1994, 8 (08) :1051-1061
[8]  
*CENTR INT AG, 2007, WORLD FACTB THAIL
[9]   HIV knowledge and risk factors among men who have sex with men in Ho Chi Minh City, Vietnam [J].
Colby, DJ .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2003, 32 (01) :80-85
[10]  
Colfax GN, 2001, J ACQ IMMUN DEF SYND, V28, P373, DOI 10.1097/00126334-200112010-00011