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AIDS and Behavior
Published in: AIDS and Behavior 2/2009

01-04-2009 | Original Paper

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

Authors: Andrea Li, Anchalee Varangrat, Wipas Wimonsate, Tareerat Chemnasiri, Chalinthorn Sinthuwattanawibool, Praphan Phanuphak, Rapeepun Jommaroeng, Sten Vermund, Frits van Griensven

Published in: AIDS and Behavior | Issue 2/2009

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Abstract

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.
Literature
Anonymous. (1988). Leads from the MMWR. Number of sex partners and potential risk of sexual exposure to human immunodeficiency virus. Journal of the American Medical Association, 260(14), 2020–2021. doi:10.​1001/​jama.​260.​14.​2020
Bankole, A., Darroch, J. E., & Singh, S. (1999). Determinants of trends in condom use in the United States, 1988–1995. Family Planning Perspectives, 31(6), 264–271. doi:10.​2307/​2991536.PubMedCrossRef
Beesey, A. (2000). HIV vulnerability and mobile populations: Thailand and its borders. Development Bulletin (Canberra), June(52), 38–41.
Beyrer, C., Eiumtrakul, S., Celentano, D. D., Nelson, K. E., Ruckphaopunt, S., & Khamboonruang, C. (1995). Same-sex behavior, sexually transmitted diseases and HIV risks among young northern Thai men. AIDS (London, England), 9(2), 171–176.
Beyrer, C., Razak, M. H., Jittiwutikarn, J., Suriyanon, V., Vongchak, T., Srirak, N., et al. (2004). Methamphetamine users in northern Thailand: Changing demographics and risks for HIV and STD among treatment-seeking substance abusers. International Journal of STD & AIDS, 15(10), 697–704. doi:10.​1258/​0956462041944376​.CrossRef
Centers for Disease Control and Prevention. (2006). HIV prevalence among populations of men who have sex with men—Thailand, 2003 and 2005. Morbidity and Mortality Weekly Report, 55(31), 844–848.
Colby, D. J. (2003). HIV knowledge and risk factors among men who have sex with men in Ho Chi Minh City, Vietnam. Journal of Acquired Immune Deficiency Syndromes, 32(1), 80–85.PubMed
Colfax, G. N., Mansergh, G., Guzman, R., Vittinghoff, E., Marks, G., Rader, M., et al. (2001). Drug use and sexual risk behavior among gay and bisexual men who attend circuit parties: A venue-based comparison. Journal of Acquired Immune Deficiency Syndromes, 28(4), 373–379.PubMed
Ekstrand, M. L., Coates, T. J., Guydish, J. R., Hauck, W. W., Collette, L., & Hulley, S. B. (1994). Are bisexually identified men in San Francisco a common vector for spreading HIV infection to women? American Journal of Public Health, 84(6), 915–919.PubMedCrossRef
Girault, P., Saidel, T., Song, N., de Lind Van Wijngaarden, J. W., Dallabetta, G., Stuer, F., et al. (2004). HIV, STIs, and sexual behaviors among men who have sex with men in Phnom Penh, Cambodia. AIDS Education and Prevention, 16(1), 31–44. doi:10.​1521/​aeap.​16.​1.​31.​27727.PubMedCrossRef
Hightow, L. B., Leone, P. A., Macdonald, P. D., McCoy, S. I., Sampson, L. A., & Kaplan, A. H. (2006). Men who have sex with men and women: A unique risk group for HIV transmission on North Carolina College campuses. Sexually Transmitted Diseases, 33(10), 585–593. doi:10.​1097/​01.​olq.​0000216031.​93089.​68.PubMedCrossRef
Izazola-Licea, J. A., Gortmaker, S. L., de Gruttola, V., Tolbert, K., & Mann, J. (2003). Sexual behavior patterns and HIV risks in bisexual men compared to exclusively heterosexual and homosexual men. Salud p’Ublica de M’Exico., 45(Supp 5), S662–S671. doi:10.​1590/​S0036-3634200300110001​2.
Jackson, P. (1997). Kathoey><Gay><Man: The historical emergence of gay male identity in Thailand. In L. Manderson & M. Jolly (Eds.), Sites of desire, economies of pleasure (pp. 166–190). Chicago: University of Chicago Press.
Kunawararak, P., Beyrer, C., Natpratan, C., Feng, W., Celentano, D. D., de Boer, M., et al. (1995). The epidemiology of HIV and syphilis among male commercial sex workers in northern Thailand. AIDS (London, England), 9(5), 517–521.
Mansergh, G., Colfax, G. N., Marks, G., Rader, M., Guzman, R., & Buchbinder, S. (2001). The circuit party men’s health survey: Findings and implications for gay and bisexual men. American Journal of Public Health, 91(6), 953–958.PubMedCrossRef
Mansergh, G., Naorat, S., Jommaroeng, R., Jenkins, R. A., Jeeyapant, S., Kanggarnrua, K., et al. (2006). Adaptation of venue-day-time sampling in Southeast Asia to access men who have sex with men for HIV assessment in Bangkok. Field Methods, 18(2), 135–152. doi:10.​1177/​1525822X05282267​.CrossRef
Maticka-Tyndale, E., Elkins, D., Haswell-Elkins, M., Rujkarakorn, D., Kuyyakanond, T., & Stam, K. (1997). Contexts and patterns of men’s commercial sexual partnerships in northeastern Thailand: Implications for AIDS prevention. Social Science and Medicine, 44(2), 199–213. doi:10.​1016/​S0277-9536(96)00146-3.PubMedCrossRef
Nagachinta, T., Duerr, A., Suriyanon, V., Nantachit, N., Rugpao, S., Wanapirak, C., et al. (1997). Risk factors for HIV-1 transmission from HIV-seropositive male blood donors to their regular female partners in northern Thailand. AIDS (London, England), 11(14), 1765–1772. doi:10.​1097/​00002030-199714000-00014.
Nelson, K. E., Eiumtrakul, S., Celentano, D. D., Beyrer, C., Galai, N., Kawichai, S., et al. (2002). HIV infection in young men in northern Thailand, 1991–1998: Increasing role of injection drug use. Journal of Acquired Immune Deficiency Syndromes, 29(1), 62–68.PubMed
Phanuphak, P., Muller, O., Sarangbin, S., & Sittitrai, W. (1994a). Knowledge, attitudes and behaviour among HIV-positive and HIV-negative clients of a confidential HIV counselling and testing centre in Thailand. AIDS (London, England), 8(9), 1315–1319.
Phanuphak, P., Muller, O., Sarangbin, S., & Sittitrai, W. (1994b). Knowledge, attitudes and behaviour among HIV-positive and HIV-negative clients of a confidential HIV counselling and testing centre in Thailand. AIDS (London, England), 8(9), 1315–1319.
Podhisita, C., Wawer, M. J., Pramualratana, A., Kanungsukkasem, U., & McNamara, R. (1996). Multiple sexual partners and condom use among long-distance truck drivers in Thailand. AIDS Education and Prevention, 8(6), 490–498.PubMed
Sittitrai, W., Phanuphak, P., Barry, J., & Brown, T. (1992). Thai sexual behavior and risk of HIV infection. Bangkok: Thai Red Cross Society.
Skeldon, R. (2000). Population mobility and HIV vulnerability in Southeast Asia: An assessment and analysis. Bangkok: United Nations Development Programme.
Stokes, J., McKirnan, D. J., Doll, L., & Burzette, R. G. (1996). Bisexual men, sexual behavior, and HIV/AIDS. In B. Firestein (Ed.), Bisexuality: The psychology and politics of an invisible minority. Newbury Park, CA: Sage.
Thai Working Group on HIV/AIDS Projection. (2001). HIV/AIDS projections for Thailand 2000–2020. Thailand Ministry of Public Health.
Thailand Ministry of Public Health. (2003). Reported AIDS cases by transmission category, 1984–2003. Nonthaburi, Thailand: Department of Epidemiology, Thailand Ministry of Public Health.
Thailand Ministry of Public Health. (2004). Guidelines for the care and treatment of HIV/AIDS in children and adults in Thailand (8th ed.). Nonthaburi, Thailand: Division of AIDS, Department of Disease Control, Thailand Ministry of Public Health.
Thailand Ministry of Public Health. (2006). HIV sero-surveillance in Thailand: Result of the 23rd round, June 2005. Nonthaburi, Thailand: Thailand Ministry of Public Health.
van Griensven, F., Kilmarx, P. H., Jeeyapant, S., Manopaiboon, C., Korattana, S., Jenkins, R. A., et al. (2004). The prevalence of bisexual and homosexual orientation and related health risks among adolescents in northern Thailand. Archives of Sexual Behavior, 33(2), 137–147. doi:10.​1023/​B:​ASEB.​0000014328.​49070.​8c.PubMedCrossRef
van Griensven, F., Naorat, S., Kilmarx, P. H., Jeeyapant, S., Manopaiboon, C., Chaikummao, S., et al. (2006). Palmtop-assisted self-interviewing for the collection of sensitive behavioral data: Randomized trial with drug use urine testing. American Journal of Epidemiology, 163(3), 271–278. doi:10.​1093/​aje/​kwj038.PubMedCrossRef
van Griensven, F., Thanprasertsuk, S., Jommaroeng, R., Mansergh, G., Naorat, S., Jenkins, R. A., et al. (2005). Evidence of a previously undocumented epidemic of HIV infection among men who have sex with men in Bangkok, Thailand. AIDS (London, England), 19(5), 521–526. doi:10.​1097/​01.​aids.​0000162341.​50933.​e8.
Wangroongsarb, Y., Weniger, B. G., Wasi, C., Traisupa, A., Kunasol, P., Rojanapithayakorn, W., et al. (1985). Prevalence of HTLV-III/LAV antibody in selected populations in Thailand. The Southeast Asian Journal of Tropical Medicine and Public Health., 16(4), 517–520.PubMed
Weinhardt, L. S., Carey, M. P., Johnson, B. T., & Bickham, N. L. (1999). Effects of HIV counseling and testing on sexual risk behavior: A meta-analytic review of published research, 1985–1997. American Journal of Public Health, 89(9), 1397–1405.PubMedCrossRef
Wold, C., Seage, G. R., III, Lenderking, W. R., Mayer, K. H., Cai, B., Heeren, T., et al. (1998). Unsafe sex in men who have sex with both men and women. Journal of Acquired Immune Deficiency Syndromes, 17(4), 361–367.
Metadata
Title
Sexual Behavior and Risk Factors for HIV Infection Among Homosexual and Bisexual Men in Thailand
Authors
Andrea Li
Anchalee Varangrat
Wipas Wimonsate
Tareerat Chemnasiri
Chalinthorn Sinthuwattanawibool
Praphan Phanuphak
Rapeepun Jommaroeng
Sten Vermund
Frits van Griensven
Publication date
01-04-2009
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-008-9448-3

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