Incidence of HIV-1 Infection and Effects of Clinic-Based Counseling on HIV Preventive Behaviors Among Married Women in Northern Thailand

Xu, Fujie; Kilmarx, Peter H.; Supawitkul, Somsak; Manopaiboon, Chomnad; Yanpaisarn, Somboonsak; Limpakarnjanarat, Khanchit; Chaikummao, Supaporn; Mock, Philip A.; Young, Nancy L.; Mastro, Timothy D.

doi:10.1097/00126334-200203010-00009

Cited by 4 publications

(8 citation statements)

References 10 publications

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“…Sixty-two met the inclusion criteria: 44 from sub-Saharan Africa and 18 from Asia. [69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86] Many ( 84 85 and two targeted women using postabortion or safe motherhood services 63 66 . Factors cited as diminishing the likelihood of documenting a significant increase include small sample sizes, 53 57 65 86 the use of very short or long follow-up periods, 52 76 no adequate control group, 60 61 high preintervention levels of condom use, 54 84 85 or contextual changes that undermined the intervention.…”

Section: Resultsmentioning

confidence: 99%

“…However, only two of the significant studies were among low-risk populations-married women in Thailand. 78 83 One reported very low levels of consistent condom use (5% at the 6-month follow-up) following counselling, HIV testing and condom use, 83 whereas in the other, 58% of individuals reported using condoms ''more frequently'' with their spouse. 78 Although this latter study was a cluster-RCT, the measure of condom use was weak.…”

Section: Commercial Sexmentioning

confidence: 99%

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A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia

Foss

Hossain

Vickerman

et al. 2007

Sexually Transmitted Infections

136

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Section: Resultsmentioning

confidence: 99%

Section: Commercial Sexmentioning

confidence: 99%

A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia

Foss

Hossain

Vickerman

et al. 2007

Sexually Transmitted Infections

136

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“…Ninetyeight percent of the women reported that they only used condoms if or when they began a new relationship, but not with the current steady partner, even when they were aware of his extramarital relations (Hebling & Guimaraes, 2004). Another study (Xu et al, 2002) found small or moderate effects of clinic-based counseling on consistent condom use. Many couples used the few condoms that were given to the women at clinic visits and then stopped.…”

Section: Discussionmentioning

confidence: 99%

“…Although one of the major contributions to the success in HIV/AIDS prevention in Thailand has been the widespread use of male condoms in commercial sex (Ainsworth, Beyrer, & Soucat, 2003;Celentano et al, 1998;Hanenberg, Rojanapithayakorn, Kunasol, & Sokal, 1994 ), several studies report infrequent male condom use in noncommercial sex, particularly among married couples or those in steady relationships (Knodel & Pramualratana, 1996;Xu et al, 2000Xu et al, , 2002. The only risk factor for HIV for most heterosexual Thai women, as in other populations, is being monogamous and having sex with their husbands or steady partners (Siriwasin et al, 1998;Tharawan et al, 2003;Xu et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…This implies that extramarital relationships may be fairly common in contemporary Thai society. Although HIV incidence may have declined in Thailand over the past decade, new infections continue to occur even among women without any identifiable personal risk (Xu et al, 2002). Therefore, there is an essential need for women, and particularly married women, to protect themselves from acquiring HIV.…”

Section: Introductionmentioning

confidence: 99%

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Women’s Reports of Condom Use in Thai Couples under Intensive and Regular STI/HIV Risk Reduction Counseling

Rugpao

2007

AIDS Behav

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The objective of this study was to determine factors affecting condom use and condom use rates among Thai couples. A cohort of 1,391 reproductive aged women who attended seven family planning clinics in all regions of Thailand and met study eligibility were followed at 3-month intervals for 15-24 months. At each visit, the woman was interviewed about sexual risk behaviors and counseled for sexual risk reduction and condom use. Condoms were provided free of charge. The women were classified into 3 groups according to contraceptive use at baseline: single contraceptive method group, dual methods consisting of contraceptives with condoms, and condoms only. We found that condom use rates were generally low in all contraceptive groups. Significant factors affecting condom use in multivariate analyses included, contraceptive method at baseline, polygynous marriage, higher education, engaging in commercial sex work, multiple sex partners, sex during menses, more frequent sex, laboratory confirmed STIs, husbands spending nights away from home, husbands having sex with other women, and penile ulcers or sores.

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Incidence of HIV and Sexually Transmitted Infections and Risk Factors for Acquisition Among Young Methamphetamine Users in Northern Thailand

Sutcliffe¹,

Aramrattana²,

Sherman³

et al. 2009

Sexually Transmitted Diseases

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Background Southeast Asia is experiencing an epidemic of methamphetamine use, a drug associated with risky sexual behaviors, putting a large segment of the population at increased risk for STI and HIV and in need of prevention efforts. Incidence estimates of sexually transmitted infections (STIs) are rare in Southeast Asia, especially among newer risk groups. Study Design We enrolled methamphetamine users aged 18 to 25 years in a 12-month randomized behavioral intervention trial in Chiang Mai, Thailand in 2005. Behavioral questionnaires were administered at visits every three months and biological specimens were collected at baseline and 12 months to test for common STIs (chlamydia, gonorrhea, HSV-2, and HIV). Poisson regression with robust variance was used to determine risk factors for incident STIs. Results Overall, 12.7% of 519 participants acquired at least one STI. Chlamydia was the most common (10.6%), followed by HSV-2 (4.0%), gonorrhea (2.9%), and HIV (0.6%). Risk factors for both men and women included self-reported incarceration and having a casual sex partner during follow-up, and having a prevalent STI at baseline. Additionally, among women, having 2 or more heterosexual partners, and among men, having a greater frequency of drunkenness were risk factors for STI acquisition. Conclusions While HIV incidence is low in this population, incidence of other STIs is high compared to previous studies of young Thai adults. Risk factors for acquisition emphasize the need for new prevention strategies targeted towards current populations at risk.

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Incidence of HIV-1 Infection and Effects of Clinic-Based Counseling on HIV Preventive Behaviors Among Married Women in Northern Thailand

Cited by 4 publications

References 10 publications

A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia

A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia

Women’s Reports of Condom Use in Thai Couples under Intensive and Regular STI/HIV Risk Reduction Counseling

Incidence of HIV and Sexually Transmitted Infections and Risk Factors for Acquisition Among Young Methamphetamine Users in Northern Thailand

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