Indicators for sexual HIV transmission risk among people in Thailand attending HIV care: the importance of positive prevention

Tunthanathip, Preecha; Lolekha, Rangsima; Bollen, Liesbeth J. M.; Chaovavanich, Achara; Siangphoe, Umaporn; Nandavisai, C.; Suksripanich, Orapin; Sirivongrangson, Pachara; Wiratchai, A; Inthong, Y.; Eampokalap, Boonchuay; Ausavapipit, J; Akarasewi, Pasakorn; Fox, Kimberley

doi:10.1136/sti.2008.032532

Cited by 21 publications

(27 citation statements)

References 11 publications

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“…Among patients enrolled in the HIV CMP, 44% had engaged in unprotected vaginal or anal sex with an HIV-negative or unknown status partner. This finding is consistent with prior studies [2][3][4]7] showing that a substantial proportion of HIV-infected patients engaged in unsafe sexual practices that present a risk of HIV transmission to an uninfected person. Consistent with previous researches [2][3][4], HIVinfected MSM were more likely to have unprotected intercourses than heterosexuals or IDUs.…”

Section: Discussionsupporting

confidence: 94%

“…This finding is consistent with prior studies [2][3][4]7] showing that a substantial proportion of HIV-infected patients engaged in unsafe sexual practices that present a risk of HIV transmission to an uninfected person. Consistent with previous researches [2][3][4], HIVinfected MSM were more likely to have unprotected intercourses than heterosexuals or IDUs. In Western Europe [21] and San Francisco [22,23], unprotected anal intercourse among HIV-positive MSM, even in a sero-concordant-positive context, has accounted significantly for the outbreaks of LGV (Lymphogranuloma venereum) and established cases of sexually transmitted hepatitis C, rectal gonorrhoea, and the syphilis outbreaks.…”

Section: Discussionsupporting

confidence: 94%

“…Our study revealed the prevalence of syphilis, as indicated by TPHA seroreactivity, was approximately 1 in 3 at baseline with 5.8 incident cases per 100 person-years of follow-up. By comparison, the 33% prevalence of syphilis among HIV-infected patients in Taiwan was considerably higher than 17.4% of HIVinfected MSM in Amsterdam [9], 4.8% in Thailand [2], or 2.9% in Los Angeles [8], but similar to 35.5% in Lima, Peru [29]. The observation that ten (10.4%) patients with new episodes of syphilis all were MSM, was consistent with other studies that have shown high incidence rates of syphilis among MSM with HIV in Los Angeles [8], Amsterdam [9], and London [10].…”

Section: Discussionmentioning

confidence: 79%

“…Recent studies have indicated that 56% of the HIV-infected patients attending a sexually transmitted disease clinic in Taiwan reported practicing unprotected sex after learning of their HIV diagnosis [1]. In Thailand, 33.2% of HIV-infected people [2] were reported to practice unprotected sex with a partner of unknown or negative HIV status. HIV-positive men who have sex with men (MSM) are more likely than heterosexual men and women to engage in high-risk HIV transmission behaviors [3,4].…”

Section: Introductionmentioning

confidence: 99%

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One-Year Follow-Up of Relapse to Risky Behaviors and Incidence of Syphilis Among Patients Enrolled in the HIV Case Management Program

Liu

Lee

et al. 2010

AIDS Behav

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A longitudinal prospective study was conducted at an AIDS designated hospital in Taiwan. The study aimed to determine the incidence of syphilis and to identify risk factors predicting new onset syphilis and relapse into risky behaviors among 117 patients enrolled in the HIV case management program for 1 year. Having a new episode of syphilis was defined as patients had a fourfold increase of serum rapid plasma reagin titers from baseline to 12-month follow-up. After enrollment, 17% relapsed in unprotected sexual intercourse. New onset syphilis was noted in ten (10.4%) participants, and all were men having sex with men. The incidence of syphilis was 5.8 per 100 person-years. Predictors of a new episode of syphilis were higher CD4 cell counts [hazard ratio (HR), 1.003; 95% confidence interval (CI), 1.00-1.006], and recreational drug use (HR, 18.89; 95% CI, 2.78-128.15). Regular screening for syphilis among patients retaining in HIV care remains necessary.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

One-Year Follow-Up of Relapse to Risky Behaviors and Incidence of Syphilis Among Patients Enrolled in the HIV Case Management Program

Liu

Lee

et al. 2010

AIDS Behav

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“…However, in some HIV clinics in Thailand, MSM constitute as many as 25% of HIV-infected male clients [5]. MSM with HIV or STI clinical symptoms typically access STI clinics, anonymous VCT clinics or general outpatient clinics for STI screening, STI treatment, and HIV counseling and testing.…”

Section: Introductionmentioning

confidence: 99%

HIV Risk Behavior Among HIV-Infected Men Who have Sex with Men in Bangkok, Thailand

Sirivongrangson

Lolekha

Charoenwatanachokchai³

et al. 2011

AIDS Behav

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We assessed prevalence of sexually transmitted infection (STIs), sexual risk behaviors, and factors associated with risk behaviors among HIV-infected MSM attending a public STI clinic serving MSM in Bangkok, Thailand. Between October 2005-October 2007, 154 HIV-infected MSM attending the clinic were interviewed about sexual risk behaviors and evaluated for STIs. Patients were examined for genital ulcers and had serologic testing for syphilis and PCR testing for chlamydia and gonorrhea. Results showed that sexual intercourse in the last 3 months was reported by 131 men. Of these, 32% reported anal sex without a condom. STIs were diagnosed in 41%. Factors associated with having sex without a condom were having a steady male partner, having a female partner and awareness of HIV status <1 month. Sexual risk behaviors and STIs were common among HIV-infected MSM in this study. This highlights the need for increased HIV prevention strategies for HIV-infected MSM.

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Nondisclosure of HIV Infection to Sex Partners and Alcohol’s Role: A Russian Experience

et al. 2012

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Nondisclosure of one’s HIV infection to sexual partners obviates safer sex negotiations and thus jeopardizes HIV transmission prevention. The role of alcohol use in the disclosure decision process is largely unexplored. This study assessed the association between alcohol use and recent nondisclosure of HIV serostatus to sex partners by HIV-infected risky drinkers in St. Petersburg, Russia. Approximately half (317/605; 52.4 %) reported not having disclosed their HIV serostatus to all partners since awareness of infection. Using three separate GEE logistic regression models, we found no significant association between alcohol dependence, risky alcohol use (past 30 days), or alcohol use at time of sex (past 30 days) with recent (past 3 months) nondisclosure (AOR [95 %CI] 0.81 [0.55, 1.20], 1.31 [0.79, 2.17], 0.75 [0.54, 1.05], respectively). Alcohol use at time of sex was associated with decreased odds of recent nondisclosure among seroconcordant partners and among casual partners. Factors associated with nondisclosure were relationship with a casual partner, a serodiscordant partner, multiple sex partners, awareness of HIV diagnosis less than 1 year, and a lifetime history of sexually transmitted disease. Nondisclosure of HIV status to sex partners is common among HIV-infected Russians, however alcohol does not appear to be a predictor of recent disclosure.

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Indicators for sexual HIV transmission risk among people in Thailand attending HIV care: the importance of positive prevention

Cited by 21 publications

References 11 publications

One-Year Follow-Up of Relapse to Risky Behaviors and Incidence of Syphilis Among Patients Enrolled in the HIV Case Management Program

One-Year Follow-Up of Relapse to Risky Behaviors and Incidence of Syphilis Among Patients Enrolled in the HIV Case Management Program

HIV Risk Behavior Among HIV-Infected Men Who have Sex with Men in Bangkok, Thailand

Nondisclosure of HIV Infection to Sex Partners and Alcohol’s Role: A Russian Experience

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