Levels of HIV risk behaviour and AIDS knowledge in Thai men having sex with men

Sittitrai, W; Brown, Tim; Sakondhavat, Chuanchom

doi:10.1080/09540129308258609

Cited by 16 publications

(8 citation statements)

References 2 publications

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“…Of the factors examined (age, partner type and HIV serostatus, number of sexual partners in the past 3 months, sexual orientation and level of outness [8], alcohol and drug use at last sexual encounter, years since HIV diagnosis, CD4 count, current antiretroviral use, history of AIDS diagnoses, and level of HIV knowledge [9]), only age (27-32 years vs. ≤26 years, p = 0.008, adjusted OR 6.21 95% CI [2.0, 19.6]), primary partner status (p < 0.001, adjusted OR 16.6 95% CI [5.0, 55.5]), and HIV-positive serostatus of sexual partner (p < 0.001, adjusted OR 13.6 95% CI [4.3, 42.4]) were significantly associated with disclosure in the multivariate analyses.…”

Section: Resultsmentioning

confidence: 99%

HIV serostatus disclosure is not associated with safer sexual behavior among HIV-positive men who have sex with men (MSM) and their partners at risk for infection in Bangkok, Thailand

et al. 2012

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BackgroundThe relationship between HIV serostatus disclosure and sexual risk behavior is inconsistent across studies. As men who have sex with men (MSM) are emerging as the key affected population in Bangkok, Thailand with reported HIV prevalence of 30%, we assessed whether HIV disclosure is associated with protected sex in this population.MethodsA risk behavior questionnaire was administered using Audio Computer-Assisted Self-Interviewing (ACASI) to determine whether HIV serostatus disclosure was associated with protected sex in 200 HIV-positive MSM in Bangkok. HIV serostatus disclosure to the most recent sexual partner prior to or at the time of the sexual encounter was assessed. Protected sex was defined as insertive or receptive anal intercourse with a condom at the most recent sexual encounter.ResultsThe mean age was 30.2 years, CD4 was 353 cells/mm3, and one-third was on antiretroviral therapy. At the most recent sexual encounter, HIV serostatus disclosure rate was low (26%); 60.5% of subjects had not discussed their serostatus at all, while 5.5% had not revealed their true serostatus. Seventeen percent reported unprotected anal intercourse and about half had sex with their primary partners. The serostatus of the most recent sexual partner was HIV-positive in 19.2%, HIV-negative in 26.4%, and unknown in 54.4% of subjects. There was no association between disclosure and protected sex, with 41 of 48 (85.4%) disclosers and 104 of 126 (82.5%) of non-disclosers reported protected sex (p = .65). Subjects with HIV-positive partners were less likely to report protected sex overall (20 of 33, 60.6%) compared to those with HIV negative (82 of 96, 85.4%) or unknown (41 of 45, 91.1%) partners (p = .001). Age (27-32 years vs. ≤26 years, p = .008), primary partner status (p < .001), and HIV-positive serostatus of sexual partner (p < .001) were significantly associated with disclosure in the multivariate analyses.ConclusionRates of HIV disclosure to sexual partners by HIV-positive MSM in Bangkok are low. Despite low rates of HIV serostatus disclosure, most HIV-positive MSM reported protected sex with their partners at risk for infection. Future studies should focus on understanding barriers to disclosure and factors driving risk behavior amongst MSM in Thailand.

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Section: Resultsmentioning

confidence: 99%

HIV serostatus disclosure is not associated with safer sexual behavior among HIV-positive men who have sex with men (MSM) and their partners at risk for infection in Bangkok, Thailand

et al. 2012

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“…Firstly, populations at risk for HIV infection have elevated rates of major depression. High rates of major depression have been found in homosexual men [7,8] and patients with substance use disorders [9]. Secondly, major depression is a risk factor for HIV infection by virtue of its impact on behavior, intensification of substance abuse, exacerbation of self-destructive behaviors, and promotion of poor partner choice in relationships [10,11].…”

Section: Introductionmentioning

confidence: 99%

Depression and CD4 Cell Count Among Patients With HIV in a Nigerian University Teaching Hospital

Olisah

Adekeye

Sheikh³

2014

Int J Psychiatry Med

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“…Studies of homosexually active men, other than commercial sex workers, have concentrated on Thai army recruits , Beyrer 1998, Jackson 1999, Nelson et al 1998, with two other studies focussing attention on urban areas in the northeast (Sittitrai et al 1992(Sittitrai et al , 1993 and in the north (de Lind van Wijngaarden 1995. These studies show that same sex encounters typically comprise just one portion of the men's sexual repertoire.…”

Section: Why Should Greater Attention Be Paid To Male-male Sex Behavimentioning

confidence: 98%

Refocusing HIV/AIDS interventions in Thailand: The case for male sex workers and other homosexually active men

McCamish¹,

Storer²,

Carl³

2000

Culture, Health & Sexuality

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Although seroprevalence studies have shown that Thai male sex workers are at heightened risk of HIV infection, no sustained preventive strategies have so far targeted homosexually active men in Thailand. In this paper, we bring together data from qualitative research carried out in Pattaya Sittitrai 1995, 1997) and Bangkok (Storer 1999a(Storer , 1999b, with data generated during a bar-based intervention in Bangkok (Carl, unpublished report), to develop a taxonomy of sites in which the recruitment of male commercial sex can occur. We also examine the sexual networks of Thai male sex workers and their clients in order to demonstrate the overlap of commercial and non-commercial male-male sex sites, and the intersection of male commercial sex with heterosexual sex. Previous interventions directed towards Thai male sex workers been non-continuous; largely restricted to high-pro®le tourist areas, have not acknowledged the importance of recreational sex; and have not built up a capacity for ongoing intervention. With a change of focus, interventions directed towards sex workers could reduce the risks of HIV infection among both organized and freelance sex workers as well as their commercial and male and female casual sex partners. First, however, there needs to be a commitment to well planned and long range interventions directed by and at male sex workers.

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Levels of HIV risk behaviour and AIDS knowledge in Thai men having sex with men

Cited by 16 publications

References 2 publications

HIV serostatus disclosure is not associated with safer sexual behavior among HIV-positive men who have sex with men (MSM) and their partners at risk for infection in Bangkok, Thailand

HIV serostatus disclosure is not associated with safer sexual behavior among HIV-positive men who have sex with men (MSM) and their partners at risk for infection in Bangkok, Thailand

Depression and CD4 Cell Count Among Patients With HIV in a Nigerian University Teaching Hospital

Refocusing HIV/AIDS interventions in Thailand: The case for male sex workers and other homosexually active men

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