Brian W Weir1, Chen Dun2, Andrea L Wirtz3, Sandra Hsu Hnin Mon3, Noor Qaragholi3, Tareerat Chemnasiri4, Sarika Pattanasin4, Wichuda Sukwicha4, Anchalee Varangrat4, Eileen F Dunne4, Timothy H Holtz5, Surang Janyam6, Harry Jin3, Danai Linjongrat7, Philip A Mock8, Michael C Thigpen4, James F Rooney9, Patrick S Sullivan10, Andrew C Hickey4, Pachara Sirivongrangson11, Chris Beyrer3. 1. Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Electronic address: bweir3@jhu.edu. 2. Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. 3. Center for Public Health and Human Rights, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. 4. Division of HIV Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA; Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand. 5. Division of HIV Prevention, U.S. Centers for Disease Control and Prevention, Atlanta, GA; Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand; Office of AIDS Research, National Institutes of Health, Bethesda, MD. 6. Service Workers in Group Foundation (SWING), Bangkok, Thailand. 7. Rainbow Sky Association of Thailand (RSAT), Bangkok, Thailand. 8. Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand. 9. Medical Affairs, Gilead Sciences, Foster City, CA. 10. Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA. 11. Department of Disease Control, Thailand Ministry of Public Health, Nonthaburi, Thailand.
Abstract
PURPOSE: To examine how recent sex work is identified and the HIV risk factors and service needs among Thai cisgender men who have sex with men (MSM) and transgender women (TGW) who exchange sex. METHODS: MSM and TGW in Bangkok and Pattaya who exchanged sex in the last year (n = 890) were recruited through social media, outreach, and word-of-mouth. Recent sex exchange was based on the primary question, "In the last 30 days, have you sold or traded sex"; secondary questions (regarding income source and client encounters) were also investigated. RESULTS: Overall, 436 (48%) participants engaged in sex work in the last 30 days; among those, 270 (62%) reported exchanging sex by the primary question, and 160 (37%) based on secondary questions only. Recent sex exchange was associated with gonorrhea, syphilis, discussing PrEP with others, and using condoms, alcohol, methamphetamine, amyl nitrate, and Viagra. Exchanging sex based on secondary questions only was associated with being in a relationship, social media recruitment, less recent anal intercourse, and not discussing PrEP. CONCLUSIONS: Thai MSM and TGW who exchange sex need regular access to HIV/STI prevention, testing, and treatment services, and multiple approaches to assessing sex work will help identify and serve this diverse and dynamic population.
PURPOSE: To examine how recent sex work is identified and the HIV risk factors and service needs among Thai cisgender men who have sex with men (MSM) and transgender women (TGW) who exchange sex. METHODS: MSM and TGW in Bangkok and Pattaya who exchanged sex in the last year (n = 890) were recruited through social media, outreach, and word-of-mouth. Recent sex exchange was based on the primary question, "In the last 30 days, have you sold or traded sex"; secondary questions (regarding income source and client encounters) were also investigated. RESULTS: Overall, 436 (48%) participants engaged in sex work in the last 30 days; among those, 270 (62%) reported exchanging sex by the primary question, and 160 (37%) based on secondary questions only. Recent sex exchange was associated with gonorrhea, syphilis, discussing PrEP with others, and using condoms, alcohol, methamphetamine, amyl nitrate, and Viagra. Exchanging sex based on secondary questions only was associated with being in a relationship, social media recruitment, less recent anal intercourse, and not discussing PrEP. CONCLUSIONS: Thai MSM and TGW who exchange sex need regular access to HIV/STI prevention, testing, and treatment services, and multiple approaches to assessing sex work will help identify and serve this diverse and dynamic population.
Authors: Thomas E Guadamuz; Wipas Wimonsate; Anchalee Varangrat; Praphan Phanuphak; Rapeepun Jommaroeng; Janet M McNicholl; Philip A Mock; Jordan W Tappero; Frits van Griensven Journal: AIDS Behav Date: 2011-04
Authors: Katharine A Bradley; Anna F DeBenedetti; Robert J Volk; Emily C Williams; Danielle Frank; Daniel R Kivlahan Journal: Alcohol Clin Exp Res Date: 2007-04-19 Impact factor: 3.455
Authors: Chris Beyrer; Anna-Louise Crago; Linda-Gail Bekker; Jenny Butler; Kate Shannon; Deanna Kerrigan; Michele R Decker; Stefan D Baral; Tonia Poteat; Andrea L Wirtz; Brian W Weir; Françoise Barré-Sinoussi; Michel Kazatchkine; Michel Sidibé; Karl-Lorenz Dehne; Marie-Claude Boily; Steffanie A Strathdee Journal: Lancet Date: 2014-07-22 Impact factor: 79.321
Authors: Andrea L Wirtz; Brian Wilson Weir; Sandra Hsu Hnin Mon; Pachara Sirivongrangson; Tareerat Chemnasiri; Eileen F Dunne; Anchalee Varangrat; Andrew C Hickey; Michele R Decker; Stefan Baral; Kamolnetr Okanurak; Patrick Sullivan; Rachel Valencia; Michael C Thigpen; Timothy H Holtz; Philip A Mock; Betsy Cadwell; Adeola Adeyeye; James F Rooney; Chris Beyrer Journal: JMIR Res Protoc Date: 2020-01-27