OBJECTIVES: To determine risk factors for HIV-1 infection in young men in northern Thailand. METHODS: At enrollment into a prospective study, data were collected from a self-administered questionnaire and serologic testing on a cohort of 1115 young men selected by lottery for conscription. RESULTS: The overall HIV-1 infection rate was 6.9%; however, the rate was 15.3% among the 387 (34.7%) men who had been living in the upper north subregion of Thailand compared with 2.5% for the remaining 728 men (P < 0.001). A history of sex with female prostitutes was reported by 74.7% of men and increased frequency of this type of sex was highly associated with HIV-1 infection and a history of sexually transmitted disease (STD) symptoms (chi 2 for trend, P < 0.001). In stratified and multivariate analyses, however, history of STD symptoms, reported by 42.5% of the cohort, was most strongly associated with HIV-1 infection. Only 42.8% of men who reported sex with prostitutes had used condoms more than half the time. CONCLUSIONS: Young men in the general population in northern Thailand are at high risk for HIV-1 infection via sex with female prostitutes; STD are highly associated with HIV-1 infection. Increasing condom use and controlling STD should be immediate goals of HIV control programs.
OBJECTIVES: To determine risk factors for HIV-1 infection in young men in northern Thailand. METHODS: At enrollment into a prospective study, data were collected from a self-administered questionnaire and serologic testing on a cohort of 1115 young men selected by lottery for conscription. RESULTS: The overall HIV-1 infection rate was 6.9%; however, the rate was 15.3% among the 387 (34.7%) men who had been living in the upper north subregion of Thailand compared with 2.5% for the remaining 728 men (P < 0.001). A history of sex with female prostitutes was reported by 74.7% of men and increased frequency of this type of sex was highly associated with HIV-1 infection and a history of sexually transmitted disease (STD) symptoms (chi 2 for trend, P < 0.001). In stratified and multivariate analyses, however, history of STD symptoms, reported by 42.5% of the cohort, was most strongly associated with HIV-1 infection. Only 42.8% of men who reported sex with prostitutes had used condoms more than half the time. CONCLUSIONS: Young men in the general population in northern Thailand are at high risk for HIV-1 infection via sex with female prostitutes; STD are highly associated with HIV-1 infection. Increasing condom use and controlling STD should be immediate goals of HIV control programs.
Entities:
Keywords:
Asia; Barrier Methods; Behavior; Biology; Cohort Analysis; Condom; Contraception; Contraceptive Methods; Data Analysis; Developing Countries; Diseases; Family Planning; Geographic Factors; Hiv Infections--men; Hiv Infections--transmission; Infections; Multivariate Analysis; Population; Prospective Studies; Prostitutes; Reproductive Tract Infections; Research Methodology; Risk Factors; Sex Behavior; Sexually Transmitted Diseases; Signs And Symptoms; Southeastern Asia; Studies; Thailand; Viral Diseases
Authors: K Limpakarnjanarat; T D Mastro; S Saisorn; W Uthaivoravit; J Kaewkungwal; S Korattana; N L Young; S A Morse; D S Schmid; B G Weniger; P Nieburg Journal: Sex Transm Infect Date: 1999-02 Impact factor: 3.519
Authors: Andrea Swartzendruber; Jonathan M Zenilman; Linda M Niccolai; Trace S Kershaw; Jennifer L Brown; Ralph J Diclemente; Jessica M Sales Journal: Sex Transm Dis Date: 2013-05 Impact factor: 2.830
Authors: P H Kilmarx; C M Black; K Limpakarnjanarat; N Shaffer; S Yanpaisarn; P Chaisilwattana; W Siriwasin; N L Young; C E Farshy; T D Mastro; M E St Louis Journal: Sex Transm Infect Date: 1998-06 Impact factor: 3.519
Authors: T D Mastro; D Kitayaporn; B G Weniger; S Vanichseni; V Laosunthorn; T Uneklabh; C Uneklabh; K Choopanya; K Limpakarnjanarat Journal: Am J Public Health Date: 1994-07 Impact factor: 9.308
Authors: F Gao; D L Robertson; S G Morrison; H Hui; S Craig; J Decker; P N Fultz; M Girard; G M Shaw; B H Hahn; P M Sharp Journal: J Virol Date: 1996-10 Impact factor: 5.103