Eroding Gains in Safe Sex Behavior, HIV/AIDS Knowledge, and Risk Perceptions Among Royal Thai Navy Conscripts After 28 Years of the AIDS Epidemic in Thailand

Yuntadilok, Nuntawun; Timmuang, Rattana; Timsard, Somkid; Guadamuz, Thomas E.; Heylen, Elsa; Mandel, Jeffrey S.

doi:10.1007/s10461-013-0522-0

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Rather, we want to encourage better understanding of the secret sociality of ice so that public health efforts are better equipped with understanding and reaching out to YMSM who may be at heightened risk for HIV, STI, violence, overdose and other health concerns. The fact that MSM are vulnerable to multiple problems and negative health consequences such as substance abuse, violence, depression, suicidality and HIV/STI infections have been suggested previously (Guadamuz et al, 2013; Guadamuz et al, 2014), yet public health efforts have not been responsive (Stall, Herrick, Guadamuz, & Friedman, 2009; Yuntadilok et al, 2013). We therefore suggest a rights-based harm-reduction approach whereby YMSM are not judged for the activities they engage, are respected for being themselves, and that the reduction of harms or risks of harms are approached in a contextualized, non-judgmental way.…”

Section: Discussionmentioning

confidence: 95%

Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks

Guadamuz

Boonmongkon

2018

International Journal of Drug Policy

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Ice parties, where high-risk practices were common, power and agency quickly became relational and negotiable. This paper illuminated the secret sociality of ice so that public health efforts will be better equipped with understanding and reaching out to young men who may be at heightened risk for HIV, STI, violence and other health concerns. Ice parties can, for example, be seen as opportunities for harm-reduction strategies whereby young men are not judged for the activities they engage, but are instead respected and approached in a contextualized, non-judgmental way. Finally, icetenders and party hosts may be individuals where public health practitioners can target and include in the development of novel harm-reduction programs.

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Section: Discussionmentioning

confidence: 95%

Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks

Guadamuz

Boonmongkon

2018

International Journal of Drug Policy

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“…For instance, in early to mid-1990s a decline of HIV prevalence and incidence was observed in Uganda and Thailand owing to behavioural prevention measures [ 11 – 13 ]. However, this was later followed by increasing trends of HIV prevalence and incidence in the general population and in some key population groups [ 14 – 17 ]. The other challenge of the behavioural prevention measures is that their success could not be reproduced in some parts of the world [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

High risk exposure to HIV among sexually active individuals who tested negative on rapid HIV Tests in the Tshwane District of South Africa—The importance of behavioural prevention measures

et al. 2018

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ObjectiveTo assess the prevalence of HIV risk behaviour among sexually active HIV sero-negative individuals in the Tshwane district of South Africa (SA).MethodsDemographic and HIV risk behaviour data were collected on a questionnaire from participants of a cross-sectional study that screened for early HIV infection using pooled nucleic acid amplification testing (NAAT). The study enrolled individuals who tested negative on rapid HIV tests performed at five HIV counseling and testing (HCT) clinics, which included four antenatal clinics and one general HCT clinic.ResultsThe study enrolled 9547 predominantly black participants (96.6%) with a median age of 27 years (interquartile range [IQR]: 23–31). There were 1661 non-pregnant and 7886 pregnant participants largely enrolled from the general and antenatal HCT clinics, respectively. NAAT detected HIV infection in 61 participants (0.6%; 95% confidence interval [CI]: 0.4–0.8) in the whole study. A high proportion of study participants, 62.8% and 63.0%, were unaware of their partner’s HIV status; and also had high prevalence, 88.5% and 99.5%, of recent unprotected sex in the general and pregnant population, respectively. Consistent use of condoms was associated with protection against HIV infection in the general population. Trends of higher odds for HIV infection were observed with most demographic and HIV risk factors at univariate analysis, however, multivariate analysis did not show statistical significance for almost all these factors. A significantly lower risk of HIV infection was observed in circumcised men (p <0.001).ConclusionsThese data show that a large segment of sexually active people in the Tshwane district of SA have high risk exposure to HIV. The detection of newly diagnosed HIV infections in all study clinics reflects a wide distribution of individuals who are capable of sustaining HIV transmission in the setting where HIV risk behaviour is highly prevalent. A questionnaire that captures HIV risk behaviour would be useful during HIV counselling and testing to ensure that there is a systematic way of identifying HIV risk factors and that counselling is optimised for each individual. HIV risk behaviour surveillance could be used to inform relevant HIV prevention interventions that could be implemented at a community or population level.

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“…In Thailand, VCT has increased odds of consistent condom use, reduced transmission risk, and heightened acceptability of PrEP. 22,23 In the backdrop of risky sexual activities and scarce serostatus awareness, targeted interventions are urgently needed to link young Thai MSM to VCT, and if positive, timely linkage and care engagement.…”

Section: Discussionmentioning

confidence: 99%

Playing and Never Testing: Human Immunodeficiency Virus and Sexually Transmitted Infection Testing Among App-Using MSM in Southeast Asia

2017

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Little is known about mobile application (app)-based behavior of MSM in Thailand. A cross-sectional online assessment of apps using MSM in Bangkok found that more than a quarter have never tested for HIV and one in three never tested for STI. STI testing patterns and HIV testing frequency were highly associated with eachother in multinomial logistic regression. In a midst of an escalating epidemic where HIV incidence among MSM is highest in Asia, apps can serve to engage those least likely to be reached by traditional methods of recruitment and outreach in Thailand.

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Eroding Gains in Safe Sex Behavior, HIV/AIDS Knowledge, and Risk Perceptions Among Royal Thai Navy Conscripts After 28 Years of the AIDS Epidemic in Thailand

Cited by 4 publications

References 7 publications

Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks

Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks

High risk exposure to HIV among sexually active individuals who tested negative on rapid HIV Tests in the Tshwane District of South Africa—The importance of behavioural prevention measures

Playing and Never Testing: Human Immunodeficiency Virus and Sexually Transmitted Infection Testing Among App-Using MSM in Southeast Asia

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