Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial

© 2017, SEAMEO TROPMED Network. All Rights Reserved. This study aimed to gain a better understanding of the association between participation in a blinded antiretroviral pre-exposure prophylaxis (PrEP) clinical trial and sexual practices among men who have sex with men and transgender women. This st...

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Main Authors: Tangmunkongvorakul A., Chariyalertsak S., Amico K., Guptarak M., Saokhieo P., Sangangamsakun T., Songsupa R., McMahan V., Grant R.
Format: Journal
Published: 2017
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84982161857&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/42566
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Institution: Chiang Mai University
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spelling th-cmuir.6653943832-425662017-09-28T04:27:46Z Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial Tangmunkongvorakul A. Chariyalertsak S. Amico K. Guptarak M. Saokhieo P. Sangangamsakun T. Songsupa R. McMahan V. Grant R. © 2017, SEAMEO TROPMED Network. All Rights Reserved. This study aimed to gain a better understanding of the association between participation in a blinded antiretroviral pre-exposure prophylaxis (PrEP) clinical trial and sexual practices among men who have sex with men and transgender women. This study utilized both quantitative and qualitative methodologies. Data included reported PrEP medication adherence and sexual behavior among 114 study participants. Forty-six participants took part in qualitative data collection, 32 were interviewed and 14 participated in one of three focus group discussions. The average percentage of study medication adherence, number of sex partners and rates of sex without a condom were calculated. For qualitative data, content analysis was used to identify repeated normative themes, some of which arose spontaneously from interview interactions. Participants at the Chiang Mai site reported good adherence to the study medication. The sexual risk behavior of these participants had decreased by their final study visit; this was unrelated to level of adherence. Qualitative findings describe sexual practices that were highly contextual; participants used risk assessments to determine sex practices. Condoms were used with casual partners but not necessarily with primary partners. Our findings suggest that while PrEP is an exciting new development for HIV prevention, it must be paired with behavioral interventions to fully address sexual risk among this population. Interventions should provide this population with skills to negotiate condom use with their primary partners as well as in situations in which their sexual partners do not support condom use. 2017-09-28T04:27:46Z 2017-09-28T04:27:46Z 2016-01-01 Journal 01251562 2-s2.0-84982161857 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84982161857&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/42566
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2017, SEAMEO TROPMED Network. All Rights Reserved. This study aimed to gain a better understanding of the association between participation in a blinded antiretroviral pre-exposure prophylaxis (PrEP) clinical trial and sexual practices among men who have sex with men and transgender women. This study utilized both quantitative and qualitative methodologies. Data included reported PrEP medication adherence and sexual behavior among 114 study participants. Forty-six participants took part in qualitative data collection, 32 were interviewed and 14 participated in one of three focus group discussions. The average percentage of study medication adherence, number of sex partners and rates of sex without a condom were calculated. For qualitative data, content analysis was used to identify repeated normative themes, some of which arose spontaneously from interview interactions. Participants at the Chiang Mai site reported good adherence to the study medication. The sexual risk behavior of these participants had decreased by their final study visit; this was unrelated to level of adherence. Qualitative findings describe sexual practices that were highly contextual; participants used risk assessments to determine sex practices. Condoms were used with casual partners but not necessarily with primary partners. Our findings suggest that while PrEP is an exciting new development for HIV prevention, it must be paired with behavioral interventions to fully address sexual risk among this population. Interventions should provide this population with skills to negotiate condom use with their primary partners as well as in situations in which their sexual partners do not support condom use.
format Journal
author Tangmunkongvorakul A.
Chariyalertsak S.
Amico K.
Guptarak M.
Saokhieo P.
Sangangamsakun T.
Songsupa R.
McMahan V.
Grant R.
spellingShingle Tangmunkongvorakul A.
Chariyalertsak S.
Amico K.
Guptarak M.
Saokhieo P.
Sangangamsakun T.
Songsupa R.
McMahan V.
Grant R.
Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial
author_facet Tangmunkongvorakul A.
Chariyalertsak S.
Amico K.
Guptarak M.
Saokhieo P.
Sangangamsakun T.
Songsupa R.
McMahan V.
Grant R.
author_sort Tangmunkongvorakul A.
title Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial
title_short Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial
title_full Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial
title_fullStr Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial
title_full_unstemmed Sexual practices among men who have sex with men in chiang mai, Thailand: Part of the antiretroviral pre-exposure prophylaxis trial
title_sort sexual practices among men who have sex with men in chiang mai, thailand: part of the antiretroviral pre-exposure prophylaxis trial
publishDate 2017
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84982161857&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/42566
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