HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand
Background: HIV prevalence among men who have sex with men (MSM) and transgender (TG) persons is high and increasing in Chiang Mai, northern Thailand. Objectives: To describe demographic, socioeconomic, sexual behavior and interest in future HIV prevention trials among gay and bisexual MSM and TG pr...
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th-cmuir.6653943832-495672018-09-04T04:25:47Z HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand Suwat Chariyalertsak Natthapol Kosachunhanan Pongpun Saokhieo Radchanok Songsupa Antika Wongthanee Chonlisa Chariyalertsak Surasing Visarutratana Chris Beyrer Agricultural and Biological Sciences Biochemistry, Genetics and Molecular Biology Medicine Background: HIV prevalence among men who have sex with men (MSM) and transgender (TG) persons is high and increasing in Chiang Mai, northern Thailand. Objectives: To describe demographic, socioeconomic, sexual behavior and interest in future HIV prevention trials among gay and bisexual MSM and TG presenting for HIV testing (VCT) and pre-screening for the iPrEx pre-exposure chemoprophylaxis trail. Methods: In 2008-09, MSM/TG participants attending VCT were interviewed and tested for HIV and STI. Univariate and multivariate regression analyses were done to assess associations with HIV infection. Results: A total of 551 MSM clients (56.1% gay, 25.4% TG, and 18.5% bisexual (BS)) were enrolled. The mean age was 23.9 years. HIV prevalence among MSM overall was 12.9% (71/551); 16.5% among gay men, 9.3% among TG, and 6.9% among BS. Consistent use of condom was low, 33.3% in insertive anal sex and 31.9% in receptive anal sex. Interest in participation was high, 86.3% for PrEP, 69.7% for HIV vaccine trials, but 29.9% for circumcision. HIV was independently associated with being gay identified, aOR 2.8, p = 0.037 and with being aged 25-29, aOR 2.7, p = 0.027. Among repeat testers, HIV incidence was 8.2/100 PY, 95% CI, 3.7/100PY to 18.3/100PY. Conclusion: HIV risks and rates varied by self-reported sexual orientation and gender identity. HIV was associated with sexual practices, age, and being gay-identified. These are populations are in need of novel prevention strategies and willing to participate in prevention research. © 2011 Chariyalertsak et al. 2018-09-04T04:04:05Z 2018-09-04T04:04:05Z 2011-09-08 Journal 19326203 2-s2.0-80052551234 10.1371/journal.pone.0024295 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=80052551234&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/49567 |
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Agricultural and Biological Sciences Biochemistry, Genetics and Molecular Biology Medicine Suwat Chariyalertsak Natthapol Kosachunhanan Pongpun Saokhieo Radchanok Songsupa Antika Wongthanee Chonlisa Chariyalertsak Surasing Visarutratana Chris Beyrer HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand |
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Background: HIV prevalence among men who have sex with men (MSM) and transgender (TG) persons is high and increasing in Chiang Mai, northern Thailand. Objectives: To describe demographic, socioeconomic, sexual behavior and interest in future HIV prevention trials among gay and bisexual MSM and TG presenting for HIV testing (VCT) and pre-screening for the iPrEx pre-exposure chemoprophylaxis trail. Methods: In 2008-09, MSM/TG participants attending VCT were interviewed and tested for HIV and STI. Univariate and multivariate regression analyses were done to assess associations with HIV infection. Results: A total of 551 MSM clients (56.1% gay, 25.4% TG, and 18.5% bisexual (BS)) were enrolled. The mean age was 23.9 years. HIV prevalence among MSM overall was 12.9% (71/551); 16.5% among gay men, 9.3% among TG, and 6.9% among BS. Consistent use of condom was low, 33.3% in insertive anal sex and 31.9% in receptive anal sex. Interest in participation was high, 86.3% for PrEP, 69.7% for HIV vaccine trials, but 29.9% for circumcision. HIV was independently associated with being gay identified, aOR 2.8, p = 0.037 and with being aged 25-29, aOR 2.7, p = 0.027. Among repeat testers, HIV incidence was 8.2/100 PY, 95% CI, 3.7/100PY to 18.3/100PY. Conclusion: HIV risks and rates varied by self-reported sexual orientation and gender identity. HIV was associated with sexual practices, age, and being gay-identified. These are populations are in need of novel prevention strategies and willing to participate in prevention research. © 2011 Chariyalertsak et al. |
format |
Journal |
author |
Suwat Chariyalertsak Natthapol Kosachunhanan Pongpun Saokhieo Radchanok Songsupa Antika Wongthanee Chonlisa Chariyalertsak Surasing Visarutratana Chris Beyrer |
author_facet |
Suwat Chariyalertsak Natthapol Kosachunhanan Pongpun Saokhieo Radchanok Songsupa Antika Wongthanee Chonlisa Chariyalertsak Surasing Visarutratana Chris Beyrer |
author_sort |
Suwat Chariyalertsak |
title |
HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand |
title_short |
HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand |
title_full |
HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand |
title_fullStr |
HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand |
title_full_unstemmed |
HIV incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in Northern Thailand |
title_sort |
hiv incidence, risk factors, and motivation for biomedical intervention among gay, bisexual men, and transgender persons in northern thailand |
publishDate |
2018 |
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https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=80052551234&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/49567 |
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1681423433318006784 |