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HIV prevalence, risk behavior, hormone use and surgical history among transgender persons in Thailand

Guadamuz, TE and Wimonsate, W and Varangrat, A and Phanuphak, P and Jommaroeng, R and McNicholl, JM and Mock, PA and Tappero, JW and Van Griensven, F (2011) HIV prevalence, risk behavior, hormone use and surgical history among transgender persons in Thailand. AIDS and Behavior, 15 (3). 650 - 658. ISSN 1090-7165

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While Male-to-female transgender persons (TG) are believed to often engage in sex work and have high HIV infection risk, little is known about demographics, surgical and hormone use history, risk behaviors and HIV prevalence. Between March and October 2005, 474 TG from Bangkok, Chiangmai, and Phuket were surveyed using venue-day-time sampling. Of 474 participants, overall HIV prevalence was 13.5%. Most participants had completed at least secondary or vocational education (79.2%), gender self-identified as female (89.0%), had received money, gifts or valuables for sex (60.8%), and reported hormone use (88.6%). Surgical history was taken from 325 participants. Of these, 68.6% reported some form of surgery and 11.1% had undergone penile-vaginal reconstructive surgery. In multivariate analysis, being recruited from a park/street; older age, anal sex role identification as "versatile" and anal sex debut before age 13 were independently associated with HIV prevalence. The development, implementation and evaluation of culturally appropriate sexual health interventions for Thai TG is urgently needed. © 2010 Springer Science+Business Media, LLC (outside the USA).


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Guadamuz, TEteg10@pitt.eduTEG10
Wimonsate, W
Varangrat, A
Phanuphak, P
Jommaroeng, R
McNicholl, JM
Mock, PA
Tappero, JW
Van Griensven, F
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 April 2011
Date Type: Publication
Journal or Publication Title: AIDS and Behavior
Volume: 15
Number: 3
Page Range: 650 - 658
DOI or Unique Handle: 10.1007/s10461-010-9850-5
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 1090-7165
MeSH Headings: Adolescent; Adult; Data Collection; Female; HIV Infections--epidemiology; HIV Infections--transmission; Hormones--administration & dosage; Humans; Male; Middle Aged; Prevalence; Prostitution; Risk-Taking; Silicones--administration & dosage; Thailand--epidemiology; Transsexualism--psychology; Young Adult
Other ID: NLM NIHMS265157, NLM PMC3103223
PubMed Central ID: PMC3103223
PubMed ID: 21104008
Date Deposited: 12 Jun 2013 21:22
Last Modified: 05 Feb 2019 07:55


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