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Correlates of forced sex among populations of men who have sex with men in Thailand

Guadamuz, TE and Wimonsate, W and Varangrat, A and Phanuphak, P and Jommaroeng, R and Mock, PA and Tappero, JW and Van Griensven, F (2011) Correlates of forced sex among populations of men who have sex with men in Thailand. Archives of Sexual Behavior, 40 (2). 259 - 266. ISSN 0004-0002

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Although forced sex is a correlate of HIV infection, its prevalence and associated risks are not well described among men who have sex with men (MSM) in developing-country settings. Between March and October 2005, we assessed the prevalence of forced sex and correlates among populations of MSM (this includes general MSM, male sex workers, and male-to-female transgender persons) in Thailand using a community-based sample. Participants were enrolled from venues around Bangkok, Chiangmai, and Phuket using venue day-time sampling. Handheld computer-assisted self-interviewing was used to collect demographic and behavioral data and logistic regression evaluated factors associated with forced sex, defined as ever being forced to have sexual intercourse against one's will. Of the 2,049 participants (M age, 24.8 years), a history of forced sex was reported by 376 (18.4%) men and, of these, most were forced by someone they knew (83.8%), forced more than once (67.3%), and had first occurrence during adolescence (55.1%). In multivariate analysis, having a history of forced sex was significantly associated with being recruited in Phuket, classification as general MSM or transgender (versus classification as male sex worker), drug use, increased number of male sexual partners, and buying sex. The findings in our assessment were consistent with assessments from Western countries. Longitudinal studies are needed to understand the mechanisms of the relationships between forced sex correlates found in our assessment and HIV acquisition and transmission risks. © 2009 Springer Science+Business Media, LLC.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Guadamuz, TEteg10@pitt.eduTEG10
Wimonsate, W
Varangrat, A
Phanuphak, P
Jommaroeng, R
Mock, PA
Tappero, JW
Van Griensven, F
Date: 1 April 2011
Date Type: Publication
Journal or Publication Title: Archives of Sexual Behavior
Volume: 40
Number: 2
Page Range: 259 - 266
DOI or Unique Handle: 10.1007/s10508-009-9557-8
Refereed: Yes
ISSN: 0004-0002
MeSH Headings: Adolescent; Adult; Analysis of Variance; HIV Infections--epidemiology; HIV Infections--transmission; Homosexuality, Male--psychology; Humans; Longitudinal Studies; Male; Prostitution--psychology; Prostitution--statistics & numerical data; Questionnaires; Rape--psychology; Rape--statistics & numerical data; Regression Analysis; Risk Factors; Sexual Partners; Thailand--epidemiology; Transsexualism--psychology
Other ID: NLM NIHMS272662, NLM PMC3118408
PubMed Central ID: PMC3118408
PubMed ID: 19830540
Date Deposited: 12 Jun 2013 21:22
Last Modified: 14 Oct 2017 16:55


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