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HIV prevalence, sexual and behavioral correlates among Shan, Hill tribe, and Thai male sex workers in Northern Thailand

Guadamuz, TE and Kunawararak, P and Beyrer, C and Pumpaisanchai, J and Wei, C and Celentano, DD (2010) HIV prevalence, sexual and behavioral correlates among Shan, Hill tribe, and Thai male sex workers in Northern Thailand. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 22 (5). 597 - 605. ISSN 0954-0121

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This paper reports demographic characteristics, HIV prevalence, and correlates among male sex workers (MSW) in Chiangmai, Thailand. A behavioral assessment survey was included as part of the Thailand Ministry of Public Health HIV sentinel surveillance conducted during June 2003. A sample of 181 MSW from 14 sex establishments around Chiangmai who self-identified as sex workers were interviewed. Non-Thai MSW made up half of the sample (48.6%), with the majority being of Shan ethnicity (64.7%). Thai MSW were significantly more likely to report having had receptive anal intercourse (38.0% vs. 11.8%, p<.001) and to have higher HIV prevalence than non-Thai MSW (11.8% vs. 3.4%, p<.001). In multivariate analysis, having one or more than one steady male partner in the past month (Odds Ratio: 5.56, 95% Confidence Intervals: 1.13-27.27 and 8.29, 2.01-34.20, respectively), and being older than 21 years (2.26, 1.04-4.90) were significantly and independently associated with prevalent HIV infection. While Thai MSW had higher HIV prevalence and engage in riskier activities, culturally appropriate education and outreach activities are still needed for the large number of ethnic minority MSW, particularly Shan MSW. © 2010 Taylor & Francis.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Guadamuz, TEteg10@pitt.eduTEG10
Kunawararak, P
Beyrer, C
Pumpaisanchai, J
Wei, C
Celentano, DD
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 May 2010
Date Type: Publication
Journal or Publication Title: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume: 22
Number: 5
Page Range: 597 - 605
DOI or Unique Handle: 10.1080/09540120903280935
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0954-0121
MeSH Headings: Acquired Immunodeficiency Syndrome--epidemiology; Acquired Immunodeficiency Syndrome--ethnology; Adolescent; Adult; Aged; Condoms--utilization; Female; HIV Infections--epidemiology; HIV Infections--ethnology; Homosexuality, Male--ethnology; Humans; Male; Middle Aged; Minority Groups; Prevalence; Prostitution--ethnology; Sexual Partners; Sexually Transmitted Diseases--epidemiology; Thailand--epidemiology; Thailand--ethnology; Young Adult
PubMed ID: 20401764
Date Deposited: 25 Jun 2013 19:29
Last Modified: 05 Feb 2019 07:55


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