alexa HIV-1 infection in young men in northern Thailand.
Infectious Diseases

Infectious Diseases

Epidemiology: Open Access

Author(s): Nopkesorn T, Mastro TD, Sangkharomya S, Sweat M, Singharaj P,

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Abstract OBJECTIVES: To determine risk factors for HIV-1 infection in young men in northern Thailand. METHODS: At enrollment into a prospective study, data were collected from a self-administered questionnaire and serologic testing on a cohort of 1115 young men selected by lottery for conscription. RESULTS: The overall HIV-1 infection rate was 6.9\%; however, the rate was 15.3\% among the 387 (34.7\%) men who had been living in the upper north subregion of Thailand compared with 2.5\% for the remaining 728 men (P < 0.001). A history of sex with female prostitutes was reported by 74.7\% of men and increased frequency of this type of sex was highly associated with HIV-1 infection and a history of sexually transmitted disease (STD) symptoms (chi 2 for trend, P < 0.001). In stratified and multivariate analyses, however, history of STD symptoms, reported by 42.5\% of the cohort, was most strongly associated with HIV-1 infection. Only 42.8\% of men who reported sex with prostitutes had used condoms more than half the time. CONCLUSIONS: Young men in the general population in northern Thailand are at high risk for HIV-1 infection via sex with female prostitutes; STD are highly associated with HIV-1 infection. Increasing condom use and controlling STD should be immediate goals of HIV control programs. PIP: This study sought to determine risk factors for HIV-1 infection in young men in northern Thailand. This cohort of 1115 young men were selected by lottery for conscription and at enrollment into this prospective study, data were collected from a self-administered questionnaire and serologic testing. The overall HIV-1 infection rate was 6.9\%; however, the rate was 15.3\% among the 387 (34.7\%) men who had been living in the upper north subregion of Thailand compared with 2.5\% for the remaining 728 men (p 0.001). A history of sex with female prostitutes was reported by 74.7\% of men and increased frequency of this type of sex was highly associated with HIV-1 infection and a history of sexually transmitted disease (STD) symptoms (chi square for trend, p 0.001). In stratified and multivariate analyses, however, history of STD symptoms, reported by 42.5\% of the cohort, was most strongly associated with HIV-1 infection. Only 42.8\% of men who reported sex with prostitutes had used condoms more than half the time. Young men in the general populations in northern Thailand are at high risk for HIV-2 infection via sex with female prostitutes; STDs are highly associated with HIV-2 infection. Increasing condom use and controlling STD should be immediate goals of HIV control programs.
This article was published in AIDS and referenced in Epidemiology: Open Access

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