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1996-02-26
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Document 0843
DOCN M9620843
TI Dynamics of risk behavior for HIV infection among young Thai men.
DT 9602
AU Celentano DD; Nelson KE; Suprasert S; Eiumtrakul S; Galai N; Kuntolbutra
S; Wright N; Theetranont C; Department of Health Policy and Management,
Johns Hopkins; University School of Hygiene and Public Health,
Baltimore,; Maryland 21205, USA.
SO J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Dec 1;10(4):477-83.
Unique Identifier : AIDSLINE MED/96074282
AB The objective of this investigation was to analyze the dynamics of risk
for HIV-1 infection among young men in Thailand. We conducted a
prospective study in a cohort (n = 1,236) of young men, aged 19-23 years
at conscription into the Royal Thai Army and Air Force from six
provinces in northern Thailand in May 1991 who were followed until their
discharge in April 1993. The outcome measure was change since
conscription in the frequency of self-reported sex with female
commercial sex workers (CSW) during military service. Although 42% of
conscripts reported no visit to a female CSW in the year prior to
conscription, most had a visit during military service. Men who visited
female CSWs infrequently at baseline increased their visits somewhat
over time, whereas those with high initial rates of CSW visits
decreased. Based on an assumed stable distribution over time, change
from baseline was not statistically significant. Only marital status and
high baseline CSW visit rates were associated with diminished visit
frequency in multivariate analysis. No differences were seen in patterns
of change in CSW visits by HIV-1 serostatus. More aggressive preventive
interventions are needed to reduce the frequency of CSW visits in
northern Thailand, a setting where 40-80% of all female CSWs working in
brothels are now HIV seropositive.
DE Adult Chi-Square Distribution Cohort Studies Disease Transmission,
Horizontal/STATISTICS & NUMER DATA Female Human HIV
Infections/*EPIDEMIOLOGY/TRANSMISSION *HIV-1 Male Military Personnel
Multivariate Analysis Prospective Studies Prostitution Risk Factors
*Risk-Taking Self Disclosure Sex Behavior/STATISTICS & NUMER DATA
Support, Non-U.S. Gov't Support, U.S. Gov't, Non-P.H.S.
Thailand/EPIDEMIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).