Original Paper

AIDS and Behavior

, Volume 16, Issue 3, pp 618-625

First online:

HIV Risk Behavior Among HIV-Infected Men Who have Sex with Men in Bangkok, Thailand

  • Pachara SirivongrangsonAffiliated withSexually Transmitted Infection Cluster, Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health (MOPH)
  • , Rangsima LolekhaAffiliated withGlobal AIDS Program, Thailand MOPH-U.S. CDC Collaboration Email author 
  • , Angkana CharoenwatanachokchaiAffiliated withSexually Transmitted Infection Cluster, Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health (MOPH)
  • , Umaporn SiangphoeAffiliated withGlobal AIDS Program, Thailand MOPH-U.S. CDC Collaboration
  • , Kimberley K. FoxAffiliated withGlobal AIDS Program, Thailand MOPH-U.S. CDC CollaborationGlobal AIDS Program, CDC
  • , Naiyana JirarojwattanaAffiliated withSexually Transmitted Infection Cluster, Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health (MOPH)
  • , Liesbeth BollenAffiliated withGlobal AIDS Program, Thailand MOPH-U.S. CDC Collaboration
  • , Naruemon YenyarsanAffiliated withSexually Transmitted Infection Cluster, Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health (MOPH)
  • , Somchai LokpichatAffiliated withSexually Transmitted Infection Cluster, Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health (MOPH)
    • , Orapin SuksripanichAffiliated withGlobal AIDS Program, Thailand MOPH-U.S. CDC Collaboration
    • , Michelle McConnellAffiliated withGlobal AIDS Program, Thailand MOPH-U.S. CDC CollaborationGlobal AIDS Program, CDC

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Abstract

We assessed prevalence of sexually transmitted infection (STIs), sexual risk behaviors, and factors associated with risk behaviors among HIV-infected MSM attending a public STI clinic serving MSM in Bangkok, Thailand. Between October 2005–October 2007, 154 HIV-infected MSM attending the clinic were interviewed about sexual risk behaviors and evaluated for STIs. Patients were examined for genital ulcers and had serologic testing for syphilis and PCR testing for chlamydia and gonorrhea. Results showed that sexual intercourse in the last 3 months was reported by 131 men. Of these, 32% reported anal sex without a condom. STIs were diagnosed in 41%. Factors associated with having sex without a condom were having a steady male partner, having a female partner and awareness of HIV status <1 month. Sexual risk behaviors and STIs were common among HIV-infected MSM in this study. This highlights the need for increased HIV prevention strategies for HIV-infected MSM.

Keywords

HIV MSM Risk behaviors STI