Eroding Gains in Safe Sex Behavior, HIV/AIDS Knowledge, and Risk Perceptions Among Royal Thai Navy Conscripts After 28 Years of the AIDS Epidemic in Thailand
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Despite extensive early prevention efforts, recent surveys suggest that sexual risk taking may again be on the rise in Thailand. The present cross-sectional study surveyed 3,299 recruits in the Thai Navy in 2010, to examine their rates and correlates of consistent condom use. Most participants were aged 21–22 years, unmarried, and had a secondary education. Almost half were employed in labor/agriculture. Only 17 % of sexually experienced recruits were consistent condom users, and 53 % reported multiple sex partners in the past 3 months. In multiple logistic regression, residence in the Northeast (AOR 1.47), age (AOR 1.43), being single (AOR 2.13), non-MSM status (AOR 1.41), voluntary testing (AOR 1.24), and condom use at first sex (AOR 4.29) were significantly associated with consistent condom use. These findings suggest gaps in Thailand’s condom campaign targeting both sexually experienced and inexperienced youth. Interventions targeting naval recruits may benefit from including sex education in the training curriculum, building drillmasters’ capacities to facilitate sex education/counseling, and creating a supportive environment with better access to condoms.
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- Eroding Gains in Safe Sex Behavior, HIV/AIDS Knowledge, and Risk Perceptions Among Royal Thai Navy Conscripts After 28 Years of the AIDS Epidemic in Thailand
AIDS and Behavior
Volume 18, Issue 1 Supplement, pp 42-49
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- Young males
- Condom use
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- Author Affiliations
- 1. Research Center for Health Economics and Evaluation (RECHEE), Faculty of Public Health, Mahidol University, Bangkok, Thailand
- 2. Department of Health Communication, Hua Chiew Chalermprakiet University, Samut Prakan, Thailand
- 3. Division of Preventive Medicine, Naval Medical Department, Royal Thai Navy, Bangkok, Thailand
- 4. Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA
- 5. Center for Health Policy Studies, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand
- 6. Center for AIDS Prevention Studies, University of California, 50 Beale Street, Ste 1300, San Francisco, CA, 94105, USA
- 7. Institute for Global Health, University of California, San Francisco, CA, USA