Archives of Sexual Behavior

, Volume 40, Issue 2, pp 259–266

Correlates of Forced Sex Among Populations of Men Who Have Sex with Men in Thailand

Authors

  • Thomas E. Guadamuz
    • Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention Collaboration
    • Department of EpidemiologyJohns Hopkins Bloomberg School of Public Health
  • Wipas Wimonsate
    • Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention Collaboration
  • Anchalee Varangrat
    • Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention Collaboration
  • Praphan Phanuphak
    • AIDS Research Centre
  • Rapeepun Jommaroeng
    • Rainbow Sky Association of Thailand
  • Philip A. Mock
    • Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention Collaboration
  • Jordan W. Tappero
    • Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention Collaboration
    • Global AIDS ProgramCenters for Disease Control and Prevention
    • Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention Collaboration
    • Division of HIV/AIDS PreventionCenters for Disease Control and Prevention
Original Paper

DOI: 10.1007/s10508-009-9557-8

Cite this article as:
Guadamuz, T.E., Wimonsate, W., Varangrat, A. et al. Arch Sex Behav (2011) 40: 259. doi:10.1007/s10508-009-9557-8

Abstract

Although forced sex is a correlate of HIV infection, its prevalence and associated risks are not well described among men who have sex with men (MSM) in developing-country settings. Between March and October 2005, we assessed the prevalence of forced sex and correlates among populations of MSM (this includes general MSM, male sex workers, and male-to-female transgender persons) in Thailand using a community-based sample. Participants were enrolled from venues around Bangkok, Chiangmai, and Phuket using venue day-time sampling. Handheld computer-assisted self-interviewing was used to collect demographic and behavioral data and logistic regression evaluated factors associated with forced sex, defined as ever being forced to have sexual intercourse against one’s will. Of the 2,049 participants (M age, 24.8 years), a history of forced sex was reported by 376 (18.4%) men and, of these, most were forced by someone they knew (83.8%), forced more than once (67.3%), and had first occurrence during adolescence (55.1%). In multivariate analysis, having a history of forced sex was significantly associated with being recruited in Phuket, classification as general MSM or transgender (versus classification as male sex worker), drug use, increased number of male sexual partners, and buying sex. The findings in our assessment were consistent with assessments from Western countries. Longitudinal studies are needed to understand the mechanisms of the relationships between forced sex correlates found in our assessment and HIV acquisition and transmission risks.

Keywords

Sexual coercionMen who have sex with menMale sex workersTransgenderThailand

Copyright information

© Springer Science+Business Media, LLC 2009