AIDS and Behavior

, Volume 11, Issue 4, pp 611–618 | Cite as

Prevalence and Correlates of Sexual Behaviors Among Karen Villagers in Northern Thailand

  • Eiko Kobori
  • Surasing Visrutaratna
  • Akiko Kada
  • Siriporn Wongchai
  • Masako Ono-Kihara
  • Masahiro Kihara
Original Paper

Abstract

A cross-sectional survey was conducted in two mountainous villages of the Karen, a major ethnic minority in Thailand. The participants were 566 villagers aged 15–54 years (371 in Village A, 195 in Village B; response rate=81.9%). Premarital/extramarital sex was experienced by 10–20% of the sexually active respondents and sex with a female sex worker (FSW) by 12.6% of males. Premarital sex was independently associated with being a Christian and occupational experience in town; extramarital sex was associated with Village A and drug use; sex with a FSW was associated with being unmarried, a nonfarmer, and occupational experience in town. Approximately 80% of the married participants never used a condom with their spouse, and nearly one-third never did so with a boy/girlfriend or a FSW. A history of sexually transmitted infections (STIs) was associated with sex with a FSW. These findings suggest that nontraditional sexual practices are prevalent and could potentially threaten Karen communities with the spread of HIV.

Keywords

HIV Sexual behaviors Risk factors Karen Thailand 

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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Eiko Kobori
    • 1
  • Surasing Visrutaratna
    • 2
  • Akiko Kada
    • 3
  • Siriporn Wongchai
    • 2
  • Masako Ono-Kihara
    • 1
  • Masahiro Kihara
    • 1
  1. 1.Department of Global Health and Socio-EpidemiologyKyoto University School of Public Health KyotoJapan
  2. 2.Chiang Mai Provincial Health OfficeChiang MaiThailand
  3. 3.General Clinical Research UnitNational Cardiovascular CenterOsakaJapan

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