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

  • Thomas E. Guadamuz
  • Wipas Wimonsate
  • Anchalee Varangrat
  • Praphan Phanuphak
  • Rapeepun Jommaroeng
  • Philip A. Mock
  • Jordan W. Tappero
  • Frits van Griensven
Original Paper

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 coercion Men who have sex with men Male sex workers Transgender Thailand 

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Thomas E. Guadamuz
    • 1
    • 2
  • Wipas Wimonsate
    • 1
  • Anchalee Varangrat
    • 1
  • Praphan Phanuphak
    • 3
  • Rapeepun Jommaroeng
    • 4
  • Philip A. Mock
    • 1
  • Jordan W. Tappero
    • 1
    • 5
  • Frits van Griensven
    • 1
    • 6
  1. 1.Thailand Ministry of Public Health–U.S. Centers for Disease Control and Prevention CollaborationNonthaburiThailand
  2. 2.Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.AIDS Research CentreBangkokThailand
  4. 4.Rainbow Sky Association of ThailandBangkokThailand
  5. 5.Global AIDS ProgramCenters for Disease Control and PreventionAtlantaUSA
  6. 6.Division of HIV/AIDS PreventionCenters for Disease Control and PreventionAtlantaUSA

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