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- Article] Changes in sexual behavior and a decline in HIV infection among young men in Thailand
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DocNo of ILP: 7668
Doc. Type: Article
Title: Changes in sexual behavior and a decline in HIV infection among young men in Thailand
Authors: Nelson, KE; Celentano, DD; Eiumtrakol, S; Hoover, DR; Beyrer, C; Suprasert, S; Kuntolbutra, S; Khamboonruang, C
Full Name of Authors: Nelson, KE; Celentano, DD; Eiumtrakol, S; Hoover, DR; Beyrer, C; Suprasert, S; Kuntolbutra, S; Khamboonruang, C
Keywords by Author:
Keywords Plus: RISK-FACTORS; CHIANG-MAI; TRANSMITTED DISEASES; NORTHERN THAILAND; COMMERCIAL SEX; WORKERS
Abstract: Background In Thailand the epidemic of human immunodeficiency virus (HIV) infection is of recent origin. Because of the high seroprevalence of HIV among sex workers, the Ministry of Public Health began a program in 1990 and 1991 to promote the use of condoms during commercial sex. We evaluated the effect of this and other programs to prevent HIV infection in Thailand. Methods Using direct interviews, we studied five cohorts of 21-year-old men from northern Thailand who were conscripted into the army by a lottery in 1991, 1993, and 1995. In all, 4311 men were tested for HIV antibodies by enzyme-linked immunosorbent assay, with confirmation by Western blot assay. Results In the 1991 and 1993 cohorts, the prevalence of HIV infection was 10.4 to 12.5 percent. In 1995, it fell to 6.7 percent (P<0.001). The seroprevalence was only 0.7 percent among men who did not have sexual relations with a sex worker before 1992. Over the study period, the proportion of men who reported having sexual relations with a sex worker fell from 81.4 percent to 63.8 percent (P<0.001). From 1991 to 1995, the men's reported use of condoms during the most recent sexual contacts with sex workers increased from 61.0 percent to 92.5 percent (P<0.001); and in 1995, 15.2 percent of men had a history of a sexually transmitted disease, as compared with 42.2 percent in 1991 (P<0.001). Conclusions Public health programs in Thailand have led to substantial changes in sexual behavior among young men, especially an increased use of condoms, and the rate of new HIV infections has declined. (C) 1996, Massachusetts Medical Society.
Cate of OECD: Clinical medicine
Year of Publication: 1996
Business Area: lottery
Detail Business: lottery
Country: USA
Study Area:
Name of Journal: NEW ENGLAND JOURNAL OF MEDICINE
Language: English
Country of Authors: JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT HLTH POLICY & MANAGEMENT,BALTIMORE,MD 21205; ROYAL THAI ARMY,KAVILA ARMY HOSP,CHIANG MAI,THAILAND; CHIANG MAI UNIV,FAC MED,DEPT FAMILY MED,CHIANG MAI 50000,THAILAND; CHIANG MAI UNIV,RES INST HLTH SCI,CHIANG MAI 50000,THAILAND
Press Adress: Nelson, KE (reprint author), JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT EPIDEMIOL,624 N BROADWAY,BALTIMORE,MD 21205, USA.
Email Address:
Citaion:
Funding:
Lists of Citation: BEYRER C, 1995, AIDS, V9, P171; BEYRER C, 1994, 10 INT C AIDS INT C, V2, P25; Beyrer C, 1996, AIDS, V10, P113, DOI 10.1097/00002030-199601000-00023; BROWN T, 1994, AIDS, V8, pS131; CARAEL M, 1995, AIDS, V9, P1171, DOI 10.1097/00002030-199510000-00009; Celentano DD, 1996, JAMA-J AM MED ASSOC, V275, P122, DOI 10.1001/jama.275.2.122; CELENTANO DD, 1994, AIDS, V8, P533, DOI 10.1097/00002030-199404000-00018; CHOOPANYA K, 1991, AIDS, V5, P1509, DOI 10.1097/00002030-199112000-00014; DEVINCENZI I, 1994, NEW ENGL J MED, V331, P341, DOI 10.1056/NEJM199408113310601; HANENBERG RS, 1994, LANCET, V344, P243, DOI 10.1016/S0140-6736(94)93004-X; HOOVER DR, 1991, AM J EPIDEMIOL, V134, P1190; LAGA M, 1994, LANCET, V344, P246, DOI 10.1016/S0140-6736(94)93005-8; LIMANONDA B, 1994, AM J PUBLIC HEALTH, V84, P2026, DOI 10.2105/AJPH.84.12.2026; MASON CJ, 1995, AIDS, V9, P1061, DOI 10.1097/00002030-199509000-00012; MORRIS M, 1995, AIDS, V9, P507; NELSON KE, 1993, JAMA-J AM MED ASSOC, V270, P955, DOI 10.1001/jama.270.8.955; NELSON KE, 1994, AIDS RES HUM RETROV, V10, pS243; NELSON KE, 1994, AIDS, V8, P951, DOI 10.1097/00002030-199407000-00012; PYNE HH, 1992, THESIS MIT CAMBRIDGE; Rojanapithayakorn W, 1996, AIDS, V10, P1, DOI 10.1097/00002030-199601000-00001; RUGPAO S, 1993, CONTRACEPTION, V48, P537, DOI 10.1016/0010-7824(93)90116-O; Shilts R., 1987, BAND PLAYED POLITICS; SIRAPRAPASIRI T, 1991, AIDS, V5, P579, DOI 10.1097/00002030-199105000-00017; STEIN ZA, 1990, AM J PUBLIC HEALTH, V80, P460, DOI 10.2105/AJPH.80.4.460; Stone A. B., 1994, AIDS S1, V8, pS285; Strickler Howard, 1995, Annals of Epidemiology, V5, P447, DOI 10.1016/1047-2797(95)00070-4; Sweat M D, 1995, AIDS, V9 Suppl A, pS251; TAWIL O, 1995, AIDS, V9, P1299, DOI 10.1097/00002030-199512000-00001; Ungchusak K., 1989, Thai AIDS Journal, V1, P57; Vanichseni S., 1989, Thai AIDS Journal, V1, P75; WANGROONGSARB Y, 1985, Southeast Asian Journal of Tropical Medicine and Public Health, V16, P517; Weniger B G, 1991, AIDS, V5 Suppl 2, pS71
Number of Citaion: 32
Publication: MASS MEDICAL SOC
City of Publication: BOSTON
Address of Publication: 10 SHATTUCK, BOSTON, MA 02115
ISSN: 0028-4793
29-Character Source Abbreviation: NEW ENGL J MED
ISO Source Abbreviation: N. Engl. J. Med.
Volume: 335
Version: 5
Start of File: 297
End of File: 303
DOI: 10.1056/NEJM199608013350501
Number of Pages: 7
Web of Science Category: Medicine, General & Internal
Subject Category: General & Internal Medicine
Document Delivery Number: UY982
Unique Article Identifier: WOS:A1996UY98200001
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