LEVELS OF HIV RISK BEHAVIOR AND AIDS KNOWLEDGE IN THAI MEN HAVING SEX WITH MEN
LEVELS OF HIV RISK BEHAVIOR AND AIDS KNOWLEDGE IN THAI MEN HAVING SEX WITH MEN
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DOI：
10.1080/09540129308258609
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发表时间：
1993-01-01
影响因子：
1.7
通讯作者：
SAKONDHAVAT, C
中科院分区：
文献类型：
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作者：
SITTITRAI, W;BROWN, T;SAKONDHAVAT, C
虽然泰国最早的艾滋病和艾滋病毒感染病例中有许多是男性与其他男性发生性关系（MHSWM），但通过异性性交和共用针头传播迅速成为主导。这导致了相对较少的关注被给予研究的风险行为和血清阳性率的MHSWM群体，因此缺乏有关这些人群的信息，以设计有效的干预措施。在伴侣关系调查中，3.3%的男性泰国人将他们的取向描述为双性恋或同性恋，这很可能低估了泰国男性中同性行为的发生率。本文简要回顾了这一情况，并介绍了在泰国东北部男男性行为者中进行的一项调查结果。在东北部的MHSWM中发现了大量的风险行为，在插入和接受肛交中，伴侣交换率高，避孕套使用率低。艾滋病知识存在重大缺陷，这意味着在这个社区加强和扩大干预措施的强烈需要。干预措施的设计相关的因素被强调，并提出建议，为进一步研究MHSWM在泰国。
Although many of the earliest cases of AIDS and HIV infection in Thailand were men who had sex with other men (MHSWM), transmission by heterosexual intercourse and needle sharing rapidly became dominant. This resulted in comparatively little attention being given to studies of risk behaviour and seroprevalence in groups of MHSWM with a consequent lack of information about these populations relevant to designing effective interventions. In the Partner Relations Survey, 3.3% of male Thais described their orientation as bisexual or homosexual, most probably an underestimate of the occurrence of same sex behaviour in Thai males. This paper briefly reviews the situation and presents results from a survey in the northeast of Thailand among men who have sex with men. Substantial levels of risk behaviour were found in MHSWM in the Northeast, with high rates of partner exchange and low levels of consistent condom use in insertive and receptive anal intercourse. Significant defects in AIDS knowledge existed implying a strong need for enhanced and expanded interventions in this community. Factors relevant to the design of interventions are highlighted and recommendations for further studies of MHSWM in Thailand are presented.