Prevalence of HIV infection and related risk factors among young Thai men from 2010 until 2018

Name: Jose, Julius Eleazar

keyword: HIV

; Risk factors

; Men who have sex with men

; Prevalence

; Young Thai men

; Thailand

Abstract: The status of the HIV epidemic in Thailand has gone through significant changes since the first published case in the country in the mid-1980s. The country’s experience and valued knowledge in monitoring, prevention, and treatment of the disease made them one of the global leaders in the field of HIV/AIDS infection. In terms of disease surveillance, the prevalence of HIV infection among young Thai men has been below the 1% level since the early-2000s using the data from the newly inducted RTA conscripts from November 2010 until November 2018. Understanding the current epidemiology of Human Immunodeficiency Virus (HIV) infection in Thailand will facilitate more effective national HIV prevention programs. This study aimed to determine the prevalence and risk factors for HIV infection among young Thai men. This research purposely determined the prevalence of HIV infection and related risk factors among newly inducted RTA conscripts from November 2010 until November 2018 including the spatio-temporal pattern and the changes that occurred in between. In the 2010 round of conscription, a total of 301 (0.47%) HIV positive young Thai men were identified from the total study population (63,667). The proportion of HIV positive men, who reported having had sex with another man, was 40.20%. Independent risk factors associated with HIV infection among the total study population included being single, having no formal education or a bachelor’s degree, engaging in bisexual or exclusively homosexual activity, having a history of Sexually Transmitted Infection (STI) and having sex in exchange for gifts/money. A total of 4,594 (7.86%) MSM were identified, of which 121 (2.64%) were HIV positive. The prevalence of HIV infection among MSM in urban and rural areas were relatively comparable. Risk factors associated with HIV infection in the MSM subgroup included living in the western region, having a bachelor’s degree, having a history of exclusive receptive or versatile anal sex and history of having sex in exchange for gifts/money. In the November 2018 round of conscription, a total of 44 HIV positive cases were identified among the total number of participants (4,629) in the study. The total number of identified MSM were 429 (10.1%) with 17 (3.96% ; 95% CI: 2.49 – 6.25) identified HIV positive MSM. The risk factors that are independently associated to HIV infection among the total population include having sex with another man, having a history of STI, and having a history of sex in exchange for gifts/money after adjusting for age and educational attainment. Having a history of sex with a FSW was found to be not a significant risk factor to HIV infection among the participants. The spatio-temporal study produced maps represent the most vivid representation of the impact of HIV infection in the country in two survey periods

Thammasat University. Thammasat University Library

Address: BANGKOK

Email: preserv@tu.ac.th

Name: Duangnate Pipatsatitpong

Role: advisor

Name: Ram Rangsin

Role: co-advisor

Created: 2019

Modified: 2022-12-28

Issued: 2022-12-28

วิทยานิพนธ์/Thesis

application/pdf

DOI: 10.14457/TU.the.2019.1618

eng

DegreeName: Doctor of Philosophy

Level: Doctoral Degree

Descipline: Biomedical Sciences

Grantor: Thammasat University

©copyrights Thammasat University

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