title: Inconsistent condom use among young men who have sex with men, male sex workers, and transgenders in Thailand.
abstract: Young men who have sex with men (MSM) are at risk for HIV infection. We investigated inconsistent condom use among 827 sexually active young MSM (15-24 years), enrolled using venue-day-time sampling in Bangkok, Chiang Mai and Phuket, Thailand. Data was collected using palmtop computer-assisted self-interviewing. Of participants, 33.1% were regular MSM, 37.7% were male sex workers (MSWs) and 29.1% were transgenders (TGs). Of MSM, 46.7%, of MSWs, 34.9% and of TGs, 52.3% reported recent inconsistent condom use. In multivariate analysis, receptive anal intercourse (MSM, MSWs), receptive and insertive anal intercourse, living alone and a history of sexual coercion (MSWs), not carrying a condom when interviewed (MSM, TGs), lower education, worrying about HIV infection and a history of sexually transmitted infections (TGs) were significantly and independently associated with inconsistent condom use. Interventions for young MSM are needed and must consider the distinct risk factors of MSM, MSWs, and TGs.
authors.affiliation: Thailand Ministry of Public Health-U.S. Centers for Disease Control and Prevention Collaboration, Patong Hospital, Phuket, Thailand. tareeratc@th.cdc.gov
authors.forename: Tareerat
authors.initials: T
authors.lastname: Chemnasiri
authors.forename: Taweesak
authors.initials: T
authors.lastname: Netwong
authors.forename: Surasing
authors.initials: S
authors.lastname: Visarutratana
authors.forename: Anchalee
authors.initials: A
authors.lastname: Varangrat
authors.forename: Andrea
authors.initials: A
authors.lastname: Li
authors.forename: Praphan
authors.initials: P
authors.lastname: Phanuphak
authors.forename: Rapeepun
authors.initials: R
authors.lastname: Jommaroeng
authors.forename: Pasakorn
authors.initials: P
authors.lastname: Akarasewi
authors.forename: Frits
authors.initials: F
authors.lastname: van Griensven
mesh_terms: D000293:Adolescent; D000328:Adult; D003068:Coercion; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D004522:Educational Status; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006716:Homosexuality; D006801:Humans; D008297:Male; D012307:Risk Factors; D011477:Sex Work; D013785:Thailand; D055815:Young Adult