title: HIV risk behavior among HIV-infected men who have sex with men in Bangkok, Thailand.
abstract: We assessed prevalence of sexually transmitted infection (STIs), sexual risk behaviors, and factors associated with risk behaviors among HIV-infected MSM attending a public STI clinic serving MSM in Bangkok, Thailand. Between October 2005-October 2007, 154 HIV-infected MSM attending the clinic were interviewed about sexual risk behaviors and evaluated for STIs. Patients were examined for genital ulcers and had serologic testing for syphilis and PCR testing for chlamydia and gonorrhea. Results showed that sexual intercourse in the last 3 months was reported by 131 men. Of these, 32% reported anal sex without a condom. STIs were diagnosed in 41%. Factors associated with having sex without a condom were having a steady male partner, having a female partner and awareness of HIV status <1 month. Sexual risk behaviors and STIs were common among HIV-infected MSM in this study. This highlights the need for increased HIV prevention strategies for HIV-infected MSM.
authors.affiliation: Sexually Transmitted Infection Cluster, Bureau of AIDS/TB/STIs, Department of Disease Control, Ministry of Public Health (MOPH), Bangkok, Thailand.
authors.forename: Pachara
authors.initials: P
authors.lastname: Sirivongrangson
authors.forename: Rangsima
authors.initials: R
authors.lastname: Lolekha
authors.forename: Angkana
authors.initials: A
authors.lastname: Charoenwatanachokchai
authors.forename: Umaporn
authors.initials: U
authors.lastname: Siangphoe
authors.forename: Kimberley K
authors.initials: KK
authors.lastname: Fox
authors.forename: Naiyana
authors.initials: N
authors.lastname: Jirarojwattana
authors.forename: Liesbeth
authors.initials: L
authors.lastname: Bollen
authors.forename: Naruemon
authors.initials: N
authors.lastname: Yenyarsan
authors.forename: Somchai
authors.initials: S
authors.lastname: Lokpichat
authors.forename: Orapin
authors.initials: O
authors.lastname: Suksripanich
authors.forename: Michelle
authors.initials: M
authors.lastname: McConnell
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D015995:Prevalence; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D015231:Sexually Transmitted Diseases, Bacterial / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D013785:Thailand / Q000453:epidemiology