Decreasing incidence of HIV and sexually transmitted diseases in young Thai men: evidence for success of the HIV/AIDS control and prevention program

  title={Decreasing incidence of HIV and sexually transmitted diseases in young Thai men: evidence for success of the HIV/AIDS control and prevention program},
  author={David D Celentano and Kenrad Edwin Nelson and Cynthia M. Lyles and Chris Beyrer and Sakol Eiumtrakul and Vivian F. Go and Surinda Kuntolbutra and Chirasak Khamboonruang},
Objective:To determine whether HIV and sexually transmitted disease (STD) incidence rates among young men in northern Thailand have declined since the establishment of the ‘100% Condom Program’, and to prospectively document changes in the association between behavioral risk factors and incident HIV and STD infections. Setting:Thirteen military bases in northern Thailand. Methods:Serial prospective cohorts of 19–23-year-old male conscripts (n = 4086) inducted into military service from six… 

HIV Infection in Young Men in Northern Thailand, 1991‐1998: Increasing Role of Injection Drug Use

Injection drug use has emerged as an important risk behavior and is maintaining endemic HIV transmission in Thailand and the public health program to prevent the sexual transmission of HIV in Thailand continues to be highly successful.

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Intensive interventions in structured institutions can successfully reduce risk in settings confronting expanding heterosexual HIV epidemics.

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The first direct evidence for a decline in HIV incidence rates in FSWs and male patients with STIs over time is reported, and the lack of change in HIV infection risk among non-sex worker women highlights the need for additional targeted HIV prevention interventions.

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  • L. MarkowitzN. Sirisopana A. Brown
  • Medicine
    Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association
  • 1999
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Preventive intervention to reduce sexually transmitted infections: a field trial in the Royal Thai Army.

Intensive interventions in structured institutions can successfully reduce risk in settings confronting expanding heterosexual HIV epidemics.

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Although HIV prevention counseling promoted partner communication, its effects on HIV preventive behaviors were limited and the risk for HIV transmission to women in steady relationships is low in northern Thailand.

Risk Factors for HIV Infection among Young Thai Men during 2005–2009

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Changes in sexual behavior and a decline in HIV infection among young men in Thailand.

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.

Risk factors for HIV-1 seroconversion among young men in northern Thailand.

The HIV-1 incidence in this cohort of young men appears to be primarily attributable to having sex with female CSWs, and programs to increase effective condom use in brothels are essential.

Risk factors for HIV infection among young adult men in northern Thailand.

Control of HIV infection in this population will probably require more regular and effective use of condoms, prevention and treatment of sexually transmitted diseases, and reduction in the frequency of CSW contact.

Human Immunodeficiency Virus Infection and Self‐Treatment for Sexually Transmitted Diseases Among Northern Thai Men

Self‐treatment with antibiotics may lower HIV risks associated with bacterial STD in a high‐prevalence population of military conscripts in northern Thai men.

Declining prevalence of HIV‐1 infection in young Thai men

The decline in prevalence suggests declining incidence and that HIV control programs in Thailand are having an impact on the HIV epidemic.

Epidemiologic Risk Factors for Incident Sexually Transmitted Diseases in Young Thai Men

Sexually transmitted disease control in Thailand is based on an integrated sexually transmitted disease clinic system, and among men who did not report visiting a brothel, there was a significant increase in sexually transmitted diseases among men reporting sex with a girlfriend.

Spread of HIV infection in married monogamous women in India.

In multivariate analysis, inconsistent condom use and genital ulcer disease or genital warts were associated with prevalent HIV in FSWs, and history of sexual contact with a partner with an STD was associated with HIV in non-FSWs.

Preparatory studies for possible HIV vaccine trials in northern Thailand.

We studied several populations of human immunodeficiency virus (HIV)-seronegative individuals from northern Thailand who were believed to be at relatively high risk of HIV infection in order to

HIV‐1 infection among lower class commercial sex workers in Chiang Mai, Thailand

The high level of HIV-1 seroprevalence in this sample demonstrates the risk of transmission in lower cost commercial sex encounters in northern Thailand, suggesting the need for renewed efforts to enforce the Ministry of Public Health's ‘100% Condom Campaign’ in commercial sex establishments.