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Risk Behaviors Among Young Men Who Have Sex With Men in Bangkok: A Qualitative Study to Understand and Contextualize High HIV Incidence.

Authors
  • Chemnasiri, Tareerat1
  • Beane, Chelsey R2
  • Varangrat, Anchalee1
  • Chaikummao, Supaporn1
  • Chitwarakorn, Anupong3
  • Van Griensven, Frits4, 5
  • Holtz, Timothy H1, 6
  • 1 a Thailand Ministry of Public Health-U.S. , Centers for Disease Control and Prevention Collaboration , Nonthaburi , Thailand. , (Thailand)
  • 2 b Center for Global Health , Centers for Disease Control and Prevention , Atlanta , Georgia , USA. , (Georgia)
  • 3 c Department of Disease Control , Thailand Ministry of Public Health , Nonthaburi , Thailand. , (Thailand)
  • 4 d Thai Red Cross AIDS Research Centre and HIV Netherlands Australia Thailand Collaboration (HIVNAT) , Bangkok , Thailand. , (Australia)
  • 5 e Division of Preventive Medicine and Public Health, Department of Epidemiology and Biostatistics , University of California at San Francisco , San Francisco , California , USA.
  • 6 f Division of HIV/AIDS Prevention , Centers for Disease Control and Prevention , Atlanta , Georgia , USA. , (Georgia)
Type
Published Article
Journal
Journal of homosexuality
Publication Date
Jan 01, 2019
Volume
66
Issue
4
Pages
533–548
Identifiers
DOI: 10.1080/00918369.2017.1422941
PMID: 29308991
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The Bangkok Men Who Have Sex With Men (MSM) Cohort Study has shown high HIV incidence (8-12/100 person-years) among 18-21-year-old MSM. These data led to a further study using qualitative methods among young (18-24 years old) MSM in order to understand the factors driving the HIV epidemic among YMSM. We conducted eight focus group discussions and 10 key informant interviews among YMSM in Bangkok, Thailand. Sociodemographic and behavioral data were collected using a questionnaire. We audio-recorded, transcribed, and analyzed qualitative and questionnaire data using computer software. The categories relating to risk behavior were (1) the use of social networks for seeking sexual partners and the marketing promotions of MSM entertainment venues, (2) social influence by peers and older MSM, (3) easy access to high parties and group sex, (4) easy access to club drugs, (5) conceptions related to HIV risk, and (6) sexual preferences of YMSM. Increased HIV testing, same-sex education, and YMSM-specific HIV prevention efforts are urgently needed for YMSM in Bangkok.

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