Document 1834
 DOCN  M94A1834
 TI    Heterosexual behavior related to the risk of HIV infection among
       Japanese men in Bangkok, Thailand.
 DT    9412
 AU    Cash RA; Harvard Institute for International Development, Cambridge, MA;
       02115.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):440 (abstract no. PD0367). Unique
       Identifier : AIDSLINE ICA10/94370741
 AB    OBJECTIVE: To determine the attitude and behavior of Japanese men (a
       group with a history of high condom use) related to the use of evening
       entertainment, especially commercial sex workers (CSWs) in Bangkok,
       Thailand. METHODS: In depth interviews and focus group discussions were
       held with Japanese, 55 male tourists. 50 businessmen, 20 housewives, and
       5 tour guides from Japanese travel agencies. Many of the interviews were
       facilitated by the concerned Japanese Chamber of Commerce in Bangkok.
       RESULTS: Japanese tourists and businessmen made extensive use of CSW's
       (71%) though 76% saw this as risky behavior. Condom use was used by at
       least 95% of respondents but only 51% used condoms everytime, (reasons
       are discussed). Businessmen felt the risk could be reduced if companies
       gave greater AIDS education to their employees, sent families together
       if overseas posting was for a long period, and discouraged sex-service
       as part of guest entertainment. Housewives were more knowledgeable about
       AIDS, than their husbands. They also criticized the companies policies
       with regards to encouraging sex entertainment. DISCUSSION AND
       CONCLUSIONS: There are many practices of Japanese businesses that
       encourage risk behavior, especially the use of CSW's. Wives often do not
       wish for the family to have to travel to Thailand because of concerns
       for their marriage life, children education and the stigma attached to
       their lives when returned to Japan. AIDS educational programs should be
       conducted in Japan through businesses, especially, tourist agencies, and
       government that emphasize 1) Responsible sexual behavior of men; 2) the
       importance of condom use for all sexual encounters outside a monogamous
       relationship; and 3) the human rights and dignities of the cultures
       where they are guests. Companies must change policy so families can
       travel together and good schools to be provided in the country.
 DE    Condoms  Female  Human  HIV Infections/ETHNOLOGY/*TRANSMISSION
       Japan/ETHNOLOGY  Male  Prostitution  Risk Factors  *Sex Behavior
       Thailand  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).