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Document 2467
DOCN M94A2467
TI Bridge populations in the spread of HIV/AIDS in Thailand.
DT 9412
AU Podhisita C; Morris M; Wawer M; Institute for Population and Social
Research, Mahidol University,; Thailand.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):298 (abstract no. PC0120). Unique
Identifier : AIDSLINE ICA10/94370108
AB OBJECTIVE: To determine the extent to which men provide a bridge
population between commercial sex workers and other populations of women
in Thailand. METHODS: Respondents were sampled in three provinces in
Thailand: Udon, Saraburi and Bangkok. Completed sample size was 678
commercial sex workers (CSWs), 330 truckers and 1740 men aged 17-45.
Behavioral data and sexual network information were collected using
questionnaires (face-to-face interviews), focus groups and in-depth
interviews. RESULTS: Men provide a significant potential bridge for
transmission of HIV/AIDS in Thailand. Among men in the general
population, over 40% report visiting a CSW in the last year, and over
30% of those having CSW contacts were married. The median number of CSW
visits in the last year was 4-5. Younger men are more likely than older
men to report visiting CSWs, 60% vs. 31% in the last year. While fewer
of the young men reporting a CSW contact are married (14%), most report
a steady girlfriend or fiancee. Truckers also report high rates of
contact with CSWs. About 51% report visiting a CSW in the last year, and
over 70% of those reporting such contacts are married. Younger truckers
are again more likely than older to report a visit (65% vs. 43%), and
are again less likely to be married (50% vs 85%) but more likely to have
a steady girlfriend. Among all groups of men, condom use with CSWs is
sporadic, and with non-commercial partners is below 10%. DISCUSSION:
Seroprevalence among CSWs in Thailand is known to be both high (over 60%
in some places) and growing. The potential for spread beyond this group
depends on the nature of their client population. The size of this
client population appears to be quite large, and drawn from a wide
segment of the male population, and the frequency of visits is fairly
high on an annual basis. This pattern is in sharp contrast to the
Western industrialized countries where CSW visits are less common, and
involve a smaller segment of the male population. Most Thai men who
report CSW visits also have wives or other steady female partners. These
men are thus the most likely vector for further HIV transmission in
Thailand, and provide a significant population for intervention efforts.
DE Acquired Immunodeficiency Syndrome/TRANSMISSION Adolescence Adult
Female Human HIV Infections/*TRANSMISSION HIV Seroprevalence Male
Middle Age Prostitution Thailand/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).