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M94A2481.TXT
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Document 2481
DOCN M94A2481
TI HIV-1 infection in young Thai men discharged from the Army.
DT 9412
AU Renzullo P; Beyrer C; Nelson K; Celentano D; Eiumtrakul S; Khamboonruang
C; WRAIR, Washington, DC.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):294 (abstract no. PC0104). Unique
Identifier : AIDSLINE ICA10/94370094
AB OBJECTIVE: This study was designed to follow a cohort of Royal Thai Army
(RTA) conscripts after completion of their military service to assess
risk for HIV infection and changes in behaviors associated with HIV
infection upon returning to civilian life. METHODS: Subjects were
selected from among 566 RTA conscripts who participated in a study of
HIV infection risk while in the army. Three months after discharge
subjects returned to one of 4 sites where Thai male interviewers
administered surveys on demographics, medical history, STDs and sexual
activity. Relationships between exposures and HIV status were assessed
with chi-square tests for trend, odds ratios (OR) [95% confidence
intervals (CI)] and multiple logistic regression. RESULTS: A total of
556 (98.2%) men agreed to participate in the study. Of these, 361 (65%)
men returned for baseline interviews. Fifty (13.1%) men were HIV-Ab
positive before discharge and 4 (1.1%) seroconverted during the 3 months
since discharge. Ever having had an STD (OR = 6.4; 95% CI = 3.3-12.2)
and ever having had an HIV+ sex partner (OR = 2.2; 95% CI = 1.2-4.4)
were associated with increased risk of being HIV+. Lifetime number of
sex partners was associated with HIV infection (OR = 1.6; 95% CI =
1.2-2.2), with 21-50 partners conferring the most risk (OR = 6.1; 95% CI
= 1.4-27.1). Since discharge, 63% of HIV+ and HIV- men reported no
visits to commercial sex workers (CSWs), with 7.4% of HIV+ and 1.5% of
HIV- men reporting less frequent condom use. CONCLUSION: This study is
on-going. Results confirm the representativeness of and ability to
follow this cohort of discharged soldiers. Studies of this nature can
monitor the maturing HIV infection epidemic in Thailand, and identify
and evaluate HIV-1 interventions. Finally, the ability to identify,
recruit and follow cohorts is vital for evaluating candidate HIV-1
vaccines as they become available.
DE Cohort Studies Human HIV
Infections/DIAGNOSIS/EPIDEMIOLOGY/*TRANSMISSION HIV
Seropositivity/EPIDEMIOLOGY *HIV-1 Male *Military Personnel Risk
Factors Thailand/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).