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M94A2510.TXT
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Document 2510
DOCN M94A2510
TI HIV-antibody testing at anonymous testing sites and STD clinics in
northern Thailand.
DT 9412
AU Sombutmai S; Wannarat A; Taywaditep K; Lindan C; Mandel J; Chiang Mai
University, Thailand.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):288 (abstract no. PC0073). Unique
Identifier : AIDSLINE ICA10/94370065
AB OBJECTIVE: To provide a profile of men who had HIV-antibody tests at
anonymous testing sites and STD clinics in the environs of Chiang Mai,
Thailand. METHODS: During 1993, we conducted structured interviews with
a convenience sample of 190 men who had HIV-antibody tests at two
anonymous testing sites and two STD clinics. Respondents were
interviewed before blood samples were collected. RESULTS: Respondents'
median age was 22 years (range = 16-46); 65% were single.
Occupationally, 38% were unskilled laborers and 26% were students. 51%
reported sexual intercourse with a prostitute(s) or casual partner(s) in
the past six months. 51% reported at least one prior episode of STD. The
primary reason for seeking HIV test was to reduce anxiety about possible
sexual exposure to HIV; while few reported concerns over physical
symptoms and/or I.V. drug use. Although 42% reported at least one
previous HIV test, only 46% of these men reported prior HIV counseling.
Contrasting the HIV+ (16%) and the HIV- (84%) groups, we found no
significant differences in marital status, education and income,
knowledge of HIV transmission, current health complaints, and 6-month
total and high-risk sexual partners (prostitutes or casual partners).
However, HIV+ men were more likely to report a history of genital ulcer
(RR = 1.50, 95% C.I.--1.09-2.06), inguinal lymph node infection (RR =
1.64, 95% C.I. = 1.13-2.38), and past STD episodes (Mann-Whitney rank
sum test Z = -3.28, p = .001). DISCUSSION: Free or low cost HIV antibody
testing has been widely available in and around Chiang Mai since 1991.
As intended, HIV testing sites provide service to young men with lower
income whose sexual behaviors are a primary risk of HIV infection.
Despite prior repeated testing in some, many men reported having no
previous counseling; more consistent counseling services are urgently
needed. Moreover, history of sexual activity did not distinguish the
subjects' HIV serostatus, underscoring that sexually active men in
Thailand, as a group, are at risk for HIV infection.
DE Adolescence Adult Ambulatory Care Facilities/UTILIZATION *AIDS
Serodiagnosis Human Male Middle Age Risk Factors Sex Behavior
Substance Abuse, Intravenous/MICROBIOLOGY Thailand MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).