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1994-10-25
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Document 3119
DOCN M94A3119
TI Behavioral intervention for Thai Army conscripts may reduce HIV
incidence.
DT 9412
AU Bond K; Na Chiang MC; Vaddhanaphuti C; Eiumtrakul S; Nelson KE;
Celentano DD; Johns Hopkins University, Baltimore, MD 21205.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):15 (abstract no. 032D). Unique
Identifier : AIDSLINE ICA10/94369456
AB OBJECTIVE: To estimate the impact of a behavioral intervention among
conscripts in the Royal Thai Army in the Upper North on HIV incidence
and risk reduction. METHODS: Four cohorts of 21 year old men conscripted
by lottery were tested for HIV-1 between May 1991 to November 1993. A
behavioral intervention focusing on reducing alcohol use and brothel
patronage and improving negotiation and condom use skills was provided
to the latter two cohorts in intensive, small group discussion sessions.
Serial blood draws and personal interviews were conducted to determine
behavioral risk factors for HIV infection. Incidence rates and HIV risk
behaviors were analyzed using Poisson regression models. RESULTS:
Preliminary data obtained through February 1994 demonstrates that there
may be an intervention effect on HIV incidence. Incidence in the first
two cohorts (n = xxxx and xxx) was 3.4 per 100 person-years. Preliminary
incidence for the first intervention cohort (n = 778) was 0.87 per 100
person-years (subsequent data to be shown). Prevalence appears to have
moderated, with less risky behavior at recruitment (more condom use,
later sexual initiation). Behavioral factors for HIV infection in this
population (CSW patronage, alcohol use, condom use, number and type of
partners) will be shown in multivariate analysis as risks for incident
HIV infection. CONCLUSIONS: While secular norms in northern Thailand are
slowly changing, the results of this investigation suggest that an
intensive behavioral intervention may lead to important behavior
changes. Continuing interventions are needed to prevent relapse.
DE Adult Alcohol Drinking Cohort Studies Condoms/UTILIZATION Health
Education/*METHODS Human HIV Infections/EPIDEMIOLOGY/*PREVENTION &
CONTROL Incidence Male Military Personnel/*PSYCHOLOGY Multivariate
Analysis Poisson Distribution Risk Factors Risk-Taking Sex Behavior
Thailand/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).