Risk Factors for HIV Infection among Young Thai Men during 2005-2009.
Thailand is one of several countries with a continuing generalized HIV epidemic. We evaluated the risk factors for HIV prevalence among 17-29 year old men conscripted by a random process into the Royal Thai Army (RTA) in 8 cohorts from 2005-2009.A series of case-cohort studies were conducted among t...
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| Format: | Article |
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4550363?pdf=render |
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| author | Ram Rangsin Khunakorn Kana Thippawan Chuenchitra Akachai Sunantarod Mathirut Mungthin Supanee Meesiri Wirote Areekul Kenrad E Nelson |
| author_facet | Ram Rangsin Khunakorn Kana Thippawan Chuenchitra Akachai Sunantarod Mathirut Mungthin Supanee Meesiri Wirote Areekul Kenrad E Nelson |
| author_sort | Ram Rangsin |
| collection | DOAJ |
| description | Thailand is one of several countries with a continuing generalized HIV epidemic. We evaluated the risk factors for HIV prevalence among 17-29 year old men conscripted by a random process into the Royal Thai Army (RTA) in 8 cohorts from 2005-2009.A series of case-cohort studies were conducted among the male RTA conscripts who had been tested for HIV seroprevalence after they were inducted. Men who were HIV positive were compared with a systematic random sample (1 in 30-40) of men from the total population of new conscripts. Each subject completed a detailed risk factor questionnaire.A total of 240,039 young Thai men were conscripted into the RTA and were screened for HIV seroprevalence between November 2005 and May 2009. Of 1,208 (0.5%) HIV positive cases, 584 (48.3%) men were enrolled into the study. There were 7,396 men who were enrolled as a comparison group. Among conscripts who had an education lower than a college-level, the independent risk factors for HIV infection were age in years (AOR 1.38, 95% CI 1.28-1.48), a history of sex with another man (AOR 3.73, 95% CI 2.70-5.13), HCV infection (AOR 3.89, 95% CI 2.56-5.90), and a history of sex with a female sex worker (FSW) (AOR 1.35, 95% CI 1.10-1.66). Among conscripts who had a college degree, the independent risk factor for HIV infection was a history of sex with another man (AOR 23.04, 95% CI 10.23-51.90). Numbers of sexual partners increased and the age at first sex, as well as the use of condoms for sex with a FSW decreased in successive cohorts.The HIV seroprevalence among cohorts of 17-29 years old men has remained at about 0.5% overall during 2005-2009. The most significant behavior associated with HIV prevalence was a history of sex with another man. Our data indicate continuing acquisition of HIV among young men in Thailand in recent years, especially among men with a history of same sex behavior. |
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| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-16T14:38:40Z |
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| spelling | doaj.art-bb461059732543a09fa26c2faf05299b2022-12-21T22:28:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01108e013655510.1371/journal.pone.0136555Risk Factors for HIV Infection among Young Thai Men during 2005-2009.Ram RangsinKhunakorn KanaThippawan ChuenchitraAkachai SunantarodMathirut MungthinSupanee MeesiriWirote AreekulKenrad E NelsonThailand is one of several countries with a continuing generalized HIV epidemic. We evaluated the risk factors for HIV prevalence among 17-29 year old men conscripted by a random process into the Royal Thai Army (RTA) in 8 cohorts from 2005-2009.A series of case-cohort studies were conducted among the male RTA conscripts who had been tested for HIV seroprevalence after they were inducted. Men who were HIV positive were compared with a systematic random sample (1 in 30-40) of men from the total population of new conscripts. Each subject completed a detailed risk factor questionnaire.A total of 240,039 young Thai men were conscripted into the RTA and were screened for HIV seroprevalence between November 2005 and May 2009. Of 1,208 (0.5%) HIV positive cases, 584 (48.3%) men were enrolled into the study. There were 7,396 men who were enrolled as a comparison group. Among conscripts who had an education lower than a college-level, the independent risk factors for HIV infection were age in years (AOR 1.38, 95% CI 1.28-1.48), a history of sex with another man (AOR 3.73, 95% CI 2.70-5.13), HCV infection (AOR 3.89, 95% CI 2.56-5.90), and a history of sex with a female sex worker (FSW) (AOR 1.35, 95% CI 1.10-1.66). Among conscripts who had a college degree, the independent risk factor for HIV infection was a history of sex with another man (AOR 23.04, 95% CI 10.23-51.90). Numbers of sexual partners increased and the age at first sex, as well as the use of condoms for sex with a FSW decreased in successive cohorts.The HIV seroprevalence among cohorts of 17-29 years old men has remained at about 0.5% overall during 2005-2009. The most significant behavior associated with HIV prevalence was a history of sex with another man. Our data indicate continuing acquisition of HIV among young men in Thailand in recent years, especially among men with a history of same sex behavior.http://europepmc.org/articles/PMC4550363?pdf=render |
| spellingShingle | Ram Rangsin Khunakorn Kana Thippawan Chuenchitra Akachai Sunantarod Mathirut Mungthin Supanee Meesiri Wirote Areekul Kenrad E Nelson Risk Factors for HIV Infection among Young Thai Men during 2005-2009. PLoS ONE |
| title | Risk Factors for HIV Infection among Young Thai Men during 2005-2009. |
| title_full | Risk Factors for HIV Infection among Young Thai Men during 2005-2009. |
| title_fullStr | Risk Factors for HIV Infection among Young Thai Men during 2005-2009. |
| title_full_unstemmed | Risk Factors for HIV Infection among Young Thai Men during 2005-2009. |
| title_short | Risk Factors for HIV Infection among Young Thai Men during 2005-2009. |
| title_sort | risk factors for hiv infection among young thai men during 2005 2009 |
| url | http://europepmc.org/articles/PMC4550363?pdf=render |
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