Risk Behaviors Among Young Men Who Have Sex With Men in Bangkok: A Qualitative Study to Understand and Contextualize High HIV Incidence

被引:10
作者
Chemnasiri, Tareerat [1 ]
Beane, Chelsey R. [2 ]
Varangrat, Anchalee [1 ]
Chaikummao, Supaporn [1 ]
Chitwarakorn, Anupong [3 ]
Van Griensven, Frits [4 ,5 ,6 ]
Holtz, Timothy H. [1 ,7 ]
机构
[1] US Ctr Dis Control & Prevent Collaborat, Thailand Minist Publ Hlth, Nonthaburi, Thailand
[2] Ctr Dis Control & Prevent, Ctr Global Hlth, Atlanta, GA USA
[3] Thailand Minist Publ Hlth, Dept Dis Control, Nonthaburi, Thailand
[4] Red Cross AIDS Res Ctr, Bangkok, Thailand
[5] HIV Netherlands Australia Thailand Collaborat HIV, Bangkok, Thailand
[6] Univ Calif San Francisco, Dept Epidemiol & Biostat, Div Prevent Med & Publ Hlth, San Francisco, CA 94143 USA
[7] Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Atlanta, GA USA
关键词
Young; men who have sex with men; HIV/AIDS; risk behavior; qualitative methods; Thailand; PREEXPOSURE PROPHYLAXIS; PREVENTION; INFECTION; GAY; EPIDEMIOLOGY; TRANSMISSION; THAILAND;
D O I
10.1080/00918369.2017.1422941
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
The Bangkok Men Who Have Sex With Men (MSM) Cohort Study has shown high HIV incidence (8-12/100 person-years) among 18-21-year-old MSM. These data led to a further study using qualitative methods among young (18-24 years old) MSM in order to understand the factors driving the HIV epidemic among YMSM. We conducted eight focus group discussions and 10 key informant interviews among YMSM in Bangkok, Thailand. Sociodemographic and behavioral data were collected using a questionnaire. We audio-recorded, transcribed, and analyzed qualitative and questionnaire data using computer software. The categories relating to risk behavior were (1) the use of social networks for seeking sexual partners and the marketing promotions of MSM entertainment venues, (2) social influence by peers and older MSM, (3) easy access to high parties and group sex, (4) easy access to club drugs, (5) conceptions related to HIV risk, and (6) sexual preferences of YMSM. Increased HIV testing, same-sex education, and YMSM-specific HIV prevention efforts are urgently needed for YMSM in Bangkok.
引用
收藏
页码:533 / 548
页数:16
相关论文
共 29 条
[1]  
Ananworanich J, 2013, MMWR-MORBID MORTAL W, V62, P518
[2]   A novel acute HIV infection staging system based on 4th generation immunoassay [J].
Ananworanich, Jintanat ;
Fletcher, James L. K. ;
Pinyakorn, Suteeraporn ;
van Griensven, Frits ;
Vandergeeten, Claire ;
Schuetz, Alexandra ;
Pankam, Tippawan ;
Trichavaroj, Rapee ;
Akapirat, Siriwat ;
Chomchey, Nitiya ;
Phanuphak, Praphan ;
Chomont, Nicolas ;
Michael, Nelson L. ;
Kim, Jerome H. ;
de Souza, Mark .
RETROVIROLOGY, 2013, 10
[3]  
[Anonymous], 2017, UNAIDS DAT 2017
[4]  
[Anonymous], 2014, SIT AN YOUNG PEOPL H
[5]   Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women [J].
Baeten, J. M. ;
Donnell, D. ;
Ndase, P. ;
Mugo, N. R. ;
Campbell, J. D. ;
Wangisi, J. ;
Tappero, J. W. ;
Bukusi, E. A. ;
Cohen, C. R. ;
Katabira, E. ;
Ronald, A. ;
Tumwesigye, E. ;
Were, E. ;
Fife, K. H. ;
Kiarie, J. ;
Farquhar, C. ;
John-Stewart, G. ;
Kakia, A. ;
Odoyo, J. ;
Mucunguzi, A. ;
Nakku-Joloba, E. ;
Twesigye, R. ;
Ngure, K. ;
Apaka, C. ;
Tamooh, H. ;
Gabona, F. ;
Mujugira, A. ;
Panteleeff, D. ;
Thomas, K. K. ;
Kidoguchi, L. ;
Krows, M. ;
Revall, J. ;
Morrison, S. ;
Haugen, H. ;
Emmanuel-Ogier, M. ;
Ondrejcek, L. ;
Coombs, R. W. ;
Frenkel, L. ;
Hendrix, C. ;
Bumpus, N. N. ;
Bangsberg, D. ;
Haberer, J. E. ;
Stevens, W. S. ;
Lingappa, J. R. ;
Celum, C. .
NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (05) :399-410
[6]   Mr. Right and Mr. Right Now: Romantic and Casual Partner-Seeking Online Among Young Men Who Have Sex with Men [J].
Bauermeister, Jose A. ;
Leslie-Santana, Matthew ;
Johns, Michelle Marie ;
Pingel, Emily ;
Eisenberg, Anna .
AIDS AND BEHAVIOR, 2011, 15 (02) :261-272
[7]   Global epidemiology of HIV infection in men who have sex with men [J].
Beyrer, Chris ;
Baral, Stefan D. ;
van Griensven, Frits ;
Goodreau, Steven M. ;
Chariyalertsak, Suwat ;
Wirtz, Andrea L. ;
Brookmeyer, Ron .
LANCET, 2012, 380 (9839) :367-377
[8]   The Expanding Epidemics of HIV Type 1 Among Men Who Have Sex With Men in Low- and Middle-Income Countries: Diversity and Consistency [J].
Beyrer, Chris ;
Baral, Stefan D. ;
Walker, Damian ;
Wirtz, Andrea L. ;
Johns, Benjamin ;
Sifakis, Frangiscos .
EPIDEMIOLOGIC REVIEWS, 2010, 32 (01) :137-151
[9]   INCONSISTENT CONDOM USE AMONG YOUNG MEN WHO HAVE SEX WITH MEN, MALE SEX WORKERS, AND TRANSGENDERS IN THAILAND [J].
Chemnasiri, Tareerat ;
Netwong, Taweesak ;
Visarutratana, Surasing ;
Varangrat, Anchalee ;
Li, Andrea ;
Phanuphak, Praphan ;
Jommaroeng, Rapeepun ;
Akarasewi, Pasakorn ;
van Griensven, Frits .
AIDS EDUCATION AND PREVENTION, 2010, 22 (02) :100-109
[10]   Using a Geolocation Social Networking Application to Calculate the Population Density of Sex-Seeking Gay Men for Research and Prevention Services [J].
Delaney, Kevin P. ;
Kramer, Michael R. ;
Waller, Lance A. ;
Flanders, W. Dana ;
Sullivan, Patrick S. .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2014, 16 (11)