Cheung Doug H, Samoh Nattharat, Jonas Kai, Lim Sin How, Kongjareon Yamol, Guadamuz Thomas E
From the Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand.
Department of Work and Social Psychology, Maastricht University, Maastricht, the Netherlands.
Sex Transm Dis. 2024 May 1;51(5):352-358. doi: 10.1097/OLQ.0000000000001937. Epub 2024 Jan 23.
Human immunodeficiency virus (HIV) testing for Thai men who have sex with men (MSM) is suboptimal, which undermines their linkage to care and subsequent HIV preexposure prophylaxis (PrEP) uptake.
We analyzed a cross-sectional survey conducted in 2021 among Thai MSM who attended any private sex parties or circuit parties in the past 3 years ("sexualized parties").
Of the 424 men included in our analysis, 47.6% had been recently tested for HIV in the past 1 year, 30.2% had not recently been tested, and 22.2% had never been tested. In our multivariable analysis, relative to participants who had recently tested for HIV, those who have never tested were more likely to have lower education or to live outside of Bangkok, and to have attended both circuit and private sex parties (vs. private sex party only) but were less likely to report any sexually transmitted infection diagnosis or to have heard of PrEP. Participants who had an HIV test more than a year ago were more likely to have attended both circuit and private sex parties (vs. private sex parties only) but were less likely to have any sexually transmitted infection diagnosis, meet sexual partners online, or have heard of PrEP. Rates of condomless anal sex and willingness to use PrEP were similar across groups.
Despite the high rates of sexual risk-taking, sexualized party attendees reported suboptimal HIV testing uptake. The joint promotion of HIV testing and PrEP is warranted-especially on-premise HIV testing at circuit parties and outreach at online platforms to reach sexualized party attendees.
泰国男男性行为者（MSM）的艾滋病毒检测情况并不理想，这影响了他们获得护理服务以及后续接受艾滋病毒暴露前预防（PrEP）的情况。
我们分析了2021年对过去3年参加过任何私人派对或巡回派对（“性化派对”）的泰国男男性行为者进行的一项横断面调查。
在我们分析的424名男性中，47.6%在过去1年中最近进行过艾滋病毒检测，30.2%最近没有检测，22.2%从未检测过。在我们的多变量分析中，相对于最近进行过艾滋病毒检测的参与者，从未检测过的参与者更有可能受教育程度较低或居住在曼谷以外，并且参加过巡回派对和私人派对（相对于仅参加私人派对），但报告有任何性传播感染诊断或听说过PrEP的可能性较小。一年多以前进行过艾滋病毒检测的参与者更有可能参加过巡回派对和私人派对（相对于仅参加私人派对），但有任何性传播感染诊断、在网上结识性伴侣或听说过PrEP的可能性较小。各组之间无保护肛交的发生率和使用PrEP的意愿相似。
尽管性风险行为发生率很高，但参加性化派对的人报告的艾滋病毒检测率并不理想。有必要联合推广艾滋病毒检测和PrEP，特别是在巡回派对上进行现场艾滋病毒检测以及在在线平台上进行外展活动，以覆盖参加性化派对的人。
