Sittitrai W, Brown T, Sakondhavat C
Thai Red Cross Society, Bangkok.
AIDS Care. 1993;5(3):261-71. doi: 10.1080/09540129308258609.
Although many of the earliest cases of AIDS and HIV infection in Thailand were men who had sex with other men (MHSWM), transmission by heterosexual intercourse and needle sharing rapidly became dominant. This resulted in comparatively little attention being given to studies of risk behaviour and seroprevalence in groups of MHSWM with a consequent lack of information about these populations relevant to designing effective interventions. In the Partner Relations Survey, 3.3% of male Thais described their orientation as bisexual or homosexual, most probably an underestimate of the occurrence of same sex behaviour in Thai males. This paper briefly reviews the situation and presents results from a survey in the northeast of Thailand among men who have sex with men. Substantial levels of risk behaviour were found in MHSWM in the Northeast, with high rates of partner exchange and low levels of consistent condom use in insertive and receptive anal intercourse. Significant defects in AIDS knowledge existed implying a strong need for enhanced and expanded interventions in this community. Factors relevant to the design of interventions are highlighted and recommendations for further studies of MHSWM in Thailand are presented.
尽管泰国最早的许多艾滋病和艾滋病毒感染病例是男男性行为者，但异性性交和共用针头导致的传播很快占据了主导地位。这使得对男男性行为者群体的风险行为和血清流行率研究相对较少，因此缺乏与设计有效干预措施相关的这些人群的信息。在伴侣关系调查中，3.3%的泰国男性将自己的性取向描述为双性恋或同性恋，这很可能低估了泰国男性中同性性行为的发生率。本文简要回顾了这一情况，并呈现了泰国东北部一项针对男男性行为者的调查结果。在东北部的男男性行为者中发现了大量的风险行为，伴侣更换率高，在插入式和接受式肛交中持续使用避孕套的比例低。艾滋病知识存在重大缺陷，这意味着迫切需要在这个群体中加强和扩大干预措施。文中强调了与干预措施设计相关的因素，并提出了在泰国进一步研究男男性行为者的建议。
