       Document 0843
 DOCN  M9620843
 TI    Dynamics of risk behavior for HIV infection among young Thai men.
 DT    9602
 AU    Celentano DD; Nelson KE; Suprasert S; Eiumtrakul S; Galai N; Kuntolbutra
       S; Wright N; Theetranont C; Department of Health Policy and Management,
       Johns Hopkins; University School of Hygiene and Public Health,
       Baltimore,; Maryland 21205, USA.
 SO    J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Dec 1;10(4):477-83.
       Unique Identifier : AIDSLINE MED/96074282
 AB    The objective of this investigation was to analyze the dynamics of risk
       for HIV-1 infection among young men in Thailand. We conducted a
       prospective study in a cohort (n = 1,236) of young men, aged 19-23 years
       at conscription into the Royal Thai Army and Air Force from six
       provinces in northern Thailand in May 1991 who were followed until their
       discharge in April 1993. The outcome measure was change since
       conscription in the frequency of self-reported sex with female
       commercial sex workers (CSW) during military service. Although 42% of
       conscripts reported no visit to a female CSW in the year prior to
       conscription, most had a visit during military service. Men who visited
       female CSWs infrequently at baseline increased their visits somewhat
       over time, whereas those with high initial rates of CSW visits
       decreased. Based on an assumed stable distribution over time, change
       from baseline was not statistically significant. Only marital status and
       high baseline CSW visit rates were associated with diminished visit
       frequency in multivariate analysis. No differences were seen in patterns
       of change in CSW visits by HIV-1 serostatus. More aggressive preventive
       interventions are needed to reduce the frequency of CSW visits in
       northern Thailand, a setting where 40-80% of all female CSWs working in
       brothels are now HIV seropositive.
 DE    Adult  Chi-Square Distribution  Cohort Studies  Disease Transmission,
       Horizontal/STATISTICS & NUMER DATA  Female  Human  HIV
       Infections/*EPIDEMIOLOGY/TRANSMISSION  *HIV-1  Male  Military Personnel
       Multivariate Analysis  Prospective Studies  Prostitution  Risk Factors
       *Risk-Taking  Self Disclosure  Sex Behavior/STATISTICS & NUMER DATA
       Support, Non-U.S. Gov't  Support, U.S. Gov't, Non-P.H.S.
       Thailand/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

