Jiratha Budkaew 1
1 Family Physician And Clinical Teacher, Khon Kaen Hospital, Khon Khan, Thailand
Background: In Thailand, men who have sex with men (MSMs) have a far higher rate of HIV infections compared to the general population. If these persons do not modify their behavior to safer lifestyles (e.g., consistent condom use with all partners), they may increase the spread of HIV infection.
Methods: We conducted a cross-sectional study involving Antiretroviral Clinic (ARV) to explore the sexual behaviors of HIV-positive MSM after the diagnosis of HIV infection. HIV-positive MSM aged ≥ 18 years was asked to enrol in the study. The questionnaire was administered to 114 participants.
Results: We found that approximately 40% of HIV positive MSM had not have sex with a man (i.e., were abstinent or had sexual with women) during the 12 months preceding the interview. There were 19 subjects reported unprotected sex, 4.31% and 12.28% reported engaging in unprotected anal and oral intercourse, respectively. About 16.6 % reported that they had practiced at- risk sexual behavior and the mean of number of partners in the past 3 months was 1.8. In total, 32.46% (n = 37) of the participants reported that they had relationships with a stable partner, while 22.80% (n= 26) indicated they continued relationships with casual partners.
Conclusion: The study shows that our sample of HIV-positive MSM, though aware of being infected, engage in sexual behaviors that could sustain transmission of HIV and other STIs. The results of the present study highlight the need for a national prevention programs for persons living with HIV.