Changes in Sexual Behavior and a Decline in HIV Infection among Young Men in Thailand

• Published in: The New England journal of medicine Vol. 335; no. 5; pp. 297 - 303
• Main Authors: Nelson, Kenrad E, Celentano, David D, Eiumtrakol, Sakol, Hoover, Donald R, Beyrer, Chris, Suprasert, Somboon, Kuntolbutra, Surinda, Khamboonruang, Chirasak
• Format: Journal Article
• Language: English
• Published: Boston, MA Massachusetts Medical Society 01-08-1996
• Subjects: Acquired Immune Deficiency Syndrome; Adult; Age Factors; Biological and medical sciences; Cohort Studies; Condoms - utilization; Family medical history; Health Education; HIV; HIV Infections - epidemiology; HIV Seroprevalence - trends; Human immunodeficiency virus; Humans; Immunodeficiencies; Immunodeficiencies. Immunoglobulinopathies; Immunopathology; Incidence; Male; Males; Medical sciences; Men; Prevention; Program Evaluation; Public Health; Risk-Taking; Sex Work; Sexual Behavior; Sexual Behavior - statistics & numerical data; Sexually Transmitted Diseases - epidemiology; Substance Abuse, Intravenous - epidemiology; Thailand; Thailand - epidemiology; Tropical medicine; Young Adults; Thailand; Asia; Infection; Human; Immunopathology; Prostitution; Prevalence; Condom; Mass campaign; Viral disease; AIDS; Health education; Immune deficiency; Comparative study; Sex Behavior > changes; Age Factors; Prostitutes > women; Viral Diseases; Thailand; Population Characteristics; Contraceptive Methods; Population; Research Report; Youth > men; Behavior; Demographic Factors; Government; Political Factors; Contraception; Barrier Methods; Family Planning; Risk Reduction Behavior > men; Diseases; Hiv Infections > men; Asia; Sex Behavior > men; Southeastern Asia; Developing Countries; Military Personnel > men
• ISSN: 0028-4793; 1533-4406
• DOI: 10.1056/NEJM199608013350501

In Thailand, the epidemic of human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS) is of recent origin.
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In response to surveys indicating a dramatic increase in the prevalence of HIV among injection-drug users in Bangkok in early 1988, the Ministry of Public Health established a semiannual surveillance program in June 1989 to detect HIV infection in several populations throughout the country.
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This surveillance found the highest HIV seroprevalence among persons from the northern provinces of Thailand, especially female sex workers.
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In response to the surveillance data, the ministry instituted a program to promote safer . . .