Partying in Thailand: Never Testing Among Men Who Have Sex With Men Who Attend Sexualized (Drug) Parties.

Autor: Cheung DH; From the Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand., Samoh N; From the Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand., Jonas K; Department of Work and Social Psychology, Maastricht University, Maastricht, the Netherlands., Lim SH; Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia., Kongjareon Y; From the Center of Excellence in Research on Gender, Sexuality and Health, Faculty of Social Sciences and Humanities, Mahidol University, Nakhon Pathom, Thailand., Guadamuz TE
Jazyk: angličtina
Zdroj: Sexually transmitted diseases [Sex Transm Dis] 2024 May 01; Vol. 51 (5), pp. 352-358. Date of Electronic Publication: 2024 Jan 23.
DOI: 10.1097/OLQ.0000000000001937
Abstrakt: Background: 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.
Methods: 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").
Results: 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.
Conclusions: 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.
Competing Interests: Conflict of Interest and Sources of Funding: The authors declare that they have no conflict of interest. The research reported in this publication was supported by Mahidol University and the U.S. National Institute of Allergy and Infectious Diseases of the National Institutes of Health under Award Number R21AI140939 (Principal Investigator, Thomas E. Guadamuz). Thomas E. Guadamuz, Yamol Kongjareon, and Nattharat Samoh were supported by NIMH Grants R01MH119015 and R34MH123337. The content is solely the authors' responsibility and does not necessarily represent the official views of the National Institutes of Health.
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Databáze: MEDLINE