Sexually transmitted diseases and HIV among young Thai men.

Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.

Sexually transmitted diseases and HIV among young Thai men.

Int Conf AIDS. 1992 Jul 19-24;8(1):Mo10 (abstract no. MoC 0028). Unique Identifier : AIDSLINE ICA8/92399989
Eiumtrakul S; Matanasarawoot A; Tulvatana S; Celentano D; Nelson K; Wright N; Chiang Mai University.

Abstract: OBJECTIVE: Sexually transmitted diseases (STDs) have been identified as risk factors for heterosexually transmitted HIV infection in numerous epidemiologic studies. While studies of heterosexual transmission in the USA have suggested a low efficiency of HIV transmission, the rate of heterosexual transmission appears to be much higher in Thailand and may be due in part to higher prevalence of STDs, including genital ulcer disease and syphilis. We report here on the association between history and symptoms of STDs and prevalent HIV infection in a cross-sectional sample of young men in northern Thailand. METHOD: Using baseline interview and serological results of the Thai Male Health Study, a prospective investigation of risk factors for prevalent and incident HIV infection, the association between self reported history of STDs and HIV serologic status were compared in a sample of men (mean age = 21 years) in May 1991 (135 seropositives, 1101 seronegatives, 10.9% seroprevalence). RESULTS: Rates of reported STDs and symptoms demonstrated significant differences by HIV status: TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSION: The frequent occurrence of HIV with STDs in this young population is of great concern. STDs may increase the infectiousness of index partners through increased shedding of HIV, and the susceptibility of the contact may also be increased. The high prevalence of both STDs and HIV may create conditions in northern Thailand where heterosexual transmission of HIV is common.

Keywords: Adult Comorbidity Human HIV Infections/*EPIDEMIOLOGY/TRANSMISSION Male Odds Ratio Prevalence Risk Factors Sex Behavior Sexually Transmitted Diseases/*EPIDEMIOLOGY Thailand/EPIDEMIOLOGY ABSTRACT
921230
M92C5358

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