
International Journal of STD & AIDS (10.01.04) Vol. 15; No. 10: P. 697-704 - Monday, October 04, 2004
C. Beyrer, MD, MPH; M. H. Razak, MD, PhD; J. Jittiwutikarn, MD; V. Suriyanon, MD; T. Vongchak, MHS; N. Srirak, PhD; S. Kawichai, PhD; S. Tovanabutra, PhD; K. Rungruengthanakit, MHS; P. Sawanpanyalert, MD, PhD; T. Sripaipan, MHS; D.D. Celentano, ScD
Among study participants, 40.2 percent (750) were admitted for MA detoxification and 59.8 percent (1,115) for opiate (heroin, opium, or both) treatment. MA users were significantly younger, better educated and more likely to be Thai than highland ethnic minorities. Compared to those admitted for opiate or mixed drug treatment, MA users had significantly different sexual risks and STD rates, including lower syphilis seropositivity and higher prevalence of chlamydia. For participants who reported MA use only, use by injection was rare and HIV infection was significantly less common than among all other drug users.
The study's findings show that MA users "are a strikingly different population from opiate/heroin users in northern Thailand." MA users had higher chlamydia rates than opiate users, reflecting their young age, and lower HIV rates than injecting drug users, though these were still elevated. As Thailand is undergoing an epidemic of MA use, the serious public health problem posed by MA use calls for urgent improvement in prevention and treatment methodologies.
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