Document 0957
 DOCN  M9470957
 TI    HIV-1 infection among lower class commercial sex workers in Chiang Mai,
       Thailand.
 DT    9409
 AU    Celentano DD; Akarasewi P; Sussman L; Suprasert S; Matanasarawoot A;
       Wright NH; Theetranont C; Nelson KE; Johns Hopkins University School of
       Hygiene and Public Health,; Baltimore, Maryland 21205.
 SO    AIDS. 1994 Apr;8(4):533-7. Unique Identifier : AIDSLINE MED/94280728
 AB    OBJECTIVE: To determine risk factors for HIV-1 infection in female
       commercial sex workers (CSW) in northern Thailand. METHODS: A
       cross-sectional survey of female CSW from 11 sex establishments
       frequented by military conscripts that included an interview and
       serological testing for HIV-1. RESULTS: The HIV-1 seroprevalence in 230
       CSW was 65%; the rate was lower among CSW from Chiang Mai than from
       rural areas. Multivariate logistic regression analysis for HIV-1
       included the following significant factors: non-urban location of the
       sex establishment, ethnic Thai lowlander, lower price, history of
       genital warts and dysuria. Condom use, number of partners and duration
       of employment were not significantly associated with HIV-1 prevalence
       after adjustment for other risk factors. CONCLUSIONS: The high level of
       HIV-1 seroprevalence in this sample demonstrates the risk of
       transmission in lower cost commercial sex encounters in northern
       Thailand. Non-Thais (ethnic Hill tribes and Burmese) had lower HIV-1
       prevalence than ethnic Thais. Type of establishment ('direct'
       brothel-based or 'indirect' establishments) was not predictive of HIV-1
       seroprevalence. However, rural establishments were less vigilant in
       promoting condom use, suggesting the need for renewed efforts to enforce
       the Ministry of Public Health's '100% Condom Campaign' in commercial sex
       establishments.
 DE    Adolescence  Adult  Female  Human  HIV Infections/*EPIDEMIOLOGY  *HIV-1
       Male  *Prostitution  Regression Analysis  Risk Factors  Socioeconomic
       Factors  Support, Non-U.S. Gov't  Support, U.S. Gov't, Non-P.H.S.
       Thailand/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).