Document 3119
 DOCN  M94A3119
 TI    Behavioral intervention for Thai Army conscripts may reduce HIV
       incidence.
 DT    9412
 AU    Bond K; Na Chiang MC; Vaddhanaphuti C; Eiumtrakul S; Nelson KE;
       Celentano DD; Johns Hopkins University, Baltimore, MD 21205.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):15 (abstract no. 032D). Unique
       Identifier : AIDSLINE ICA10/94369456
 AB    OBJECTIVE: To estimate the impact of a behavioral intervention among
       conscripts in the Royal Thai Army in the Upper North on HIV incidence
       and risk reduction. METHODS: Four cohorts of 21 year old men conscripted
       by lottery were tested for HIV-1 between May 1991 to November 1993. A
       behavioral intervention focusing on reducing alcohol use and brothel
       patronage and improving negotiation and condom use skills was provided
       to the latter two cohorts in intensive, small group discussion sessions.
       Serial blood draws and personal interviews were conducted to determine
       behavioral risk factors for HIV infection. Incidence rates and HIV risk
       behaviors were analyzed using Poisson regression models. RESULTS:
       Preliminary data obtained through February 1994 demonstrates that there
       may be an intervention effect on HIV incidence. Incidence in the first
       two cohorts (n = xxxx and xxx) was 3.4 per 100 person-years. Preliminary
       incidence for the first intervention cohort (n = 778) was 0.87 per 100
       person-years (subsequent data to be shown). Prevalence appears to have
       moderated, with less risky behavior at recruitment (more condom use,
       later sexual initiation). Behavioral factors for HIV infection in this
       population (CSW patronage, alcohol use, condom use, number and type of
       partners) will be shown in multivariate analysis as risks for incident
       HIV infection. CONCLUSIONS: While secular norms in northern Thailand are
       slowly changing, the results of this investigation suggest that an
       intensive behavioral intervention may lead to important behavior
       changes. Continuing interventions are needed to prevent relapse.
 DE    Adult  Alcohol Drinking  Cohort Studies  Condoms/UTILIZATION  Health
       Education/*METHODS  Human  HIV Infections/EPIDEMIOLOGY/*PREVENTION &
       CONTROL  Incidence  Male  Military Personnel/*PSYCHOLOGY  Multivariate
       Analysis  Poisson Distribution  Risk Factors  Risk-Taking  Sex Behavior
       Thailand/EPIDEMIOLOGY  MEETING ABSTRACT

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