Document 2511
 DOCN  M94A2511
 TI    HIV prevalence and risk behavior in young men in n. Thailand, 1991-1993.
 DT    9412
 AU    Nelson K; Beyrer C; Eiumtrakol S; Khamboonruang C; Celentano DD; Wright
       N; Johns Hopkins University, Baltimore, MD.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):288 (abstract no. PC0072). Unique
       Identifier : AIDSLINE ICA10/94370064
 AB    OBJECTIVE: To compare rates of prevalent HIV-1 infection, and HIV risk
       factors among 4 cohorts of male Royal Thai Army (RTA) conscripts in
       northern Thailand. METHODS: 4 cohorts of 21 yr old men were tested for
       HIV-1 at entry to the RTA (1991 & 1993). HIV prevalence was measured
       with ELISA and Western blot. Risk factors for HIV were assessed by
       interview and analyzed with Chi Square. RESULTS: HIV prevalence at
       baseline in the 4 cohorts was: TABULAR DATA, SEE ABSTRACT VOLUME. Chi
       Square analysis for trend was not significant. The combined 1991 cohorts
       in comparison with those in 1993 had an earlier age of sexual debut
       (60.65 vs 50.1% for age < 17 yrs, (p < .001), and were more likely to
       report a lifetime history of any STD (42.2% vs 32.2% (p < .001).
       Analysis of risk behaviors across the 4 cohorts showed that lifetime
       condom use increased from 78.2% to 90.4% in cohort 4 (p < .0001). Condom
       use at last sex increased from C-1 58.4%, C-2 63.6%, C-3 82.9%, C-4
       84.4%, (p < .0001). Sex with a CSW in the last yr declined from C-1
       71.9%, C-2 68.1%, C-3 49.7%, C-4 38.5%, (p < .0001). CONCLUSIONS: These
       data suggest there may be a decline in some risk behaviors, and an
       increase in condom use among young northern Thai men from 1991 to 1993
       and a stabilized HIV prevalence. Continued educational and behavioral
       interventions will be necessary to control the epidemic of HIV-1 in
       northern Thailand.
 DE    Adult  Cohort Studies  Condoms  Human  *HIV Seroprevalence  *HIV-1  Male
       *Military Personnel  Risk Factors  Sex Behavior  Thailand/EPIDEMIOLOGY
       MEETING ABSTRACT

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