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Background: The new challenge of human immunodeficiency virus (HIV) prevention exists in men who have sex with men (MSM) and becomes the key population accounting for the vast majority of new HIV infections worldwide. Consistent condom use has been proved to be effective to prevent HIV transmission. Promoting the use of condom is needed; however, knowledge on what factors relevant to the performance of this behavior among MSM in Thailand is limited.
Objectives: To examine the prevalence rate of condom use among MSM in Thailand, and to identify related factors of its use.
Methods: Participants were recruited using convenience sampling with inclusion criteria. The data were collected using an online questionnaire and then analyzed using chi-square test and Spearman rank correlation.
Results: A total of 153 data sets from participants were included in the analysis. The average age was 27.4 ± 5.8 years. The HIV positivity was 6.5%, and consistent condom use was 55.6%. The correlational analysis showed that age (P = .03), intention, attitude, subjective norms, and perceived behavioral control (P < .01) were significantly correlated with consistent condom use.
Conclusions: The interventions proposed to promote consistent condom use among MSM should focus on increasing intention, attitude, subjective norms, and/or perceived behavioral control, especially among young MSM in Thailand.
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2. World Health Organization. Global Health Observatory data: HIV/AIDS. World Health Organization website. https://www.who.int/gho/hiv/en/. Accessed August 2, 2019.
3. Centers for Disease Control and Prevention. Prevalence and awareness of HIV infection among men who have sex with men - 21 cities, United States, 2008. Morb Mortal Wkly Rep. 2010;59(37):1201-1207.
4. Beyrer C, Baral SD, van Griensven F, et al. Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012;380(9839):367-377. doi:10.1016/S0140-6736(12)60821-6.
5. Siraprapasiri T, Ongwangdee S, Benjarattanaporn P, Peerapatanapokin W, Sharma M. The impact of Thailand’s public health response to the HIV epidemic 1984-2015: understanding the ingredients of success. J Virus Erad. 2016;2(Suppl 4):7-14.
6. van Griensven F, Varangrat A, Wimonsate W, et al. Trends in HIV prevalence, estimated HIV incidence, and risk behavior among men who have sex with men in Bangkok, Thailand, 2003-2007. J Acquir Immune Defic Syndr. 2010;53(2):234-239. doi:10.1097/QAI.0b013e3181c2fc86.
7. Bureau of Epidemiology. HIV/AIDS Situation in Thailand 2016. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2017.
8. Centers for Disease Control and Prevention. HIV risk and prevention: Pre-exposure prophylaxis (PrEP). https://www.cdc.gov/hiv/risk/prep/index.html. Accessed August 2, 2019.
9. Smith DK, Herbst JH, Zhang X, Rose CE. Condom effectiveness for HIV prevention by consistency of use among men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2015;68(3):337-344. doi:10.1097/qai.0000000000000461.
10. Garcia MC, Duong QL, Mercer LC, Meyer SB, Koppenhaver T, Ward PR. Patterns and risk factors of inconsistent condom use among men who have sex with men in Viet Nam: Results from an Internet-based cross-sectional survey. Glob Public Health. 2014;9(10):1225-1238. doi:10.1080/17441692.2014.948481.
11. Liu J, Qu B, Ezeakile MC, Zhang Y, Liang S. Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study. BMC Public Health. 2013;13:356. doi:10.1186/1471-2458-13-356.
12. Paz-Bailey G, Mendoza MCB, Finlayson T, et al. Trends in condom use among MSM in the United States: the role of antiretroviral therapy and seroadaptive strategies. AIDS. 2016;30(12):1985-1990. doi:10.1097/QAD.0000000000001139.
13. Yi S, Tuot S, Chhoun P, Pal K, Tith K, Brody C. Factors associated with inconsistent condom use among men who have sex with men in Cambodia. PLoS One. 2015;10(8):e0136114. doi:10.1371/journal.pone.0136114.
14. Bureau of Epidemiology. HIV/AIDS Situation in Thailand 2015. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2016.
15. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211. doi:10.1016/0749-5978(91)90020-T.
16. Andrew BJ, Mullan BA, de Wit JB, Monds LA, Todd J, Kothe EJ. Does the theory of planned behaviour explain condom use behaviour among men who have sex with men? A meta-analytic review of the literature. AIDS Behav. 2016;20(12):2834-2844. doi:10.1007/s10461-016-1314-0.
17. Janepanish P, Dancy BL, Park C. Consistent condom use among Thai heterosexual adult males in Bangkok, Thailand. AIDS Care. 2011;23(4):460-466. doi:10.1080/09540121.2010.516336.
18. Schutz M, Godin G, Kok G, Vézina-Im LA, Naccache H, Otis J; MAYA Study Group. Determinants of condom use among HIV-positive men who have sex with men. Int J STD AIDS. 2011;22(7):391-397. doi:10.1258/ijsa.2011.010205.
19. Bureau of Epidemiology. Overall situation of HIV Epidemic in Thailand 2013. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2014. https://www.boe.moph.go.th/files/report/20141128_31017647.pdf. Accessed August 2, 2019.
20. Becerra JC, Bildstein LS, Gach JS. Recent Insights into the HIV/AIDS Pandemic. Microb Cell. 2016;3(9):451-475. doi:10.15698/mic2016.09.529.
21. Longkul J, Promthet S. Condom used among man who have sex with men in Khon Kaen province. KKU Journal for Public Health Research. 2012;5(2):29-38.
22. Kwak Y, Payne JW, Cohen AL, Huettel SA. The rational adolescent: strategic information processing during decision making revealed by eye tracking. Cogn Dev. 2015;36:20-30. doi:10.1016/j.cogdev.2015.08.001.
23. Steinberg L. A social neuroscience perspective on adolescent risk-taking. Dev Rev. 2008;28(1):78-106. doi:10.1016/j.dr.2007.08.002.
24. Tangmunkongvorakul A, Carmichael G, Banwell C, Utomo ID, Sleigh A. Sexual perceptions and practices of
young people in Northern Thailand. J Youth Stud. 2011;14(3):315-339. doi:10.1080/13676261.2010.522562.
25. Yélian Adohinzin CC, Méda N, Gaston Belem AM, et al. Knowledge, attitudes and condom use skills among
youth in Burkina Faso. Sante Publique. 2017;29(1):95-103.
26. United Nations Children’s Fund (UNICEF). Review of Comprehensive Sexuality Education in Thailand. Bangkok: Ministry of Education; 2017. https://unesdoc.unesco.org/images/0024/002475/247510THA.pdf. Accessed August 2, 2019.
27. Knox J, Yi H, Reddy V, Maimane S, Sandfort T. The fallacy of intimacy: Sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa. Psychol Health Med. 2010;15(6):660-671. doi:10.1080/13548506.2010.507772.
28. Musinguzi G, Bastiaens H, Matovu JKB, et al. Barriers to condom use among high risk men who have sex with men in Uganda: A qualitative study. PLoS One. 2015;10(7):e0132297. doi:10.1371/journal.pone.0132297.
29. Purdy CH. Using the internet and social media to promote condom use in Turkey. Reprod Health Matters. 2011;19(37):157-165. doi:10.1016/S0968-8080(11)37549-0.
30. Albarracin D, Johnson BT, Fishbein M, Muellerleile PA. Theories of reasoned action and planned behavior as models of condom use: a meta-analysis. Psychol Bull. 2001;127(1):142-161. doi:10.1037/0033-2909.127.1.142.