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Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand.

Publication ,  Journal Article
Weir, BW; Dun, C; Wirtz, AL; Mon, SHH; Qaragholi, N; Chemnasiri, T; Pattanasin, S; Sukwicha, W; Varangrat, A; Dunne, EF; Holtz, TH; Janyam, S ...
Published in: Ann Epidemiol
August 2022

PURPOSE: To examine how recent sex work is identified and the HIV risk factors and service needs among Thai cisgender men who have sex with men (MSM) and transgender women (TGW) who exchange sex. METHODS: MSM and TGW in Bangkok and Pattaya who exchanged sex in the last year (n = 890) were recruited through social media, outreach, and word-of-mouth. Recent sex exchange was based on the primary question, "In the last 30 days, have you sold or traded sex"; secondary questions (regarding income source and client encounters) were also investigated. RESULTS: Overall, 436 (48%) participants engaged in sex work in the last 30 days; among those, 270 (62%) reported exchanging sex by the primary question, and 160 (37%) based on secondary questions only. Recent sex exchange was associated with gonorrhea, syphilis, discussing PrEP with others, and using condoms, alcohol, methamphetamine, amyl nitrate, and Viagra. Exchanging sex based on secondary questions only was associated with being in a relationship, social media recruitment, less recent anal intercourse, and not discussing PrEP. CONCLUSIONS: Thai MSM and TGW who exchange sex need regular access to HIV/STI prevention, testing, and treatment services, and multiple approaches to assessing sex work will help identify and serve this diverse and dynamic population.

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Published In

Ann Epidemiol

DOI

EISSN

1873-2585

Publication Date

August 2022

Volume

72

Start / End Page

1 / 8

Location

United States

Related Subject Headings

  • Transgender Persons
  • Thailand
  • Sexually Transmitted Diseases
  • Sexual and Gender Minorities
  • Male
  • Humans
  • Homosexuality, Male
  • HIV Infections
  • Female
  • Epidemiology
 

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Weir, B. W., Dun, C., Wirtz, A. L., Mon, S. H. H., Qaragholi, N., Chemnasiri, T., … Combination Prevention Effectiveness (COPE) Study Team, . (2022). Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand. Ann Epidemiol, 72, 1–8. https://doi.org/10.1016/j.annepidem.2022.03.012
Weir, Brian W., Chen Dun, Andrea L. Wirtz, Sandra Hsu Hnin Mon, Noor Qaragholi, Tareerat Chemnasiri, Sarika Pattanasin, et al. “Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand.Ann Epidemiol 72 (August 2022): 1–8. https://doi.org/10.1016/j.annepidem.2022.03.012.
Weir BW, Dun C, Wirtz AL, Mon SHH, Qaragholi N, Chemnasiri T, et al. Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand. Ann Epidemiol. 2022 Aug;72:1–8.
Weir, Brian W., et al. “Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand.Ann Epidemiol, vol. 72, Aug. 2022, pp. 1–8. Pubmed, doi:10.1016/j.annepidem.2022.03.012.
Weir BW, Dun C, Wirtz AL, Mon SHH, Qaragholi N, Chemnasiri T, Pattanasin S, Sukwicha W, Varangrat A, Dunne EF, Holtz TH, Janyam S, Jin H, Linjongrat D, Mock PA, Thigpen MC, Rooney JF, Sullivan PS, Hickey AC, Sirivongrangson P, Beyrer C, Combination Prevention Effectiveness (COPE) Study Team. Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand. Ann Epidemiol. 2022 Aug;72:1–8.
Journal cover image

Published In

Ann Epidemiol

DOI

EISSN

1873-2585

Publication Date

August 2022

Volume

72

Start / End Page

1 / 8

Location

United States

Related Subject Headings

  • Transgender Persons
  • Thailand
  • Sexually Transmitted Diseases
  • Sexual and Gender Minorities
  • Male
  • Humans
  • Homosexuality, Male
  • HIV Infections
  • Female
  • Epidemiology