P31. Sexual behaviors reported by a sample of HIV-positive men who have sex with men: A descriptive study in Khon Kaen, Thailand

Jiratha Budkaew1
Affiliates: 1Khon Kaen Hospital, Khon Kaen, Thailand

Background
In Thailand, men who have sex with men (MSMs) have a far higher rate of Human Immunodeficiency Virus (HIV) infections compared to the general population. If these persons do not modify their behavior to safer lifestyles (e.g., consistent condom use with all partners), they may increase the spread of HIV infection.

Methods
In 2014, we conducted a cross-sectional study involving Antiretroviral Clinic (ARV) in Khon Kaen hospital to explore the sexual behaviors of HIV-positive MSMs after the diagnosis of HIV infection. HIV-positive MSMs aged ≥ 18 years was asked to enroll in the study. The questionnaire was administered to 114 MSMs at least 3 months after HIV diagnosis.

Results
The findings in this study indicate that approximately 40% of HIV positive MSMs had not have sex with a man (i.e., were abstinent or had sexual with women) during the 12 months preceding the interview. There were 19 subjects reported unprotected sex, 4.31% and 12.28% reported engaging in unprotected anal and oral intercourse, respectively. About 16.6 % reported that they had practiced at- risk sexual behavior and the mean of number of partners in the past 3 months was 1.8. In total, 32.46% (n = 37) of the participants reported that they had relationships with a stable partner, while 22.80% (n= 26) indicated they continued relationships with casual partners.

Conclusion
The study shows that our sample of HIV-positive MSM, though aware of being infected, engage in sexual behaviors that could sustain transmission of HIV and other STIs. The results of the present study highlight the need for a national prevention programs for persons living with HIV.