HIV, sexually transmitted infections, and related risk behavior among Cambodian men who have sex with men
Cambodia surveillance data suggest that HIV prevalence is declining among female sex workers and their clients; trends among men who have sex with men (MSM), however, are unknown. In 2000, 15% of MSM surveyed in Phnom Penh (PNP) were estimated to be HIV-infected. To obtain additional information, we conducted an integrated biological-behavioral survey among MSM in three Cambodian cities.
From March to May, 2005, respondent driven sampling (RDS) was used to recruit MSM for a cross-sectional survey in PNP (the capital) and in two provincial cities, Battambang and Siem Reap. After providing informed consent, MSM were interviewed face-to-face using a standard questionnaire. Blood, urine, and rectal swabs were collected for syphilis, HIV, chlamydia, and gonorrhea testing.
Among 299 MSM from PNP and 249 from the provinces, 72% were younger than 25 years; 28% were aged 15-19. About 40% reported having sex with women in the past year. HIV prevalence was 8.9% in PNP and 0.8% in the provinces. In PNP, 18% of MSM had at least one sexually transmitted infection (STI) compared with 10% in the provinces. In PNP, 58% had sold sex in the past month compared with 41% in the provinces; consistent condom use in these encounters was higher in PNP (63%) than in the provinces (18%). Although more provincial MSM (94%) reported having receptive or insertive anal sex in the past month than PNP MSM (69%), very few (16%) used condoms consistently during anal sex (compared with 54% in PNP).
HIV and STI prevalence among MSM was lower in the provinces than in the capital, despite a larger proportion of provincial MSM reporting recent anal sex and inconsistent condom useage. Interventions aimed at risk-reduction are urgently needed to prevent an HIV epidemic from emerging in this highly vulnerable population of provincial MSM.
AIDS 2006 - XVI International AIDS Conference
"M.Phalkun, et al.
HIV, sexually transmitted infections, and related risk behavior among Cambodian men who have sex with men.
AIDS 2006 - XVI International AIDS Conference: