Stigma and substance use as barriers to uptake of HIV testing and counseling and sexually transmitted infections testing services among sexual minority men in Bangkok, Thailand : a secondary data analysis of the Bangkok behavior surveillance survey (BBSS)
Issued Date
2024
Copyright Date
2020
Resource Type
Language
eng
File Type
application/pdf
No. of Pages/File Size
xi, 113 leaves: ill.
Access Rights
open access
Rights
ผลงานนี้เป็นลิขสิทธิ์ของมหาวิทยาลัยมหิดล ขอสงวนไว้สำหรับเพื่อการศึกษาเท่านั้น ต้องอ้างอิงแหล่งที่มา ห้ามดัดแปลงเนื้อหา และห้ามนำไปใช้เพื่อการค้า
Rights Holder(s)
Mahidol University
Bibliographic Citation
Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2020
Suggested Citation
Zu, Zu Kyaw Sein Win, 1990- Stigma and substance use as barriers to uptake of HIV testing and counseling and sexually transmitted infections testing services among sexual minority men in Bangkok, Thailand : a secondary data analysis of the Bangkok behavior surveillance survey (BBSS). Thesis (M.P.H.M. (Primary Health Care Management))--Mahidol University, 2020. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/99475
Title
Stigma and substance use as barriers to uptake of HIV testing and counseling and sexually transmitted infections testing services among sexual minority men in Bangkok, Thailand : a secondary data analysis of the Bangkok behavior surveillance survey (BBSS)
Author(s)
Advisor(s)
Abstract
The prevalence of HIV new infections among the MSMs who are the most affected key-population groups of HIV infection and SITs in Thailand dramatically increased between 1995-2015. However, HIV new infections among some groups are decreasing countrywide because of Thailand's successful HIV Prevention Programme. Regarding the UNAIDS 90-90-90 Targets, Thailand has already reached the first target 90 as 94% in 2018. However, only 43.0% of MSM are estimated to have had an HIV test and there are many challenges to access the HIV and STIs testing services. The objectives of this study were to identify the facilitators and barriers to uptake of the HIV and STIs testing services among the sexual minority men in Bangkok, Thailand. Data for this study was used from Behavioral Surveillance Survey (BSS) in Bangkok, Thailand, collected from August 2019 to October 2019. This study was a cross-sectional study with an anonymous and self-completed paper-based survey conducted in the major hotspot areas of MSM. Multivariate logistic regression analysis was employed to examine the factors associated with the HIV/STIs testing behavior. The adjusted odds ratios were reported with 95% confidence intervals. Of the total sample (n=409), 35% of MSM and 32.5% of MSM had had STIs testing and HIV testing within 12 months, respectively. MSM who got 5-scores of knowledge towards HIV and MSM who perceived themselves as high risk of infections were significantly associated with the increased HIV testing in the Chisquare analysis. Discrimination by family members was significantly associated with both uptake of HIV and STIs testing in Chi-square test. In Multiple logistic regression, no self-stigma (no ashamed because of being a gay) was strongly predicted as increase uptake of STIs testing (AOR = 2.49, 95% CI = 1.30 - 4.76) in the past 12 months while the substance use was not found to have any correlation with the uptake of STIs and HIV testing. In conclusion, the prevalence of STIs and HIV testing among the MSMs in Thailand has remained steady and still under the expected rate. Stigma and discrimination are still the barriers for the uptake of HIV testing and STIs testing among the MSMs in Bangkok. The findings suggested that the more accessible to the testing-related services, the prevention programmes and the higher knowledge and attitude level may lead to the more uptake of STIs and HIV testing. IMPLICATION OF THESIS 1. To increase the uptake of HIV and STIs testing, a strong policy is needed to implement among the MSMs population in Bangkok that should include an easy accessibility of intervention/services including providing free condoms, lubricant gels and free information/intervention for the HIV prevention for the MSMs in Bangkok. In addition, providing knowledge towards HIV/AISD and SITs, and both testing services at the same service place/clinic would be more likely to have the uptake of both testings'. 2. To decrease stigma and discrimination among the MSMs in Bangkok, it is needed to implement a strong policy for zero discrimination among the MSMs in Bangkok.
Description
Primary Health Care Management (Mahidol University 2020)
Degree Name
Master of Primary Health Care Management
Degree Level
Master's degree
Degree Department
ASEAN Institute for Health Development
Degree Discipline
Primary Health Care Management
Degree Grantor(s)
Mahidol University