Since 2010, the Thailand Ministry of Public Health has recommended that men who have sex with men (MSM) have an HIV test at least two times a year. We calculated the proportion of, and factors associated with, testing adherence among the HIV-uninfected MSM clients attending Silom Community Clinic @TropMed. We defined testing adherence as repeating at least one HIV test within six months of an initial HIV-negative test, and used log-binomial regression to test for associated factors. We included 1927 clients during 2011–2014; 362 (19%) were adherent with an increased trend (p < 0.01), from 16% to 24%. Clients aged 18–24 years and those having a history of HIV testing were more likely to adhere (aRR: 1.3, 95% CI: 1.1–1.6; and aRR: 1.3, 95% CI: 1.0–1.5, respectively). One-fifth adhered to the recommendation; older clients or naïve testees were less likely to adhere. We need to impress on clients the importance of repeat HIV testing.
SirinirundPLimanondBSaonuamP, et al. (eds) 2012 Thailand AIDS response progress report. 617 Publishing, 2013.
2.
van GriensvenFThienkruaWMcNichollJ, et al.
Evidence of an explosive epidemic of HIV infection in a cohort of men who have sex with men in Thailand. AIDS2013;
27: 825–832.
3.
AnanworanichJChitwarakornAWimonsateW, et al.
HIV and syphilis infection among men who have sex with men – Bangkok, Thailand, 2005-2011. MMWR2013;
62: 518–520.
4.
van GriensvenFHoltzTHTheinkruaW, et al.
Temporal trends in HIV-1 incidence and risk behaviours in men who have sex with men in Bangkok, Thailand, 2006-13: an observational study. Lancet HIV2015;
2: e64–e70.
5.
The National Committee for HIV and AIDS Prevention and Alleviation. The National Plan for Strategic and Integrated HIV and AIDS Prevention and Alleviation 2007-2011: key contents. The Agricultural Co-operative Federation of Thailand Publishing, 2007.
WimonsateWNaoratSVarangratA, et al.
Factors associated with HIV testing history and returning for HIV test results among men who have sex with men in Thailand. AIDS Behav2011;
15: 693–701.
8.
ChemnasiriTVarangratAToddCS, et al. Barriers to HIV testing among young men who have sex with men in Bangkok, Thailand: a qualitative exploration. In: 11th International Congress on AIDS in Asia and the Pacific (E-Poster Presentation), Bangkok, Thailand. 18–22 December 2013.
9.
WHO.Consolidated guidelines on HIV testing services.
Geneva:
World Health Organization, 2015.
10.
BransonBMHandsfieldHHLampeMA, et al.
Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. MMWR Recomm Rep2006;
55: 1–17.
11.
Centers for Disease Control and Prevention.
Announcements: National Gay Men's HIV/AIDS Awareness Day: focus on HIV testing – September 27, 2011. MMWR2011;
60: 1283.
12.
Center for Development of Antiretroviral Treatment Service System for HIV-infected People. National Guidelines on HIV/AIDS Diagnosis and Treatment: Thailand 2010. Thailand: The Agricultural Co-operative Federation of Thailand Publishing, 2010. (Thai)
13.
Department of Disease Control and Prevention. Thailand National Guidelines on HIV/AIDS Treatment and Prevention 2014. Thailand: The Agricultural Co-operative Federation of Thailand Publishing, 2014. (Thai)
14.
DivineBTGrebySMHuntKV, et al.
Revised guidelines for HIV counseling, testing, and referral. MMWR2001;
50: 1–58.
15.
ColbyDSrithanaviboonchaiKVanichseniS, et al.
HIV pre-exposure prophylaxis and health and community systems in the Global South: Thailand case study. J Int Aids Soc2015;
18: 19953.
16.
ZablotskaIGrulichAEPhanuphakN, et al.
PrEP implementation in the Asia-Pacific region: opportunities, implementation and barriers. J Int Aids Soc2016;
19: 21119.
17.
MatkovicPVKosanovicLMLKavicM, et al.
Repeat HIV testing at voluntary testing and counseling centers in Croatia: successful HIV prevention or failure to modify risk behaviors?PloS One2014;
9: 1–8.
18.
VriendHJStolteIGHeijneJCM, et al.
Repeated STI and HIV testing among HIV-negative men who have sex with men attending a large STI clinic in Amsterdam: a longitudinal study. Sex Transm Infect2014;
9: 1–6.
19.
SaxtonPJDicksonNPHughesAJ.Location-based HIV behavioral surveillance among MSM in Auckland, New Zealand 2002-2011: condom use stable and more HIV testing. Sex Transm Infect2014;
90: 133–138.
20.
National AIDS Committee. 2013-2015 National AIDS Strategy. Thailand: The Agricultural Co-operative Federation of Thailand Publishing. 2012. (Thai)
21.
Bureau of Risk Communication and Health Behavior Development, Department of Disease Control. Department of Disease Control Revealed Results of DDC Poll: 48.9% of Thai People are still afraid, stigmatize, and discriminate people with HIV. http://www.riskcomthai.org/en/news/mass-media-detail.php?id=31988 (accessed 3 July 2018).
22.
BaiXXuJYangJ, et al.
HIV prevalence and high-risk sexual behaviors among MSM repeat and first-time testers in China: implications for HIV prevention. J Int Aids Soc2014;
17: 18848.
23.
ItodaIHoshinoSSawadaT, et al.
Prevalence of HIV and sexually transmitted infections and characteristics of men who have sex with men at a community-based center in Yokohama, Japan. (Niho Koshu Eisei Zasshi). Japanese J Public Health2013;
60: 253–261.
24.
LeaitySSherrLWellsH, et al.
Repeat HIV testing: high-risk behavior or risk reduction strategy?AIDS2000;
14: 547–552.
25.
FisherHHHabartaNHardnettF, et al.
Characteristics of first-time and repeat HIV tests among men who have sex with men who test at CDC-supported sites, 2007. AIDS Educ Prev2011;
23: 17–29.
26.
FernyakSEPage-ShaferKKelloggTA, et al.
Risk behaviors and HIV incidence among repeat testers at publicly funded HIV testing sites in San Francisco. JAIDS2002;
31: 63–70.
27.
HoltzTHPattanasinSChonwattanaW, et al.
Longitudinal analysis of key HIV-risk behavior patterns and predictors in men who have sex with men, Bangkok, Thailand. Arch Sex Behav2015;
44: 341–348.
