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RESEARCH ARTICLE

Patterns of sexual behaviour of male patients before testing HIV-positive in a Cambodian hospital, Phnom Penh

Phan Sok A B E , Joseph I. Harwell B C , Lynne Dansereau D , Stephen McGarvey D , Mark Lurie D and Kenneth H. Mayer C D
+ Author Affiliations
- Author Affiliations

A Sihanouk Hospital Center of HOPE (SHCH), St. 134, Sankat Vealvong, Khan 7 Makara, Phnom Penh, Cambodia.

B Present address: 247 Surgeoner Crescent, Newmarket, ON L3X 2L3, Canada.

C Brown University/The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906, USA.

D Brown University, 121 South Main Street (2nd Floor), Providence, RI 02912, USA.

E Corresponding author. Email: phan.sok@gmail.com

Sexual Health 5(4) 353-358 https://doi.org/10.1071/SH08001
Submitted: 3 January 2008  Accepted: 15 April 2008   Published: 18 November 2008

Abstract

Background: Sexual behaviours among HIV-positive male patients in Cambodia have not been fully evaluated. Objectives: The patterns of sexual behaviours and social factors were compared between married and single men. Methods: A retrospective cross-sectional survey of 174 male HIV patients was undertaken during March 1999–June 2000 in Phnom Penh. Results: Many participants (61%) reported that they were unaware that their sexual behaviours may have put them at risk of HIV infection. Sexual behaviours included having sex with a sex worker (90%), multiple sexual partners (41%), and both of these behaviours (37%). Two-thirds (69%) reported using a condom when having sex with a sex worker. Condom use with multiple sexual partners was low (24%). A history of condom use with a sex worker was less likely to be reported among married men than single men (P = 0.008). Always using condoms with a sex worker did not differ between married men and single men. Social factors that influenced visiting a sex worker included invitation by a friend (88%), alcohol consumption (74%), and having extra spending money (72%). Multivariate analysis suggests that alcohol consumption (P = 0.008) and having extra spending money (P = 0.02) were strongly associated with visiting a sex worker. Conclusions: In Cambodia, HIV-infected men frequently reported a history of using sex workers. Having multiple sex partners or using a sex worker and multiple sexual partners were not rare. Interventions should target men in settings where alcohol is consumed and to encourage married men to use condoms.

Additional keywords: HIV, men, social factors.


Acknowledgements

The authors thank the SHCH in Phnom Penh, Cambodia, for allowing the use of data. This investigation was supported by the Miriam Hospital, Brown University and the NIH Fogarty International Center AIDS International Training and Research Program Grant #TW00237 and Lifespan-Tufts-Brown CFAR #P30 AI42853.


References


[1] Phalla T,  Leng HB,  Mills S,  Bennett A,  Wienrawee P,  Gorbach P, et al. HIV and STD epidemiology, risk behaviors, and prevention and care response in Cambodia. AIDS 1997; 12 11–8.
[accessed 22 August 2007].

[3] National Center for HIV/AIDS, Dermatology and STDs (NCHADS). Report on HIV Sentinel Surveillance (HSS) 2003. Available online at: http://www.nchads.org/Publication/HSS/HSS_2003_Report.pdf [accessed 29 June 2007].

[4] Abraham S. HIV in Southeast Asia. Harv AIDS Rev 1998; Fall 2–6.
[accessed 29 June 2007].

[13] Girault P , Saidel T , Song N , Wijngaarden VJ , Dallabetta G , Stuer F et al Family Health International (FHI). Sexual behavior, STIs and HIV among men who have sex with men in Phnom Penh, Cambodia. Available online at: http://www.fhi.org/en/HIVAIDS/pub/survreports/MSMCambodia/index.htm [accessed 13 March 2008].

[14] UNAIDSConsensus estimates of the number of problem drug users in Cambodia, 2004. Available online at: http://www.un.org.kh/unaids/docs/CambodiadrugprevalenceestimatesJune2005.pdf[accessed 4 March 2008].

[15] Kassler WJ,  Zenilman JM,  Erickson B,  Fox R,  Peterman TA,  Hook EW. Seroconversion in patients attending sexually transmitted disease clinics. AIDS 1994; 8 351–6.
Crossref | GoogleScholarGoogle Scholar | CAS | PubMed | [accessed 2 July2007].