Logie, C.H., Newman, P.A., Weaver, J., et al. AIDS Patient Care and STDs (February 2016), 30(2):92-100, doi: 10.1089/apc.2015.0197.
This study explored associations between HIV-related stigma and (1) socio-demographic variables; (2) types of HIV vulnerability (gay entertainment employment, sex work, forced sex, and stigma); and (3) HIV prevention uptake (condom use, HIV testing, rectal microbicide) among men who have sex with men (MSM) and transgender (TG) women in Thailand. A total of 408 young MSM and TGs aged 18–30 years, recruited from April to August 2013, completed self-administered questionnaires. Two-thirds (65.7%) of participants worked at gay entertainment venues; 55.6 percent reported having been paid for sex, and 33.8 percent reported having paid other partners for sex during the past three months. There were no significant differences by type of HIV vulnerability between HIV-positive and HIV-negative or untested participants. Participants reporting higher total HIV-related stigma scores were less likely to have been tested for HIV, and were less willing to use a rectal microbicide. The authors concluded that having experienced HIV-related stigma was directly associated with low uptake of both HIV testing and microbicide use. The authors suggested that HIV interventions and research among young MSM and TGs in Thailand should address multiple dimensions of HIV-related stigma as a correlate of risk and a barrier to accessing prevention.