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Condom use in Thailand: how much is it slowing the HIV/AIDS epidemic?

This paper reports the findings of a study in which the use of latex condoms is investigated as a slowing mechanism in the epidemic spread of HIV/AIDS in Thailand. The commercial sex industry was identified as producing a large number of heterosexual HIV transmissions. Condom use in this industry increased from 25% in 1989 to 94% in 1993. Alcohol usage and client-worker familiarity was associated with low condom use. Preventive efforts have shown some impact on the HIV rate of spread. HIV infection rates have decreased in the past several years. Analysis indicates that this has happened because of an increase in condom use a decrease in frequency of sex with commercial sex workers and an increase in sex with non-commercial sex partners. Other STD rates have also decreased during the 5-year study period and this has been credited to condom use. The study suggests that generalization of HIV infection patterns should be avoided. Continued intervention strategies and evaluation of prevention programs must be implemented in Thailand.