My long-term goal is to become an independent investigator in behavioral intervention research. My short- term goal is to respond to a quickly escalating HIV crisis among men who have sex with men (MSM) populations in Thailand. Recent surveillance data among MSM assessed by my team of investigators found a serious and expanding epidemic that is becoming worse, increasing HIV prevalence in Bangkok from 17.3% in 2003 to 28.3% in 2005. This epidemic may have the potential to spread, affecting emerging MSM communities in Cambodia, Laos, Malaysia, Myanmmar and Vietnam. Currently, there are no interventions for MSM that have been evaluated in Thailand. I believe I am an ideal person to take the lead on interventions for Thai MSM due to previous training and experience in epidemiologic surveillance research and community-based sampling of hard-to-reach populations, native fluency in the Thai language and culture, and having spent several years conducting research in Thailand, including being part of the first assessment of HIV prevalence and correlates among MSM populations in Thailand. These experiences have brought me to this juncture and I am now ready to go beyond descriptive epidemiology in order to respond to an escalating HIV crisis among Thai MSM by developing and testing a community-level behavioral intervention. To achieve this goal, I require interdisciplinary training in three areas: 1) conducting formative evaluations using qualitative methods, 2) developing socially and culturally appropriate behavioral interventions and 3) implementing and evaluating community-level behavioral intervention trials. I will be mentored by a team of successful investigators from a multitude of disciplines under the direction of Dr. Ron Stall. We are also proposing to implement the following studies that will serve as a """"""""laboratory"""""""" to practice the skills I learn as part of this application's training. Study 1: Qualitative assessment and analysis of risk-taking behaviors of HIV positive and negative MSM residing in Chiangmai, Thailand. Study 2: Behavioral intervention development for MSM populations in Chiangmai. Study 3: Implementation and evaluation of a pilot community-level behavioral intervention trial among MSM populations in Chiangmai.

Public Health Relevance

The research plan in this application will respond to a quickly escalating HIV crisis among men who have sex with men in Thailand by developing, fielding and pilot testing the first behavioral intervention trial for this population.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Scientist Development Award - Research & Training (K01)
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Behavioral and Social Consequences of HIV/AIDS Study Section (BSCH)
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Pequegnat, Willo
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University of Pittsburgh
Public Health & Prev Medicine
Schools of Public Health
United States
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Guadamuz, Thomas E; Boonmongkon, Pimpawun (2018) Ice parties among young men who have sex with men in Thailand: Pleasures, secrecy and risks. Int J Drug Policy 55:249-255
Do, Lan Anh Thi; Boonmongkon, Pimpawun; Paek, Seung Chun et al. (2017) 'Hu Hong' (bad thing): parental perceptions of teenagers' sexuality in urban Vietnam. BMC Public Health 17:226
Weiss, Kevin M; Jonas, Kai J; Guadamuz, Thomas E (2017) Playing and Never Testing: Human Immunodeficiency Virus and Sexually Transmitted Infection Testing Among App-Using MSM in Southeast Asia. Sex Transm Dis 44:406-411
Friedman, Mark S; Chiu, ChingChe J; Croft, Colby et al. (2016) Ethics of Online Assent: Comparing Strategies to Ensure Informed Assent Among Youth. J Empir Res Hum Res Ethics 11:15-20
Jin, Harry; Friedman, Mackey Reuel; Lim, Sin How et al. (2016) Suboptimal HIV Testing Uptake Among Men Who Engage in Commercial Sex Work with Men in Asia. LGBT Health 3:465-471
Yang, Cui; Guadamuz, Thomas E; Lim, Sin How et al. (2016) Factors Associated with Alcohol Use Before or During Sex Among Men Who Have Sex with Men in a Large Internet Sample from Asia. LGBT Health 3:168-74
Niebler, Meagan; Docum├ęt, Patricia I; Chaves-Gnecco, Diego et al. (2016) Birth Experiences of Immigrant Latina Women in a New Growth Community. J Racial Ethn Health Disparities 3:466-72
Documet, Patricia I; Macia, Laura; Thompson, Alice et al. (2016) A Male Promotores Network for Latinos: Process Evaluation From a Community-Based Participatory Project. Health Promot Pract 17:332-42
Guadamuz, Thomas E; Cheung, Doug H; Wei, Chongyi et al. (2015) Young, Online and in the Dark: Scaling Up HIV Testing among MSM in ASEAN. PLoS One 10:e0126658
Moe, Thida; Boonmongkon, Pimpawun; Lin, Chu Fu et al. (2015) Yauk gyar mann yin (Be a man!): masculinity and betel quid chewing among men in Mandalay, Myanmar. Cult Health Sex 18:129-42

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