The Thai Red Cross AIDS Research Centre
This is a prospective cohort study which will recruit 350 MSM clients within 3 months, and
follow them for 12 months. MSM to be recruited will be first-time clients who come to the
clinics for services other than VCT. These services may include but would not be limited to
sexually transmitted infection (STI) diagnosis and treatment, anal dysplasia screening,
nutritional counseling and non-occupational post-exposure prophylaxis (nPEP).
Approximately 250 MSM clients with unknown or previously negative HIV status will be offered
HIV testing every 3 months (HIV-negative MSM cohort). MSM from the HIV-negative cohort who
tested HIV-positive during the study (estimated 20%, 50 MSM) will be referred to the
HIV-positive MSM cohort and will be followed up every 6 months. Additional clients who visit
the clinic during the 3-month recruitment period with previously known HIV-positive status
but have not been linked to HIV care (up to 100) will also be enrolled into HIV-positive MSM
cohort. Therefore, there will be up to 150 HIV-positive subjects enrolled in this study.
Each enrolled participant will have 12 months in the study.
This study will allow us to assess VCT and linkage into care, as well as HIV risk behavior
and need for nPEP, and the incidence or prevalence of important morbidities in MSM such as
STIs, anal dysplasia/cancer, hyperlipidemia, and diabetes.
Observational Model: Cohort, Time Perspective: Prospective
Thailand: Ethical Committee