Publications by authors named "F van Griensven"

To reach its goal of ending AIDS by 2030, Thailand has adopted antiretroviral treatment as prevention and HIV pre-exposure prophylaxis for men who have sex with men (MSM) and transgender women (TGW) as its core HIV control strategy. However, in the absence of reliable epidemiologic indicators, the impact of these policies on the course of the HIV epidemic in these groups remains unknown. To help answer this question, we formulated an HIV epidemic consensus initiative for Bangkok, Thailand, to analyze epidemiologic and program data and reach agreement between experts and stakeholders on the evolving state of the HIV epidemic among MSM and TGW.

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We assessed HIV and syphilis infection among MSM and TGW attending Silom Community Clinic from 2017 to 2019. Walk-in and referral clients completed a registration application including a question on gender identity. We compared the prevalence of HIV, syphilis, and HIV and syphilis coinfection among TGW and MSM.

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Background: Cambodia is widely credited for its successful HIV epidemic control. However, in recent years there have been signs of increasing HIV prevalence among men who have sex with men (MSM) and transgender women (TGW). This paper reviews HIV epidemiological, social science and HIV program implementation studies conducted over the past 20 years to explore possible reasons for the rising HIV prevalence among these groups and to formulate recommendations for improved policies, HIV programmatic interventions and further research.

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Article Synopsis
  • Transgender women (TGW) in Bangkok, Thailand require specific primary care services, which were evaluated in a study from 2016 to 2019, focusing on their HIV and syphilis prevalence and incidence.
  • The study saw an increase in TGW clients visiting the Tangerine Community Health Clinic, with significant trends showing rising visits and a decrease in annual HIV prevalence, while syphilis prevalence initially increased before declining.
  • The findings suggest that a transgender-specific healthcare model, including hormone therapy, may effectively engage and retain TGW in essential primary care services.
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