THAILAND (2009): HIV/AIDS TRAC AMONG TRANSGENDERS THIRD ROUND

The purpose of this study is to provide evidence for monitoring and evaluation of the key health behaviors, determinants, and exposure to PSI programming among Transgenders (TGs) aged 15-35 in Pattaya, Thailand, where PSI is implementing a PACT funded program. This study aims to answer two fundamental questions; 1) What are the levels and trends that are evident in key behavior, risk, Opportunity, Ability and Motivation (OAM) constructs, and exposure to PSI/Thailand activities?; 2)Is exposure to PSI/Thailand activities leading to changes in behavior, risk, and OAM? Two cross sectional surveys were conducted in October (N=400) and June 2006(N=400). This study was the third round which conducted in July 2009. Respondent- Driven Sampling (RDS) was used to collect data among 300 TGs in Pattaya aged 15 to 35 who have been living in Pattaya for more than 3 months and work or socialize in hot zones at least three nights a week. A screening questionnaire and self-administered questionnaire served as survey tools. The questionnaire collected information on demographic characteristics, sexual behaviors with regular, casual and commercial partners, condom, water-based lubricant and oil-based lubricant use, determinants of behaviors, and exposure to Sisters. UNIANOVA analyses were performed to identify significant trends in behavior and determinants over time, and the impact of PSI's interventions on behavior and determinants.

本研究旨在为监测评估泰国芭提雅15-35岁跨性别者（Transgenders, TGs）的关键健康行为、影响因素以及接触PSI项目的情况提供依据，其中PSI正实施一项由PACT资助的项目。本研究旨在解答两个核心问题：1）关键行为、风险、机会-能力-动机（Opportunity, Ability and Motivation, OAM）构念的水平与变化趋势，以及参与PSI/泰国相关活动的情况呈现何种特征？2）参与PSI/泰国相关活动是否会带来行为、风险以及OAM的变化？此前本团队已于2006年6月（N=400）与2006年10月（N=400）各开展一项横断面调查，本次研究为第三轮调查，于2009年7月实施。本次调查采用应答者驱动抽样（Respondent-Driven Sampling, RDS），在芭提雅招募了300名符合条件的跨性别者：年龄介于15至35岁，在芭提雅居住超过3个月，且每周至少有三个晚上在高危场所工作或社交。调查工具包括筛查问卷与自填式问卷，问卷收集的信息涵盖人口学特征、与固定伴侣、临时伴侣及商业性伴侣的性行为情况、安全套、水基润滑剂与油基润滑剂的使用情况、行为影响因素，以及参与Sisters项目的情况。本研究采用单变量方差分析（UNIANOVA）分析行为与影响因素随时间的显著变化趋势，并评估PSI干预措施对行为及影响因素的作用效果。