Who are MSM?




The term men who have sex with men or MSM is meant to address all men who have sex with men, regardless of their sexual identities. It is used because only a minority of men involve in same sex behaviour self-define as gay, bisexual or homosexual but may more aptly self-identify using local social and sexual identities and behaviours. They do not consider their sexual encounters with other men in terms of sexual identity or orientation. Many men who have sex with men self-identify as heterosexual rather than homosexual or bisexual, especially if they also have sex with women, are married, only take the penetrative role in anal sex, and/or have sex with men for money or convenience.

MSM includes various categories of men who may be distinguished according to the interplay of variables
such as:
• their sexual identities, regardless of sexual behaviour (gay, homosexual, heterosexual, bisexual, and transgender, or their equivalents, and other identities);
• their acceptance of- and openness about- their non-mainstream sexual identities (open or closeted);
• their sexual partners (male, female, and/or transgender);
• their reasons for having these sexual partners (natural preference, coercion or pressure, commercial motivation, convenience or recreation, and/or being in an all-male environment);
• their roles in specific sexual practices (penetrative, receptive, or both); and
• their gender-related identities, roles and behaviour (male or female, masculine or
feminine/effeminate, cross-dressing or gender-concordant dressing).

Men who have sex with men (abbreviated as MSM, also known as males who have sex with males) are male persons who engage in sexual activity with members of the same sex. The term was created in the 1990s by epidemiologists in order to study the spread of disease among men who have sex with men, regardless of identity. MSM is often used in medical literature and social research to describe such men as a group for research studies without considering issues of self-identification.

According to the latest AEM for Thailand,2010, there are an estimated 560 000 MSM and 10 000 male sex workers (MSWs) in Thailand and nearly 3 out of 10 MSM in Bangkok are infected with HIV . The MSM and TG populations are neglected in terms of HIV prevention efforts in Thailand; they have high STI rates and HIV prevalence is rapidly increasing among them. However, MSM have started to be recognized as one of target populations for HIV prevention in the current National AIDS Strategic Plan, covering the years 2007–2011. The current evidence shows that HIV infections will not remain contained within this specific male subpopulation, and may spread through regular and casual sexual partners, sexual contact with female and male sex workers, and wives of married MSM. It has been suggested that a consequence of the lack of good HIV prevention efforts targeted towards MSM will result in almost 3500 MSM becoming HIV infected every year in the foreseeable future.

By this reasons, we have different movements for MSM, MSW and TG to strengthen the community in both MSM and HIV related issues, such as Rainbow Sky Association of Thailand, Bangkok Rainbow Organization, MPlus Thailand, Thai Queer Resources Centre, as well as the television media for MSM i.e. G Space and Pink Mango, recently, GMM Grammy just bought and published Attitude Magazine from UK into Thai editorial. Moreover, MSM/HIV related organizations are Men's Health Clinic by the Thai Red Cross AIDS Research Centre, Silom Clinic, Wednesday Friends' Club and The POZ. Website Adam's Love is a new campaign organized by the Thai Red Cross AIDS Research Centre aiming at raising the awareness of Thai MSM community and beyond about HIV/AIDS protection as well as men's health.
MSM Awareness Handbook Thailand



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- Men's Health Clinic
- Treatment as Prevention (PrEP and PEP)
- 3 Simple Steps of HIV Testing



SOURCE: The Thai Red Cross AIDS Research Centre, WHO, wikipedia
Reference:

- Family Health International (FHI), and Bureau of AIDS, TB, STI, Department of Disease Control, Ministry of Public Health Thailand. The Asian epidemic model: projections of HIV/AIDS in Thailand
2005–2025. Bangkok, FHI, Ministry of Public Health, 2008. Available at: http://www.fhi.org/en/ HIVAIDS/pub/res_AEM_2005-2025.
htm (accessed 20 November 2009).

- Beyrer C et al. Same-sex behavior, sexually-transmitted diseases and HIV risks among young northern Thai men. AIDS, 1995, 9:171–176.

- Sittitrai W et al. Thai sexual behavior and risk of HIV infection. Bangkok, Thai Red Cross
Society, 1992.

-van Griensven F et al. The prevalence of bisexual and homosexual orientation and related health risks
among adolescents in northern Thailand. Archives of Sexual Behavior, 2004, 33:137–147.

- Central Intelligence Agency. The World Factbook: Thailand. 2009. Available at: https://www.cia.gov/
library/publications/the-world-factbook/geos/th.html#People (accessed on 5 August 2009)