No test, no disease’

Young gay and other men who have sex with men and young transgender women in Thailand continue to be at high risk for HIV infection. We explored multilevel influences on HIV testing in order to inform the design of tailored interventions. We conducted four focus group discussions with 16–20-year-old gay men and transgender persons (n = 25) and 17 key informant interviews with healthcare providers, NGO leaders, and youth advocates. Focus groups and interviews were transcribed and reviewed using thematic analysis in Thai and English language by a bilingual team. We identified intersecting, culturally situated barriers at individual (lack of HIV knowledge, low HIV risk perception, denial), social (intersectional sexual- and HIV-related stigma, lack of family communication), institutional (inadequate and non-LGBT-inclusive sexual health education in schools, lack of youth-friendly clinics) and policy levels (parental consent requirements for HIV testing by minors). Multilevel and multisystem factors coalesce to form extensive barriers to HIV testing access and utilisation and promote disengagement from HIV prevention more broadly. Multicomponent, youth-engaged interventions informed by Thai sociocultural history and practices are needed in renewed approaches to HIV prevention and testing to end the epidemic among young gay and transgender people in Thailand

Family medicine · Focus group · Men who have sex with men · Psychological intervention · Qualitative research · Sociology · Thematic analysis · Transgender · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Psychology · Gerontology

• HIV knowledge and protective factors among racial-ethnic minority youth

  David T Lardier, I Opara et al.•Journal of LGBT Youth•2023

  Incluir item

• Negotiating risk and resilience

  Open Access•Onn Laingoen, Catrin Hedd Jones et al.•Health & Place•2025

  Incluir item

• A Scoping Review of LGBT + Inclusion in Thailand

  Open Access•Luke Reid, P A Newman et al.•Sexuality Research and Social…•2022

  Incluir item

• Patterns of Chemsex Substance Use and Its Association with HIV Transmission Risk Among Men Who Have Sex with Men in Thailand

  Open Access•Doug H Cheung, Nattharat Samoh et al.•Archives of Sexual Behavior•2024

  Incluir item

• Community-based approaches to HIV treatment in resource-poor settings

  Open Access•Paul Farmer, Fèrnet Leandre et al.•The Lancet•2001

  Incluir item

• Sexual Stigma and Sexual Prejudice in the United States

  Gregory M Herek•Kinetic logic•2009

  Incluir item

• A systematic review of interventions to reduce HIV‐related stigma and discrimination from 2002 to 2013

  Open Access•Anne L Stangl, Jennifer K Lloyd et al.•Journal of the International AIDS…•2013

  Incluir item

• Implementation and assessment of a model to increase HIV testing among men who have sex with men and transgender women in Thailand, 2011–2016

  Montinee Wasantioopapokakorn, Chomnad Manopaiboon et al.•AIDS Care•2018

  Incluir item

• Facilitators and barriers affecting PrEP adherence among Thai men who have sex with men (MSM) in the HPTN 067/Adapt Study

  Open Access•Tareerat Chemnasiri, Anchalee Varangrat et al.•AIDS Care•2020

  Incluir item

• Best resources on… intersectionality with an emphasis on low- and middle-income countries

  Open Access•Elizabeth Larson, Elizabeth A Larson et al.•Health Policy and Planning•2016

  Incluir item

• HIV and mental health among young people in low-resource contexts in Southeast Asia

  Open Access•P A Newman, Shirley Mark Prabhu et al.•Global Public Health•2021

  Incluir item

• Building the evidence base for stigma and discrimination-reduction programming in Thailand

  Open Access•Kriengkrai Srithanaviboonchai, Melissa A Stockton et al.•BMC Public Health•2017

  Incluir item

• Young Men Who Have Sex with Men at High Risk for HIV, Bangkok MSM Cohort Study, Thailand 2006–2014

  Open Access•Warunee Thienkrua, Frits Van Griensven et al.•AIDS and Behavior•2017

  Incluir item

• Recent HIV Testing Among Young Men Who Have Sex with Men in Bangkok and Chiang Mai

  Open Access•Lisa G Johnston, Mara Steinhaus et al.•AIDS and Behavior•2016

  Incluir item

• How Does Antiretroviral Treatment Attenuate the Stigma of HIV? Evidence from a Cohort Study in Rural Uganda

  Open Access•Alexander C Tsai, David R Bangsberg et al.•AIDS and Behavior•2013

  Incluir item

• Identity management and sense of belonging to gay community among young rural Thai same-sex attracted men

  Jan Willem De Lind Van Wijngaarden, Timo T Ojanen•Culture Health & Sexuality•2016

  Incluir item

• Sexual/gender minorities in Thailand

  Timo T Ojanen•Sexuality Research and Social…•2009

  Incluir item

• Are We There Yet? Data Saturation in Qualitative Research

  Open Access•Patricia Fusch, Lawrence Ness•Qualitative Report•2015

  Incluir item

• Multilevel Community‐Based Culturally Situated Interventions and Community Impact

  Open Access•Edison J Trickett•American Journal of Community…•2009

  Incluir item

• Using thematic analysis in psychology

  Open Access•Braun, Virginia Braun et al.•Qualitative Research in Psychology•2006

  Incluir item

• Adapting the minority stress model

  Open Access•Carmen H Logie, P A Newman et al.•Social Science & Medicine•2012

  Incluir item

• Being Born like This, I Have No Right to Make Anybody Listen to Me

  Jan Willem De Lind Van Wijngaarden, Kangwan Fongkaew•Journal of Homosexuality•2021

  Incluir item

• The Journal of Homosexuality

  William Simon, John P De Cecco•Journal of Marriage and the Family•1980

  Incluir item