Jan Willem de Lind van Wijngaarden does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment. It has been 10 years since the first evidence emerged of what was until then a completely hidden HIV epidemic among men who have sex with men in Bangkok, Thailand. The term includes all men who engage in sexual activity with other men regardless of how they or others identify them. Similar epidemics have also been discovered in Chiang Mai, Phuket, Pattaya and other Thai cities, albeit at a slightly lower level. While the Bangkok epidemic appears to have plateaued, HIV incidence the number of new infections in a population over a certain time period remains stubbornly high especially among the youngest men, despite years of investment in HIV prevention. Internet apps on mobile phones and a plethora of gay dating websites have made hooking up for sex easier than ever before. There has also been a growth in the use of party drugs such as crystal meth, which has been associated with high-risk practices. Low condom use is a big problem. Condoms are widely associated with female prostitution, unfaithful heterosexual men and distrust in a sexual partner. As long as their sex lives are kept out of public scrutiny, Thai men including men who have sex with men generally feel little guilt or discomfort in enjoying sex.
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