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Thai Language Skill and HIV Counseling among Hilltribe People: A Hospital-Based Study in Chiang Rai

YINGLAK APISITSAOWAPA, B.N.S.*, KRISADA JONGSAKUL, M.D.*, GEORGE WATT, M.D., D.T.M. & H.*, VALAILUK PRASIT, B.Sc. (Nursing)*, PACHAREE KANTIPONG, M.D.**, ARTHUR E. BROWN, M.D., M.P.H.*

Affiliation : * Department of Retrovirology, U.S. Army Component, Armed Forces Research Institute of Medical Science (AFRIMS), Bangkok 10400, ** Department of Internal Medicine, Chiang Rai Regional Hospital, Chiang Rai 57000, Thailand.

Abstract
Twenty-nine hilltribe individuals from 6 different ethnic groups were among a group of 70 patients included in an investigation of interactions between HIV -1 virus infection and common tropical illnesses. Approximately half of the hilltribe subjects (14/29) required the aid of an interpreter for HIV counseling because they could neither speak nor understand the Thai language. The 5 HIV seropositive hilltribe individuals were younger than their seronegative coun- terparts (26 vs 37 years respectively; p<0.05) and had less need of an interpreter (0% vs 58% respectively; p<0.05). Inability to speak and understand Thai limits the access of some ethnic minority subjects to HIV counseling, testing and education.

Keywords : AIDS, HIV Counseling, Hilltribe, Thailand


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