Prevalence of screening HIV among LGBTQ+ at Ramathibodi Hospital

BackgroundLGBTQ+ individuals face significant barriers in accessing healthcare services, particularly in relation to HIV screening. This study investigates the prevalence of HIV testing among LGBTQ+ individuals and explores factors influencing healthcare-seeking behaviors at Ramathibodi Hospital in Bangkok, Thailand. MethodsA cross-sectional survey was conducted among 300 self-identified LGBTQ+ individuals aged 18 and older who recently utilized outpatient services at Ramathibodi Hospital. Data were collected via an online questionnaire assessing demographic characteristics, sexual behaviors, and attitudes toward public health services. Univariate and multivariate logistic regression analyses were performed to identify factors associated with HIV testing. ResultsHIV testing prevalence among participants was 45%, with significant associations found between HIV testing and gender identity, age, and engagement in sexual activity. Gay participants (OR = 21.73, 95% CI: 4.73-99.90, p < 0.001) and transgender females (OR = 7.51, 95% CI: 2.08-27.34, p = 0.002) were more likely to undergo HIV testing compared to other groups. Those aged 30 years or older (OR = 2.50, 95% CI: 1.43- 4.34, p = 0.001) and those engaging in sexual activity (OR = 4.58, 95% CI: 2.52-8.33, p < 0.001) were also more likely to be tested. Participants reported mixed experiences regarding the inclusivity of healthcare environments, with a desire for improved LGBTQ+ cultural competence among healthcare workers. ConclusionWhile HIV testing rates are relatively high among certain LGBTQ+ subgroups, significant gaps remain, particularly for transgender males. The study highlights the need for targeted outreach and healthcare interventions to increase HIV screening among underserved populations. Expanding LGBTQ+ cultural competency in healthcare settings is crucial to ensure inclusive and respectful care.