The Natural History of HIV-1 Infection in Young Thai Men after Seroconversion

Ram Rangsin, Joseph Chiu, Chirasak Khamboonruang, Narongrid Sirisopana, Sakol Eiumtrakul, Arthur E. Brown, Merlin Robb, Chris Beyrer, Cholticha Ruangyuttikarn, Lauri E. Markowitz, Kenrad E. Nelson

Research output: Contribution to journalArticlepeer-review

49 Scopus citations


The natural history and progression of HIV-1 infection in Thailand and other developing countries in Asia and Africa have not been well defined. Nevertheless, valid data are needed to evaluate the effects of interventions, which are designed to delay progression. We evaluated the progression to AIDS and death in 235 men who seroconverted during their 2 years of service in the Royal Thai Army. The men were conscripted at age 21 and seroconverted within a 6-month window during follow-up while in the military. The seroconverters were matched with men who were seronegative when discharged. Of the HIV-positive men, 156 (66.4%) were alive, 77 (32.8%) had died, and 2 (0.8%) could not be located 5-7 years after their seroconversion and discharge from the military. The 5-year survival rate was 82.3%; the median times to clinical AIDS and a CD4 + cell count of <200/μL was 7.4 years and 6.9 years, respectively. The mortality rate was 56.3 deaths per 1000 patient-years for HIV-positive men and 6.1 deaths per 1000 patient-years for HIV-negative men. Our data suggest a more rapid progression to AIDS and death after HIV-1 infection in young men in Thailand than has been reported for similarly aged cohorts in developed countries.

Original languageEnglish (US)
Pages (from-to)622-629
Number of pages8
JournalJournal of Acquired Immune Deficiency Syndromes
Issue number1
StatePublished - May 1 2004


  • HIV infection progression
  • HIV-1 infection survival
  • HIV-1 subtype E (CRF01_AE)
  • Natural history of HIV-1
  • Thailand

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)


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