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The Journal of the Royal Institute of Thailand Vol. 30 No. 1 Jan.-Mar. 2005 208 ‚√§ à ßºà “π∑“ß‡æ» — ¡æ— π∏å : ‚√§‡Àµÿ §«“¡»‘ «‘ ‰≈´å ªí ®®ÿ ∫— π®–‡ªì π∑’Ë ¬Õ¡√— ∫¡“°¢÷È π À√◊ Õ Õ¬à “ßπâ Õ¬°Á ‰¡à ªØ‘ ‡ ∏«à “¡— π§ßÕ¬Ÿà ¥— ß ®–‡ÀÁ π‰¥â «à “«“√ “√∑“ß°“√·æ∑¬å „π √–¬–À≈— ß„™â §”‡√’ ¬°™“¬√— °√à «¡‡æ»«à “ ™“¬∑’Ë √à «¡‡æ»°— ∫™“¬ (men who have sex with men; MSM) ÚÒ πÕ°®“°π’È ª√–‡∑»µ–«— πµ°∫“ߪ√–‡∑»‰¥â ¬Õ¡ ÕÕ°°ÆÀ¡“¬„Àâ ¡’ æ‘ ∏’ ·µà ßß“πÀ√◊ Õ ®¥∑–‡∫’ ¬π ¡√ √–À«à “ß∫ÿ §§≈‡æ» ‡¥’ ¬«°— π §◊ Õ ™“¬°— ∫™“¬ À≠‘ ß°— ∫À≠‘ ß ‡™à ππ’È °Á ‡ªì π∑’Ë πà “‡™◊Ë Õ‰¥â «à “ „πÕ𓧵 °“√∑’Ë ºŸâ ™“¬‡√’ ¬°‚√§ à ßºà “π∑“ß‡æ» — ¡æ— π∏å ‚¥¬‡©æ“–°“¡‚√§«à “ ç‚√§ ºŸâ À≠‘ ßé ·≈–ºŸâ À≠‘ ߇√’ ¬°°“¡‚√§ «à “ ç‚√§ºŸâ ™“¬é §ß®–À¡¥‰ª ·µà µ— «‚√§ ‡Õߧ߉¡à À¡¥‰ªµ√“∫‡∑à “∑’Ë ¡πÿ …¬å ¬— ß §ß¡’ ‡æ» — ¡æ— π∏å ‰¡à «à “‡æ◊Ë Õ°“√¥”√ß ‡ºà “æ— π∏ÿå À√◊ Õ‡Àµÿ º≈Õ◊Ë π °“√¡’ ∫ÿ µ√‚¥¬‰¡à µâ Õß¡’ ‡æ» — ¡æ— π∏å π—È π ‡∑§‚π‚≈¬’ ∑“ß°“√·æ∑¬å „πªí ®®ÿ ∫— π °Á ‰¥â æ‘ Ÿ ®πå ·≈â ««à “ “¡“√∂∑”‰¥â ‡™à π °“√º ¡‰¢à °— ∫Õ ÿ ®‘ πÕ°√à “ß°“¬¡πÿ …¬å À√◊ Õ°“√‚§≈π À≈“¬ªï °à Õπ„π¿“æ¬πµ√å ‡√◊Ë Õß Total Recall ∑’Ë π”· ¥ß‚¥¬ Õ“√å ‚π≈¥å ™«“‡´‡π°‡°Õ√å ¡’ ©“°∑’Ë „™â §Õ¡æ‘ «‡µÕ√å ™à «¬∑”„Àâ ‡°‘ ¥ ¿“æ‡ ¡◊ Õπ®√‘ ߢÕß°“√ ªØ‘ ‚≈¡·≈–°“√√à «¡‡æ» ´÷Ë ß𔉪∂÷ ß®ÿ ¥ ÿ ¥¬Õ¥‰¥â ºŸâ ‡¢’ ¬π¢Õ‡√’ ¬°«à “ virtual foreplay and virtual sexual intercourse, but real orgasm À¡“¬§«“¡«à “‰¡à µâ Õß¡’ °“√√à «¡‡æ»°Á “¡“√∂¡’ §«“¡ ÿ ¢ ∑“߇滉¥â π’Ë ®–‡ªì π‡æ’ ¬ß¿“æ¬πµ√å ‡ªì π‡æ’ ¬ßπ‘ ¬“¬«‘ ∑¬“»“ µ√å À√◊ Õ®– ‡ªì π®√‘ ß„πÕ𓧵 §ßµâ Õß√Õ„Àâ °“≈ ‡«≈“æ‘ Ÿ ®πå ·≈–À“°‡ªì π®√‘ ß°Á ‡∑à “°— ∫«à “ ‚√§ à ßºà “π∑“ß‡æ» — ¡æ— π∏å ‰¥â ∂÷ ß°“≈ Õ« “π·≈â « ‚¥¬ √ÿ ª ‚√§‡Õ™‰Õ«’ ‡ªì π‚√§‡Àµÿ §«“¡»‘ «‘ ‰≈´å æ‘ ‡§√“–Àå ®“°¢â Õ¡Ÿ ≈‡√‘Ë ¡ ·µà ≈‘ ß™‘ ¡·ªπ´’ æ√â Õ¡‡™◊È Õ SIV ∂Ÿ °π” ¢â “¡πÈ ”¢â “¡∑–‡≈ÕÕ°®“°·§‡¡Õ√Ÿ π‰ª √⠓߇ªì π‰«√— “¬æ— π∏ÿå „À¡à (‡Õ™‰Õ«’ ) ‚¥¬¡πÿ …¬å »‘ «‘ ‰≈´å ®“°π—È π‚√§°Á ·æ√à √–∫“¥„π™ÿ ¡™π»‘ «‘ ‰≈´å ·≈–·æ√à √–∫“¥ ‰ª∑—Ë «‚≈°∑“ß ◊Ë Õ»‘ «‘ ‰≈´å °“√ª√“∫ ª√“¡§«∫§ÿ ¡‚√§°Á §ßµâ ÕßÕ“»— ¬§«“¡ ‡ªì π»‘ «‘ ‰≈´å µà Õ‰ª ‡Õ° “√Õâ “ßÕ‘ ß Ò. ‰æ√— ™ ¥’ ÿ ¥®‘ µ. ‚√§µ‘ ¥µà Õ∑“ß‡æ» — ¡æ— π∏å . °√ÿ ߇∑æœ : ‚√ßæ‘ ¡æå ®ÿ Ó≈ß°√≥å ¡À“«‘ ∑¬“≈— ¬; ÚıÚÛ, ÚÒ¯ Àπâ “. Ú. Flegal KF. Chanaira concepts of the nosology of gonorrhea and syphilis. Bull Hist Med 1974 ; 48 : 571. Û. Crissey JT. The dermatology and syphilology of the nineteenth century. New York : Prager ; 1981. Ù. Pusey WA. Syphilis as a modern problem. Chicago : American Medical Association; 1915. p. 31-35. ı. D é j à vu. AIDS in historical perspective - illustrations. http://www.cbc.ca/ideas/features/ Aids/aidspix1.html cited 12 Jul 2004. ˆ. Lerner V, Finkelstein Y, Witztum E. The enigma of Leninûs (1870-1924) malady. Europ J Neurol 2004 ; 11 : 371-6. ˜. æ√™— ¬ ‘ ∑∏‘ »√— ≥¬å °ÿ ≈, ¡™— ¬ ∫«√°‘ µµ‘ . ª√–«— µ‘ »“ µ√å Õ“√¬∏√√¡¢Õß¡πÿ …¬™“µ‘ °— ∫ 惵‘ °√√¡∑“߇æ». «“√ “√√“™∫— ≥±‘ µ¬ ∂“π ÚıÙ˜; Ú˘ : Ò¯Ú - ˘Ò. ¯. Engelstein L. Syphilis, historical and actual: cultural geography of a disease. Rev Infect Dis 1986 ; 8 : 1036-48. ˘. Tisseuil J. Endemic syphilis, venereal sysphilis, diseases of civilization. Bull Soc Pathol Exot Filiales 1971 ; 64 : 296-300. (Article in French) Ò. Huber C. AIDS in Africa, considered as a disease of civilization. Arch Pediatr 2000 ; 7 : 687-8. (Article in French) ÒÒ. Khaiat L. The law and AIDS : issues and objectives (a comparative approach). Med Law 1993 ; 12 : 3-10. ÒÚ. Thomasma DC, McElhinney TK. Ethical concerns about AIDS. Pharos Alpha Omega Alpha Honor Med Soc 1990 ; 53(2) : 7-11. ÒÛ. Obregon D. Physicians, prostitution, and venereal disease in Colombia (1886-1951) Hist Cienc Saude Manguinhos 2002 ; 9 (Suppl) : 161-86. (Article in Portuguese) ÒÙ. Unschuld PU. HIV, AIDS and ethics. Anaesthesist 2000 ; 49 : 928-38. (Article in German) Òı. Adedoyin M, Adegoke AA. Teenage prostitution--child abuse : a survey of the Ilorin situation. Afr J Med Med Sci 1995 ; 24 : 27-31. Òˆ. Bayley A. Narrowing the gap. J Med Ethics 2000 ; 26 : 51-3. Ò˜. Asthana S, Oostvogels R. The social construction of male ùhomosexualityû in India: implications for HIV transmission and prevention. Soc Sci Med 2001 ; 52 : 707-21. Ò¯. Singh A. Regulation of human sexual behaviour, sex revolution and emergence of AIDS: a historical perspective. Bull Indian Inst Hist Med Hyderabad 1997 ; 27 : 63-74. Ò˘. Anon. Did HIV contribute to the breakdown of society in Rwanda? A question worth asking. AIDS Anal Afr 1994 ; 4(5) : 1-2. Ú. Spitzy KH. Effect of major epidemics on cultural awareness. Wien Med Wochenschr 1995 ; 145 : 627-32. (Article in German) ÚÒ. Valleroy LA, MacKellar DA, Karon JM, Rosen DH, McFarland W, Shehan DA, et al. HIV prevalence and associated risks in young men who have sex with men. Young Menûs Survey Study Group. JAMA 2000 ; 284 : 198-204.