The rate of sexually transmitted infections , including HIV/AIDS , may be relatively high in some countries which are popular destinations for female sex tourism, particularly in comparison to the home countries of many sex tourists.  Little or no research has been done into the transmission rates of HIV and other STDs pertaining to sex tourism. Neither has there been reliable research done into whether or not condom use is prevalent among female sex tourists. However, writer Julie Bindel speculates, in an article for the Guardian, that HIV infection figures for the region suggest that condom use by the "beach boys" in the Caribbean may be sporadic, yet female sex tourists do not appear especially preoccupied by the potential risks. 
In all it is evident that many tourism factors are contributing to both positive and negative impacts upon Thailand. It is important that the country realises the problems and take steps to sustain tourism. The key is to find a balance to manage the effects of tourism on the country. The type and volume of tourists that Thailand attracts and their activities and behaviour in the country will influence the nature of their impacts. Effective planning, development, management and marketing of tourism are essential to optimise the positive impacts and control and reduce the negatives. Further, the more we educate the tourists and the local community about the effects of tourism the better chance of Thailand succeeding in sustainable tourism, a stable economy and protected environment.