Department of Anthropology, University of South Florida, 4202 East Fowler Avenue, SOC. 107, Tampa, FL 33620-8100, USA.
Soc Sci Med. 2013 May;84:94-101. doi: 10.1016/j.socscimed.2013.02.010. Epub 2013 Feb 13.
This article discusses health concerns of migrant street-based male sex workers (SMSW) in Germany, a population that remains underexplored by health and social scientists. It is based on five months of ethnographic research in 2011/2012, including 46 semi-structured interviews with physicians, social workers, health department staff, and SMSW from Romania and Bulgaria. This is supplemented with annual reports by organizations providing assistance to this population in eight cities. The article contributes, first, an analysis of the increase in migrant SMSW as a response to economic opportunities (freedom of movement across European Union borders) and constraints (transitional measures restricting access to the labor market). It seeks to move beyond the myopic association between sex work and HIV to contextualize health risks as resultant of macro-level processes associated with migration. Second, the article contributes a summary of primary health concerns for this population. Especially troubling is their lack of access to regular medical services, reflecting a socio-legal position that often resembles that of unauthorized migrants rather than European Union citizens.
本文讨论了德国街头男性性工作者（SMSW）的健康问题，这一人群在健康和社会科学领域仍未得到充分研究。本研究基于 2011/2012 年为期五个月的民族志研究，包括对来自罗马尼亚和保加利亚的 46 名医生、社会工作者、卫生部门工作人员和 SMSW 的半结构化访谈。此外，还补充了该人群在八个城市的援助组织的年度报告。本文首先分析了移民 SMSW 的增加，这是对经济机会（欧盟国家间自由流动）和限制（限制进入劳动力市场的过渡措施）的回应。它试图超越将性工作与 HIV 联系起来的短视观点，将健康风险置于与移民相关的宏观层面过程的背景下。其次，本文总结了这一人群的主要健康问题。特别令人担忧的是他们无法获得常规医疗服务，这反映了一种社会法律地位，他们的地位往往类似于非正规移民，而不是欧盟公民。
