Closson Elizabeth F, Colby Donn J, Nguyen Thi, Cohen Samuel S, Biello Katie, Mimiaga Matthew J
a Fenway Health , The Fenway Institute , Boston , MA , USA.
Glob Public Health. 2015;10(4):520-31. doi: 10.1080/17441692.2014.992452. Epub 2015 Jan 2.
In Vietnam, there is an emerging HIV epidemic among men who have sex with men (MSM). Male sex workers engage in high-risk sexual behaviours that make them particularly vulnerable to HIV infection. In 2010, 23 MSM in Ho Chi Minh City (HCMC) who recently received payment for sex with another man completed in-depth qualitative interviews exploring motivations for sex work, patterns of sex work disclosure and experiences of social stigma. Interviews were recorded, transcribed and translated into English and analysed using a qualitative descriptive approach. Low wages, unstable employment and family remittances were motivating factors for MSM in HCMC to sell sex. Participants described experiences of enacted and felt social stigma related to their involvement in sex work. In response, they utilised stigma management techniques aimed at concealment of involvement in sex work. Such strategies restricted sexual communication with non-paying sex partners and potentially limited their ability to seek social support from family and friends. Departing from decontextualized depictions of sex work disclosure, our findings describe how decisions to reveal involvement in sex work are shaped by social and structural factors such as social stigma, techniques to minimise exposure to stigma, economic imperatives and familial responsibilities.
在越南，男男性行为者（MSM）中出现了新的艾滋病毒疫情。男性性工作者从事高风险性行为，这使他们特别容易感染艾滋病毒。2010年，胡志明市（HCMC）的23名最近因与另一名男子发生性行为而获得报酬的男男性行为者完成了深入的定性访谈，探讨了性工作的动机、性工作披露模式以及社会耻辱经历。访谈进行了录音、转录并翻译成英文，采用定性描述方法进行分析。低工资、不稳定就业和家庭汇款是胡志明市男男性行为者从事性交易的驱动因素。参与者描述了因参与性工作而遭受的实际和感知到的社会耻辱经历。作为回应，他们采用了旨在隐瞒性工作参与情况的耻辱管理技巧。这些策略限制了与无报酬性伴侣的性交流，并可能限制了他们从家人和朋友那里寻求社会支持的能力。与脱离背景的性工作披露描述不同，我们的研究结果描述了披露性工作参与情况的决定是如何受到社会耻辱、尽量减少耻辱暴露的技巧、经济需求和家庭责任等社会和结构因素影响的。
