Minichiello Victor, Scott John, Callander Denton
Australian Research Centre in Sex, Health and Culture, La Trobe University, Melbourne, Australia.
University of New England, Armidale, Australia.
BMC Public Health. 2015 Mar 24;15:282. doi: 10.1186/s12889-015-1498-7.
Researching male sex work offers insight into the sexual lives of men and women while developing a more realistic appreciation for the changing issues associated with male sex work. This type of research is important because it not only reflects a growing and diversifying consumer demand for male sex work, but also because it enables the construction of knowledge that is up-to-date with changing ideas around sex and sexualities.
This paper discusses a range of issues emerging in the male sex industry. Notably, globalisation and technology have contributed to the normalisation of male sex work and reshaped the landscape in which the male sex industry operates. As part of this discussion, we review STI and HIV rates among male sex workers at a global level, which are widely disparate and geographically contextual, with rates of HIV among male sex workers ranging from 0% in some areas to 50% in others. The Internet has reshaped the way that male sex workers and clients connect and has been identified as a useful space for safer sex messages and research that seeks out hidden or commonly excluded populations.
We argue for a public health context that recognises the emerging and changing nature of male sex work, which means programs and policies that are appropriate for this population group. Online communities relating to male sex work are important avenues for safer sexual messages and unique opportunities to reach often excluded sub-populations of both clients and male sex workers. The changing structure and organisation of male sex work alongside rapidly changing cultural, academic and medical discourses provide new insight but also new challenges to how we conceive the sexualities of men and male sex workers. Public health initiatives must reflect upon and incorporate this knowledge.
对男性性工作的研究有助于深入了解男性和女性的性生活，同时更切实地认识与男性性工作相关的不断变化的问题。这类研究很重要，因为它不仅反映了消费者对男性性工作日益增长且多样化的需求，还能构建与性观念和性取向变化同步更新的知识体系。
本文探讨了男性性产业中出现的一系列问题。值得注意的是，全球化和科技推动了男性性工作的常态化，并重塑了男性性产业的运作格局。作为讨论的一部分，我们审视了全球范围内男性性工作者的性传播感染和艾滋病毒感染率，这些比率差异很大且因地域而异，男性性工作者中的艾滋病毒感染率在某些地区为0%，在其他地区则高达50%。互联网重塑了男性性工作者与客户的联系方式，已被视为传播安全性行为信息以及开展针对隐蔽或通常被排除群体研究的有用平台。
我们主张营造一种公共卫生环境，承认男性性工作的新出现和不断变化的性质，这意味着要制定适合这一人群的项目和政策。与男性性工作相关的在线社区是传播安全性行为信息的重要渠道，也是接触通常被排除在外的客户和男性性工作者亚群体的独特机会。男性性工作不断变化的结构和组织，以及迅速变化的文化、学术和医学话语，为我们如何理解男性和男性性工作者的性取向提供了新见解，但也带来了新挑战。公共卫生倡议必须考虑并纳入这些知识。
