Goldsamt Lloyd A, Clatts Michael C, Yu Gary, Le Bao, Colby Donn J
New York University College of Nursing, New York, NY, USA.
School of Public Health, University of Puerto Rico, San Juan, PR, USA.
J Hum Traffick. 2017;3(2):107-115. doi: 10.1080/23322705.2016.1193343. Epub 2016 Oct 8.
Young male sex workers (YMSW) in Vietnam have high rates of HIV and STIs, yet have poor access to healthcare due low knowledge, stigma, and economic constraints. In the process of implementing a Sexual Health Promotion intervention to engage YMSW in Ho Chi Minh City in healthcare, we identified a unique sex work venue, known as a "Shared House," in which YMSW provide sex under the direction of a manager who negotiates the terms of the transaction directly with the client. Survey data reveal that compared with YMSW recruited in other locations, those interviewed in Shared Houses reported lower levels of substance use, less contact with the police, and fewer nights spent sleeping in pubic places. However, observational data and informal interviews with YMSW in Shared Houses revealed that the majority were trafficked through third-party brokers who connect youth with Shared House managers for the explicit purpose of sex work. These YMSW had little or no control over their sex work transactions and very low levels of knowledge regarding transmission of HIV and STIs. Further research is needed in these and other venues in which young men are trafficked for sex work.
越南的年轻男性性工作者（YMSW）感染艾滋病毒和性传播感染的比例很高，但由于知识水平低、受歧视以及经济限制，他们获得医疗保健的机会很少。在胡志明市实施一项性健康促进干预措施，以使年轻男性性工作者参与医疗保健的过程中，我们发现了一个独特的性工作场所，称为“共享屋”，年轻男性性工作者在一名经理的指导下提供性服务，该经理直接与客户协商交易条款。调查数据显示，与在其他地点招募的年轻男性性工作者相比，在“共享屋”接受访谈的人报告称物质使用水平较低、与警方的接触较少，以及在公共场所过夜的次数较少。然而，对“共享屋”中年轻男性性工作者的观察数据和非正式访谈显示，大多数人是通过第三方经纪人被贩运而来的，这些经纪人将年轻人与“共享屋”经理联系起来，明确目的是从事性工作。这些年轻男性性工作者对自己的性工作交易几乎没有控制权，对艾滋病毒和性传播感染的传播了解甚少。需要对这些以及其他存在年轻男性被贩运从事性工作的场所进行进一步研究。
