Center for Global Public Health, University of Manitoba, Winnipeg, MB, Canada.
West China School of Public Health, Sichuan University, Chengdu, China.
Cult Health Sex. 2020 Dec;22(12):1333-1348. doi: 10.1080/13691058.2019.1679393. Epub 2019 Oct 29.
This qualitative study highlights the complex interplay between the social and structural conditions in Chengdu, China that shape the possibilities and vulnerabilities of money boys' sexual health. Within the context of China's liberalised market economy, we explore (1) how money boys' enter the sex trade market and navigate their sexual networks; (2) how their lives are enmeshed in fields of sexual desire, stigma and coercion; and (3) how the illicit and stigmatising nature of their work poses barriers to health service access. Findings reveal how the sex trade market and clinic are precarious spaces in which entrepreneurial ethics of the self and stigma-related coercive relations simultaneously enable and constrain money boys' sexual freedom and safer sex practices. By understanding this entrepreneurial precarity through the co-articulation of clinical and organisational work spaces, public health and social service providers can have a stronger sense of how various vulnerabilities configure to affect safer sex practices.
本定性研究强调了中国成都的社会和结构性条件之间的复杂相互作用,这些条件塑造了男妓的性健康的可能性和脆弱性。在中国的自由市场经济背景下,我们探讨了(1)男妓如何进入性交易市场并驾驭他们的性网络;(2)他们的生活如何陷入性欲望、污名和强制的交织中;以及(3)他们工作的非法和污名化性质如何对获得卫生服务造成障碍。研究结果揭示了性交易市场和诊所是不稳定的空间,在这些空间中,自我创业伦理和与污名相关的强制关系同时既为男妓的性自由和安全性行为提供了支持,又对其进行了限制。通过通过临床和组织工作空间的共同表达来理解这种创业不稳定,公共卫生和社会服务提供者可以更清楚地了解各种脆弱性如何配置以影响安全性行为。