The balancing act: exploring stigma, economic need and disclosure among male sex workers in Ho Chi Minh City, Vietnam.
The balancing act: exploring stigma, economic need and disclosure among male sex workers in Ho Chi Minh City, Vietnam.
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DOI：
10.1080/17441692.2014.992452
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发表时间：
2015
影响因子：
3.3
通讯作者：
Mimiaga MJ
中科院分区：
文献类型：
--
作者：
Closson EF;Colby DJ;Nguyen T;Cohen SS;Biello K;Mimiaga MJ
在越南，男男性行为者（MSM）中出现了新的艾滋病毒流行。男性性工作者从事高风险的性行为，使他们特别容易感染艾滋病毒。2010年，胡志明市（HCMC） 23名最近与另一名男子发生性行为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、性工作披露的模式和社会耻辱的经历。访谈记录、转录和翻译成英语，并使用定性描述方法进行分析。低工资、不稳定的就业和家庭汇款是胡志明市男同性恋者卖淫的激励因素。参与者描述了与他们从事性工作有关的制定和感受到的社会耻辱的经历。作为回应，他们利用污名管理技术，旨在隐瞒参与性工作。这种策略限制了她们与不付钱的性伴侣的性交流，并可能限制她们向家人和朋友寻求社会支持的能力。从对性工作披露的非情境化描述出发，我们的研究结果描述了披露参与性工作的决定如何受到社会和结构因素的影响，如社会耻辱、最小化耻辱的技术、经济需求和家庭责任。
In Vietnam, there is an emerging HIV epidemic among men who have sex with men (MSM). Male sex workers (MSWs) 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 utilized 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 minimize exposure to stigma, economic imperatives and familial responsibilities.
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影响因子：
2.2
作者：
Edwards-Jackson N;Phanuphak N;Van Tieu H;Chomchey N;Teeratakulpisarn N;Sathienthammawit W;Pakam C;Pharachetsakul N;Sobieszczyk ME;Phanuphak P;Ananworanich J
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影响因子：
1.6
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影响因子：
168.9
作者：
Beyrer, Chris;Baral, Stefan D.;van Griensven, Frits;Goodreau, Steven M.;Chariyalertsak, Suwat;Wirtz, Andrea L.;Brookmeyer, Ron
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Brookmeyer, Ron
影响因子：
3.4
作者：
Rosario, Margaret;Schrimshaw, Eric W.;Hunter, Joyce
通讯作者：
Hunter, Joyce
影响因子：
1.7
作者：
Mimiaga MJ;Reisner SL;Closson EF;Perry N;Perkovich B;Nguyen T;Trang NN;Lan HX;Thien DD;Mayer KH;Colby D
通讯作者：
Colby D