Male sex work and HIV risk among young heroin users in Hanoi, Vietnam.
The present study describes complex drug and sexual risk in a group of male sex workers (n = 79) who were recruited in the context of a larger study of young heroin users in Hanoi, Vietnam (n = 1270). Male sex workers were significantly more likely than male non-sex workers to be migrants (P < 0.001) and to have unstable housing (P < 0.001), to have lifetime exposure to marijuana (P < 0.001), 3,4 methylenedioxymethamphetamine (MDMA, ecstasy) (P < 0.01), amphetamines (P < 0.05), cocaine (P < 0.01) and morphine (P < 0.001). Male sex workers are more likely to currently use MDMA (P < 0.05), amphetamines (P < 0.001), morphine (P < 0.05) and to 'smoke' as their most frequent mode of heroin administration (P < 0.01). Male sex workers are more likely to have both male and female concurrent sex partners (P < 0.001), to have a history of sexual victimisation (P < 0.001), to have had more than three different sex partners in the past 30 days (P < 0.001), and to have had partners who injected drugs before sex (P < 0.001) or who used drugs during sex (P < 0.01). In their last sexual encounter with a client partner, approximately one-third (31.1%) reported having had receptive anal sex. In nearly three-quarters of these exchanges (71.4%), no condom was used. Similarly, in their last sexual encounter with a client partner, 42.2% reported having had insertive anal sex and in nearly half (47.4%) of these encounters no condom was used. Consistent with recent data from elsewhere in the region, there is an urgent need for additional research on male sex work in South-east Asia in order to properly situate behavioural interventions for male sex workers in this region.
Clatts
Michael C
MC
Center for Research on Global Health and Youth at Risk, School of Public Health, University of Puerto Rico, San Juan, Puerto Rico. Clatts@ndri.org
Giang
Le M
le M
Goldsamt
Lloyd A
LA
Yi
Huso
H
D000293:Adolescent; D000328:Adult; D000697:Central Nervous System Stimulants / Q000008:administration & dosage; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006213:Hallucinogens / Q000008:administration & dosage; D007722:Health Knowledge, Attitudes, Practice; D003932:Heroin / Q000008:administration & dosage*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009294:Narcotics / Q000008:administration & dosage*; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000517:prevention & control / Q000523:psychology; D014744:Vietnam / Q000453:epidemiology
D000697:Central Nervous System Stimulants; D006213:Hallucinogens; D009294:Narcotics; D003932:Heroin