title: Social contexts of risk behaviors for HIV among male, unskilled, unregistered laborers in urban Vietnam.
abstract: In Vietnam there has been relatively little success in controlling the HIV epidemic, in part because the subpopulations most exposed to the virus are often difficult to engage in prevention research and programs. In this qualitative study we explored social contexts shaping HIV risk behaviors among Vietnamese men involved in unskilled, unregistered, and low-income labor in urban settings. Based on self-disclosed behaviors, it is clear that these men were at high risk of sexually transmitted infection (STI). Evidence emerged from the interview data highlighting equivalent influences of individual psychological factors, social integration, social barriers, and accessibility regarding drug use and sexual risk behavior. Psychological influences such as tedium, distress, fatalism and revenge, and the strong effects of collective decision making and fear of social isolation appeared important for these men living on the economic and social margins of this rapidly urbanizing society. The study findings suggest directions for research and culturally appropriate HIV preventive education and services for these men.
authors: Hanoi Medical University, Hanoi, Vietnam. nvanhuy@yahoo.com
authors: Van Huy
authors: VH
authors: Nguyen
authors: Michael P
authors: MP
authors: Dunne
authors: Joseph
authors: J
authors: Debattista
authors: Tran Hien
authors: TH
authors: Nguyen
authors: Thi Minh An
authors: TM
authors: Dao
mesh_terms: D003625:Data Collection; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D054526:Men's Health; D036301:Qualitative Research; D012307:Risk Factors; D012309:Risk-Taking; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000523:psychology; D012931:Social Environment; D012934:Social Isolation / Q000523:psychology*; D013315:Stress, Psychological; D014505:Urban Population / Q000706:statistics & numerical data*; D014744:Vietnam / Q000453:epidemiology; D014937:Work / Q000523:psychology*; D017132:Workplace / Q000523:psychology