title: When Sex Work Becomes Your Everything: The Complex Linkages Between Economy and Affection Among Male Sex Workers in Peru.
abstract: In Peru, there are few studies on male sex workers (MSWs), and existing studies explore limited subgroups or offer limited information about MSWs' perspectives. This study provides in-depth perspectives from 40 MSWs who work in downtown Lima (Cercado) and in surrounding urban neighborhoods (non-Cercado) through interviews on their identities, lives, and HIV/STI (sexually transmitted infection) risks and vulnerabilities. Findings are that entry into sex work links economy and affection, particularly among Cercado MSWs. Continued sex work cements this link, making it difficult to exit sex work and establish goals. Ties between economics and affections influence MSWs' perceived HIV/STI risks, vulnerabilities, and prevention practices. Although Cercado MSWs report higher HIV/STI risks and vulnerabilities than non-Cercado peers, they report fewer prevention practices given inability to buy condoms and acceptance of client offers of higher payment, especially clients they feel affection for. MSWs need support to strengthen their self-perceptions and define and pursue their goals in order to improve their HIV/STI prevention practices, health, and well-being.
authors.affiliation: University of California Los Angeles, CA, USA Universidad Peruana Cayetano Heredia, Lima, Peru ABayer@mednet.ucla.edu.
authors.forename: Angela M
authors.initials: AM
authors.lastname: Bayer
authors.affiliation: Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Mijail
authors.initials: M
authors.lastname: Garvich
authors.affiliation: Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: David A
authors.initials: DA
authors.lastname: Díaz
authors.affiliation: Epicentro, Lima, Peru.
authors.forename: Hugo
authors.initials: H
authors.lastname: Sánchez
authors.affiliation: Universidad Peruana Cayetano Heredia, Lima, Peru.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: García
authors.affiliation: University of California Los Angeles, CA, USA.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Coates
mesh_terms: D000328:Adult; D006801:Humans; D007182:Income; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D010568:Peru; D060386:Sex Workers / Q000523:psychology*; D047568:Unsafe Sex / Q000706:statistics & numerical data
keywords: HIV/sexually transmitted infections; Peru; life histories; males; qualitative; sex work