title: HIV, Hepatitis C, and Other Sexually Transmitted Infections Among Male Sex Workers in Ho Chi Minh City, Vietnam.
abstract: There is little data on the burden of HIV and other infections that affect male sex workers (MSW) in Vietnam. We conducted behavioral and biological sexual health surveys with 300 MSW in Ho Chi Minh City. Generalized estimating equation models were built to assess factors associated with HIV, hepatitis C, and other sexually transmitted infections (STI). Of 300 MSW, 19 (6.3 %) were diagnosed seropositive for HIV, 11 (3.7 %) had hepatitis C, and 26 (8.7 %) had at least one prevalent STI. In a multivariable model, opiate use was significantly associated with HIV infection (aOR 6.46, 95 % CI 1.28-32.7) and hepatitis C (aOR = 19.6, 95 % CI 2.35-163.6). Alcohol dependency was associated with increased odds of hepatitis C (aOR = 4.79, 95 % CI 1.02-22.5) and decreased odds of other STI (aOR = 0.30, 95 % CI 0.10-0.97). These findings suggest that MSW in Vietnam would benefit from regular HIV and STI testing, as well as linkage to care and substance use rehabilitation services.
authors.affiliation: SEARCH, Thai Red Cross AIDS Research Centre, 104 Rajdamri Road, Pathumwan, Bangkok, 10330, Thailand. doctordonn@gmail.com.|Center for Applied Research on Men and Health, Ho Chi Minh City, Vietnam. doctordonn@gmail.com.
authors.forename: Donn J
authors.identifier: http://orcid.org/0000-0003-3931-5926
authors.initials: DJ
authors.lastname: Colby
authors.affiliation: Department of Epidemiology, Harvard Chan School of Public Health, Boston, MA, USA.|The Fenway Institute, Fenway Community Health, Boston, MA, USA.
authors.forename: Catherine E
authors.initials: CE
authors.lastname: Oldenburg
authors.affiliation: Harvard Medical School AIDS Initiative in Vietnam, Ho Chi Minh City, Vietnam.
authors.forename: Thi
authors.initials: T
authors.lastname: Nguyen
authors.affiliation: The Fenway Institute, Fenway Community Health, Boston, MA, USA.
authors.forename: Elizabeth F
authors.initials: EF
authors.lastname: Closson
authors.affiliation: Department of Epidemiology, Harvard Chan School of Public Health, Boston, MA, USA.|The Fenway Institute, Fenway Community Health, Boston, MA, USA.
authors.forename: Katie B
authors.initials: KB
authors.lastname: Biello
authors.affiliation: The Fenway Institute, Fenway Community Health, Boston, MA, USA.|Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.|Department of Global Health and Population, Harvard Chan School of Public Health, Boston, MA, USA.
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Mayer
authors.affiliation: Department of Epidemiology, Harvard Chan School of Public Health, Boston, MA, USA.|The Fenway Institute, Fenway Community Health, Boston, MA, USA.|Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Mimiaga
mesh_terms: D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000208:ethnology*; D006526:Hepatitis C / Q000208:ethnology*; D006801:Humans; D008297:Male; D015995:Prevalence; D060386:Sex Workers / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000208:ethnology*; D012959:Socioeconomic Factors; D014744:Vietnam / Q000453:epidemiology
keywords: HIV; Hepatitis C; Male sex work; Prevalence; Vietnam