scholarly journals Pr EP and the syndemic of substance use, violence, and HIV among female and male sex workers: a qualitative study in Kisumu, Kenya

2019 ◽  
Vol 22 (4) ◽  
pp. e25266 ◽  
Author(s):  
Angela R Bazzi ◽  
Kelly Yotebieng ◽  
Sophie Otticha ◽  
Grace Rota ◽  
Kawango Agot ◽  
...  
AIDS Care ◽  
2009 ◽  
Vol 22 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Stefan Baral ◽  
Darya Kizub ◽  
Nicole Franck Masenior ◽  
Alena Peryskina ◽  
Julie Stachowiak ◽  
...  

2015 ◽  
Vol 26 (5) ◽  
pp. 516-521 ◽  
Author(s):  
Gary Yu ◽  
Michael C. Clatts ◽  
Lloyd A. Goldsamt ◽  
Le M. Giang

2019 ◽  
Vol 13 (1) ◽  
pp. 155798831882388 ◽  
Author(s):  
Eileen Yuk-ha Tsang ◽  
Shan Qiao ◽  
Jeffrey S. Wilkinson ◽  
Annis Lai-chu Fung ◽  
Freddy Lipeleke ◽  
...  

Male sex workers are marginalized in most societies due to intersectional stigma between prostitution and homosexuality. In Zimbabwe, a proliferation of male sex workers in major cities such as Harare and Bulawayo has been reported. However, there is a shortage of studies that explore their lives. The current qualitative study aims to describe the practices of sex work, life contexts, and HIV risks and vulnerabilities based on in-depth interviews among 15 male sex workers in Bulawayo. Our studies suggest that the stigma against male sex workers comes from diverse sectors including culture (“homosexuality is un-African, introduced by the Whites”), religion (“same sex is a sin before the God”), law and police (“homosexuality is illegal in Zimbabwe. Engaging in it can send one to prison”), media (“the media is hostile to sex workers particularly men as we are regarded as abnormal and unclean”), and their family (“should they get to know about it, they will disown me”). In this context, male sex workers were excluded from national HIV prevention and treatment programs. They had limited knowledge and many misconceptions about HIV. The stigma and discrimination from health-care providers also discouraged them from health seeking or HIV testing. The non-disclosure to female partners of convenience and sexual relations further increased their vulnerabilities to HIV infection and transmission. Current efforts to address the HIV epidemic should pay attention to male sex workers and tackle the intersecting stigma issues. male sex workers need support and tailored HIV prevention and treatment services to improve their HIV prevention practices, health, and well-being.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Karla Y. Ganley ◽  
Marta Wilson-Barthes ◽  
Andrew R. Zullo ◽  
Sandra G. Sosa-Rubí ◽  
Carlos J. Conde-Glez ◽  
...  

Abstract Background Male sex workers are at high-risk for acquisition of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). We quantified incidence rates of STIs and identified their time-varying predictors among male sex workers in Mexico City. Methods From January 2012 to May 2014, male sex workers recruited from the largest HIV clinic and community sites in Mexico City were tested for chlamydia, gonorrhea, syphilis, hepatitis, and HIV at baseline, 6-months, and 12-months. Incidence rates with 95% bootstrapped confidence limits were calculated. We examined potential time-varying predictors using generalized estimating equations for a population averaged model. Results Among 227 male sex workers, median age was 24 and baseline HIV prevalence was 32%. Incidence rates (per 100 person-years) were as follows: HIV [5.23; 95% confidence interval (CI): 2.15–10.31], chlamydia (5.15; 95% CI: 2.58–9.34), gonorrhea (3.93; 95% CI: 1.88–7.83), syphilis (13.04; 95% CI: 8.24–19.94), hepatitis B (2.11; 95% CI: 0.53–4.89), hepatitis C (0.95; 95% CI: 0.00–3.16), any STI except HIV (30.99; 95% CI: 21.73–40.26), and any STI including HIV (50.08; 95% CI: 37.60–62.55). In the multivariable-adjusted model, incident STI (excluding HIV) were lower among those who reported consistently using condoms during anal and vaginal intercourse (odds ratio = 0.03, 95% CI: 0.00–0.68) compared to those who reported inconsistently using condoms during anal and vaginal intercourse. Conclusions Incidence of STIs is high among male sex workers in Mexico City. Consistent condom use is an important protective factor for STIs, and should be an important component of interventions to prevent incident infections.


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