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Article: Risk factors affecting condom use among male sex workers who serve men in China: a qualitative study

TitleRisk factors affecting condom use among male sex workers who serve men in China: a qualitative study
Authors
Issue Date2008
PublisherB M J Publishing Group. The Journal's web site is located at http://sti.bmjjournals.com/
Citation
Sexually Transmitted Infections, 2008, v. 84 n. 6, p. 444-448 How to Cite?
AbstractObjectives: To identify key factors affecting condom use among male sex workers (MSW) who serve men in China. Method: In-depth semi-structured face-to-face interviews in Beijing and Shanghai, China. Informants were recruited through referral from a non-governmental organisation with a strong men who have sex with men (MSM) network and the snowball technique. Results: Between 2004 and 2005, 30 MSW were interviewed (Beijing n = 14; Shanghai n = 16). The MSW in this study were mainly single, young, homosexual, rural migrants with secondary education. None practised safer sex in their home towns. Until they migrated to big cities and entered the sex industry, they did not develop safer sex practices. They reported high condom use at work, but more than half of them (n = 17) had not been tested for HIV. Four factors, derived from the interviews and correlated to their rural background, sexual orientation and sex work identity, put MSW at risk of HIV/sexually transmitted infections (STI): incorrect AIDS knowledge; economic hardship; homosexual orientation and over-trusting in sexual relationships. Conclusion: MSW, a distinctive but often neglected group in both studies and sentinel surveillance among the MSM population in China, deserve special attention. There is not only potential for HIV/STI infection among the MSM population but also for infecting the general public. Education and prevention programmes should take their three major interlocking identities: rural migrant, sex worker and homosexual into consideration in social, cultural and economic contexts in China.
Persistent Identifierhttp://hdl.handle.net/10722/59827
ISSN
2015 Impact Factor: 3.015
2015 SCImago Journal Rankings: 2.142
ISI Accession Number ID
Funding AgencyGrant Number
Department of Applied Social Sciences, the Hong Kong Polytechnic University
UNAIDS
Funding Information:

This project was funded by two sources: One was the author's previous institute, the Department of Applied Social Sciences, the Hong Kong Polytechnic University, which funded the author to do research on male prostitution in China. The other was UNAIDS, which funded the non-governmental organisation involved to conduct an HIV prevention programme on male sex workers in China. The author was invited to be the research consultant of this programme and thus gained access to this population. Both funders provided only financial support (eg, flight tickets, accommodation, meals, etc) for the author's field trips and were not involved with the study design, with the collection, analysis and interpretation of data, with the writing of the report or with the decision to submit the paper for publication.

References

 

DC FieldValueLanguage
dc.contributor.authorKong, TSKen_HK
dc.date.accessioned2010-05-31T03:58:12Z-
dc.date.available2010-05-31T03:58:12Z-
dc.date.issued2008en_HK
dc.identifier.citationSexually Transmitted Infections, 2008, v. 84 n. 6, p. 444-448en_HK
dc.identifier.issn1368-4973en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59827-
dc.description.abstractObjectives: To identify key factors affecting condom use among male sex workers (MSW) who serve men in China. Method: In-depth semi-structured face-to-face interviews in Beijing and Shanghai, China. Informants were recruited through referral from a non-governmental organisation with a strong men who have sex with men (MSM) network and the snowball technique. Results: Between 2004 and 2005, 30 MSW were interviewed (Beijing n = 14; Shanghai n = 16). The MSW in this study were mainly single, young, homosexual, rural migrants with secondary education. None practised safer sex in their home towns. Until they migrated to big cities and entered the sex industry, they did not develop safer sex practices. They reported high condom use at work, but more than half of them (n = 17) had not been tested for HIV. Four factors, derived from the interviews and correlated to their rural background, sexual orientation and sex work identity, put MSW at risk of HIV/sexually transmitted infections (STI): incorrect AIDS knowledge; economic hardship; homosexual orientation and over-trusting in sexual relationships. Conclusion: MSW, a distinctive but often neglected group in both studies and sentinel surveillance among the MSM population in China, deserve special attention. There is not only potential for HIV/STI infection among the MSM population but also for infecting the general public. Education and prevention programmes should take their three major interlocking identities: rural migrant, sex worker and homosexual into consideration in social, cultural and economic contexts in China.en_HK
dc.languageengen_HK
dc.publisherB M J Publishing Group. The Journal's web site is located at http://sti.bmjjournals.com/en_HK
dc.relation.ispartofSexually Transmitted Infectionsen_HK
dc.rightsSexually Transmitted Infections. Copyright © B M J Publishing Group.-
dc.subject.meshAttitude to Health-
dc.subject.meshCondoms - utilization-
dc.subject.meshHomosexuality, Male - psychology-
dc.subject.meshProstitution - psychology-
dc.subject.meshRisk Factors-
dc.titleRisk factors affecting condom use among male sex workers who serve men in China: a qualitative studyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1368-4973&volume=84&issue=6&spage=444&epage=448&date=2008&atitle=Risk+factors+affecting+condom+use+among+male+sex+workers+who+serve+men+in+China:+a+qualitative+study-
dc.identifier.emailKong, TSK: travisk@hkucc.hku.hken_HK
dc.identifier.authorityKong, TSK=rp00557en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1136/sti.2008.030650en_HK
dc.identifier.pmid19028944-
dc.identifier.scopuseid_2-s2.0-57149108332en_HK
dc.identifier.hkuros148298en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-57149108332&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume84en_HK
dc.identifier.issue6en_HK
dc.identifier.spage444en_HK
dc.identifier.epage448en_HK
dc.identifier.isiWOS:000261149500010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridKong, TSK=12809625200en_HK

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