Male sex work and HIV risk among young heroin users in Hanoi, Vietnam

Michael C. Clatts, Le M. Giang, Lloyd Goldsamt, Huso Yi

Research output: Contribution to journalArticle

Abstract

The present study describes complex drug and sexual risk in a group of male sex workers (n = 79) who were recruited in the context of a larger study of young heroin users in Hanoi, Vietnam (n = 1270). Male sex workers were significantly more likely than male non-sex workers to be migrants (P <0.001) and to have unstable housing (P <0.001), to have lifetime exposure to marijuana (P <0.001), 3,4 methylenedioxymethamphetamine (MDMA, ecstasy) (P <0.01), amphetamines (P <0.05), cocaine (P <0.01) and morphine (P <0.001). Male sex workers are more likely to currently use MDMA (P <0.05), amphetamines (P <0.001), morphine (P <0.05) and to 'smoke' as their most frequent mode of heroin administration (P <0.01). Male sex workers are more likely to have both male and female concurrent sex partners (P <0.001), to have a history of sexual victimisation (P <0.001), to have had more than three different sex partners in the past 30 days (P <0.001), and to have had partners who injected drugs before sex (P <0.001) or who used drugs during sex (P <0.01). In their last sexual encounter with a client partner, approximately one-third (31.1%) reported having had receptive anal sex. In nearly three-quarters of these exchanges (71.4%), no condom was used. Similarly, in their last sexual encounter with a client partner, 42.2% reported having had insertive anal sex and in nearly half (47.4%) of these encounters no condom was used. Consistent with recent data from elsewhere in the region, there is an urgent need for additional research on male sex work in South-east Asia in order to properly situate behavioural interventions for male sex workers in this region.

Original languageEnglish (US)
Pages (from-to)261-267
Number of pages7
JournalSexual Health
Volume4
Issue number4
DOIs
StatePublished - 2007

Fingerprint

Sex Work
Vietnam
Heroin
Sex Workers
HIV
N-Methyl-3,4-methylenedioxyamphetamine
Amphetamines
Condoms
Sexual Behavior
Morphine
Pharmaceutical Preparations
Crime Victims
Far East
Cannabis
Cocaine
Smoke

Keywords

  • Drug abuse
  • Epidemiological bridging patterns
  • High risk youth
  • Masculinities
  • Migration
  • Sexual risk
  • Sexually transmissible infections

ASJC Scopus subject areas

  • Infectious Diseases
  • Public Health, Environmental and Occupational Health

Cite this

Male sex work and HIV risk among young heroin users in Hanoi, Vietnam. / Clatts, Michael C.; Giang, Le M.; Goldsamt, Lloyd; Yi, Huso.

In: Sexual Health, Vol. 4, No. 4, 2007, p. 261-267.

Research output: Contribution to journalArticle

Clatts, Michael C. ; Giang, Le M. ; Goldsamt, Lloyd ; Yi, Huso. / Male sex work and HIV risk among young heroin users in Hanoi, Vietnam. In: Sexual Health. 2007 ; Vol. 4, No. 4. pp. 261-267.
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