Substance use among male sex workers in Vietnam: Prevalence, onset, and interactions with sexual risk

Gary Yu, Michael C. Clatts, Lloyd Goldsamt, Le M. Giang

Research output: Contribution to journalArticle

Abstract

Background: HIV research in Vietnam has focused primarily on its large heroin injector population. Data on men who have sex with men [MSM], particularly the large and growing population of men who exchange sex for money or other material rewards, male sex workers [MSWs], is very limited. Methods: Data derive from a cross-sectional study of MSW, age 16-35, recruited using community sampling methods in three cities in 2010-2011, including Hanoi, Ho Chi Minh City [HCMC], and Nha Trang City (n=710). Assessments included demographic characteristics, substance use, sexual risk, and use of health services. A series of "event" questions were used to assess the influence of alcohol and drugs on sexual risk. Results: Both tobacco and alcohol are initiated at a young age and most participants currently use both substances overall across all three cities. While alcohol and tobacco use precede the initiation of sex work, stimulant and opiate use are initiated following the initiation of sex work. There was substantial overlap between substance use and sexual risk, and this overlap was strongest in sexual events involving male and female elective partners rather than sex work clients. Conclusion: Although rates of HIV infection in this group are low, this may be an artifact of the young age of the sample. High rates of drug use, including alcohol, tobacco and illicit drugs, coupled with high rates of ulcerative STIs such as HPV, suggest the potential for rapid amplification of STI/HIV risk among MSW and their complex sex partnering networks.

Original languageEnglish (US)
Pages (from-to)516-521
Number of pages6
JournalInternational Journal of Drug Policy
Volume26
Issue number5
DOIs
StatePublished - May 1 2015

Fingerprint

Sex Workers
Vietnam
Sex Work
Alcohols
Sexually Transmitted Diseases
Tobacco
Opiate Alkaloids
HIV
Heroin
Tobacco Use
Street Drugs
Reward
Pharmaceutical Preparations
Artifacts
Population
Health Services
HIV Infections
Cross-Sectional Studies
Demography
Research

Keywords

  • Male sex work
  • Onset of drug and sexual risk
  • Vietnam

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Health Policy

Cite this

Substance use among male sex workers in Vietnam : Prevalence, onset, and interactions with sexual risk. / Yu, Gary; Clatts, Michael C.; Goldsamt, Lloyd; Giang, Le M.

In: International Journal of Drug Policy, Vol. 26, No. 5, 01.05.2015, p. 516-521.

Research output: Contribution to journalArticle

@article{bf6c0628787c452f9efe2f6b061bdc7b,
title = "Substance use among male sex workers in Vietnam: Prevalence, onset, and interactions with sexual risk",
abstract = "Background: HIV research in Vietnam has focused primarily on its large heroin injector population. Data on men who have sex with men [MSM], particularly the large and growing population of men who exchange sex for money or other material rewards, male sex workers [MSWs], is very limited. Methods: Data derive from a cross-sectional study of MSW, age 16-35, recruited using community sampling methods in three cities in 2010-2011, including Hanoi, Ho Chi Minh City [HCMC], and Nha Trang City (n=710). Assessments included demographic characteristics, substance use, sexual risk, and use of health services. A series of {"}event{"} questions were used to assess the influence of alcohol and drugs on sexual risk. Results: Both tobacco and alcohol are initiated at a young age and most participants currently use both substances overall across all three cities. While alcohol and tobacco use precede the initiation of sex work, stimulant and opiate use are initiated following the initiation of sex work. There was substantial overlap between substance use and sexual risk, and this overlap was strongest in sexual events involving male and female elective partners rather than sex work clients. Conclusion: Although rates of HIV infection in this group are low, this may be an artifact of the young age of the sample. High rates of drug use, including alcohol, tobacco and illicit drugs, coupled with high rates of ulcerative STIs such as HPV, suggest the potential for rapid amplification of STI/HIV risk among MSW and their complex sex partnering networks.",
keywords = "Male sex work, Onset of drug and sexual risk, Vietnam",
author = "Gary Yu and Clatts, {Michael C.} and Lloyd Goldsamt and Giang, {Le M.}",
year = "2015",
month = "5",
day = "1",
doi = "10.1016/j.drugpo.2014.10.011",
language = "English (US)",
volume = "26",
pages = "516--521",
journal = "International Journal of Drug Policy",
issn = "0955-3959",
publisher = "Elsevier",
number = "5",

}

TY - JOUR

T1 - Substance use among male sex workers in Vietnam

T2 - Prevalence, onset, and interactions with sexual risk

AU - Yu, Gary

AU - Clatts, Michael C.

AU - Goldsamt, Lloyd

AU - Giang, Le M.

PY - 2015/5/1

Y1 - 2015/5/1

N2 - Background: HIV research in Vietnam has focused primarily on its large heroin injector population. Data on men who have sex with men [MSM], particularly the large and growing population of men who exchange sex for money or other material rewards, male sex workers [MSWs], is very limited. Methods: Data derive from a cross-sectional study of MSW, age 16-35, recruited using community sampling methods in three cities in 2010-2011, including Hanoi, Ho Chi Minh City [HCMC], and Nha Trang City (n=710). Assessments included demographic characteristics, substance use, sexual risk, and use of health services. A series of "event" questions were used to assess the influence of alcohol and drugs on sexual risk. Results: Both tobacco and alcohol are initiated at a young age and most participants currently use both substances overall across all three cities. While alcohol and tobacco use precede the initiation of sex work, stimulant and opiate use are initiated following the initiation of sex work. There was substantial overlap between substance use and sexual risk, and this overlap was strongest in sexual events involving male and female elective partners rather than sex work clients. Conclusion: Although rates of HIV infection in this group are low, this may be an artifact of the young age of the sample. High rates of drug use, including alcohol, tobacco and illicit drugs, coupled with high rates of ulcerative STIs such as HPV, suggest the potential for rapid amplification of STI/HIV risk among MSW and their complex sex partnering networks.

AB - Background: HIV research in Vietnam has focused primarily on its large heroin injector population. Data on men who have sex with men [MSM], particularly the large and growing population of men who exchange sex for money or other material rewards, male sex workers [MSWs], is very limited. Methods: Data derive from a cross-sectional study of MSW, age 16-35, recruited using community sampling methods in three cities in 2010-2011, including Hanoi, Ho Chi Minh City [HCMC], and Nha Trang City (n=710). Assessments included demographic characteristics, substance use, sexual risk, and use of health services. A series of "event" questions were used to assess the influence of alcohol and drugs on sexual risk. Results: Both tobacco and alcohol are initiated at a young age and most participants currently use both substances overall across all three cities. While alcohol and tobacco use precede the initiation of sex work, stimulant and opiate use are initiated following the initiation of sex work. There was substantial overlap between substance use and sexual risk, and this overlap was strongest in sexual events involving male and female elective partners rather than sex work clients. Conclusion: Although rates of HIV infection in this group are low, this may be an artifact of the young age of the sample. High rates of drug use, including alcohol, tobacco and illicit drugs, coupled with high rates of ulcerative STIs such as HPV, suggest the potential for rapid amplification of STI/HIV risk among MSW and their complex sex partnering networks.

KW - Male sex work

KW - Onset of drug and sexual risk

KW - Vietnam

UR - http://www.scopus.com/inward/record.url?scp=84928204963&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928204963&partnerID=8YFLogxK

U2 - 10.1016/j.drugpo.2014.10.011

DO - 10.1016/j.drugpo.2014.10.011

M3 - Article

VL - 26

SP - 516

EP - 521

JO - International Journal of Drug Policy

JF - International Journal of Drug Policy

SN - 0955-3959

IS - 5

ER -