PMID- 25555192
OWN - NLM
STAT- MEDLINE
DCOM- 20151214
LR  - 20181202
IS  - 1744-1706 (Electronic)
IS  - 1744-1692 (Print)
IS  - 1744-1692 (Linking)
VI  - 10
IP  - 4
DP  - 2015
TI  - The balancing act: exploring stigma, economic need and disclosure among male sex 
      workers in Ho Chi Minh City, Vietnam.
PG  - 520-31
LID - 10.1080/17441692.2014.992452 [doi]
AB  - In Vietnam, there is an emerging HIV epidemic among men who have sex with men 
      (MSM). Male sex workers engage in high-risk sexual behaviours that make them 
      particularly vulnerable to HIV infection. In 2010, 23 MSM in Ho Chi Minh City 
      (HCMC) who recently received payment for sex with another man completed in-depth 
      qualitative interviews exploring motivations for sex work, patterns of sex work 
      disclosure and experiences of social stigma. Interviews were recorded, 
      transcribed and translated into English and analysed using a qualitative 
      descriptive approach. Low wages, unstable employment and family remittances were 
      motivating factors for MSM in HCMC to sell sex. Participants described 
      experiences of enacted and felt social stigma related to their involvement in sex 
      work. In response, they utilised stigma management techniques aimed at 
      concealment of involvement in sex work. Such strategies restricted sexual 
      communication with non-paying sex partners and potentially limited their ability 
      to seek social support from family and friends. Departing from decontextualized 
      depictions of sex work disclosure, our findings describe how decisions to reveal 
      involvement in sex work are shaped by social and structural factors such as 
      social stigma, techniques to minimise exposure to stigma, economic imperatives 
      and familial responsibilities.
FAU - Closson, Elizabeth F
AU  - Closson EF
AD  - a Fenway Health , The Fenway Institute , Boston , MA , USA.
FAU - Colby, Donn J
AU  - Colby DJ
FAU - Nguyen, Thi
AU  - Nguyen T
FAU - Cohen, Samuel S
AU  - Cohen SS
FAU - Biello, Katie
AU  - Biello K
FAU - Mimiaga, Matthew J
AU  - Mimiaga MJ
LA  - eng
GR  - UL1 RR025758/RR/NCRR NIH HHS/United States
GR  - UL1 TR000170/TR/NCATS NIH HHS/United States
GR  - 1 UL1 RR 025758-02/RR/NCRR NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20150102
PL  - England
TA  - Glob Public Health
JT  - Global public health
JID - 101256323
SB  - IM
MH  - Adult
MH  - Alcohol Drinking
MH  - Condoms/statistics & numerical data
MH  - HIV Infections/epidemiology/*psychology/transmission
MH  - Homosexuality, Male/*psychology/statistics & numerical data
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - Qualitative Research
MH  - Risk-Taking
MH  - Sex Workers/*psychology/statistics & numerical data
MH  - *Social Stigma
MH  - Unsafe Sex/*psychology/statistics & numerical data
MH  - Vietnam/epidemiology
MH  - Young Adult
PMC - PMC4346426
MID - NIHMS645975
OTO - NOTNLM
OT  - HIV
OT  - MSM
OT  - Vietnam
OT  - sex work
OT  - stigma
COIS- The authors have no conflict of interests.
EDAT- 2015/01/03 06:00
MHDA- 2015/12/15 06:00
PMCR- 2016/04/01
CRDT- 2015/01/03 06:00
PHST- 2015/01/03 06:00 [entrez]
PHST- 2015/01/03 06:00 [pubmed]
PHST- 2015/12/15 06:00 [medline]
PHST- 2016/04/01 00:00 [pmc-release]
AID - 10.1080/17441692.2014.992452 [doi]
PST - ppublish
SO  - Glob Public Health. 2015;10(4):520-31. doi: 10.1080/17441692.2014.992452. Epub 
      2015 Jan 2.