HIV Risk Behaviors Among Three Classes of Female Sex Workers in Vietnam

Le, Mai-Nhung; D’Onofrio, Carol N.

doi:10.1080/00224490902999278

Cited by 16 publications

(13 citation statements)

References 39 publications

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“…Studies highlight the multiple adverse social and environmental contexts contributing to HIV risk among sex workers, including poverty, violence, addiction [17, 19–25], multiple life traumas such as childhood abuse and partner violence, and severe physical and emotional health-related problems [21, 23, 26–29]. Sex workers face unique circumstances that exacerbate the challenge of negotiating protected sex such as receiving higher payment from clients to forgo condom use and establishing feelings of trust with regular paying partners [25, 30]. Moreover, economic, social, and gender inequalities make it difficult for all women, not just sex workers, to persuade partners to use male condoms [31–33].…”

Section: Introductionmentioning

confidence: 99%

Reducing Sexual HIV/STI Risk and Harmful Alcohol Use Among Female Sex Workers in Mongolia: A Randomized Clinical Trial

Witte

Batsukh²,

Aira³

et al. 2011

AIDS Behav

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This study examined the efficacy of an enhanced intervention to reduce sexual risk of HIV/STI and harmful alcohol use among female sex workers in Mongolia. Women (n = 166) were recruited and randomized to either (1) a relationship-based HIV sexual risk reduction intervention; (2) the same sexual risk reduction intervention plus motivational interviewing; or (3) a control condition focused on wellness promotion. At three and six month follow-up, both treatment interventions and the wellness promotion condition were effective in reducing the percentage and the number of unprotected acts of vaginal sex with paying partners in the past 90 days. All three conditions demonstrated efficacy in reducing harmful alcohol use. No significant differences in effects were observed between conditions. Findings suggest that even low impact behavioral interventions can achieve considerable reductions of HIV/STI risk and harmful alcohol use with a highly vulnerable population in a low resourced setting.

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Section: Introductionmentioning

confidence: 99%

Reducing Sexual HIV/STI Risk and Harmful Alcohol Use Among Female Sex Workers in Mongolia: A Randomized Clinical Trial

Witte

Batsukh²,

Aira³

et al. 2011

AIDS Behav

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“…Globally as well as in India, female sex workers (FSWs) are believed to be the recipient as well as transmitter of HIV infection [5, 14–16]. Indian FSWs were found to be at higher risk due to increased inconsistent condom use [2, 17] and other vulnerability factors such as violence and migration [1, 5, 18].…”

Section: Introductionmentioning

confidence: 99%

Indicators of Mobility, Socio-Economic Vulnerabilities and HIV Risk Behaviours Among Mobile Female Sex Workers in India

et al. 2011

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This paper examines the relationship between indicators of mobility, socio-economic vulnerabilities, and HIV risk behaviours among 5,498 mobile female sex workers (FSWs) living in the four high HIV prevalence states in India. Female sex workers with greater degree of mobility reported significantly more often than the FSWs with lesser degree of mobility that they experienced physical violence, and consumed alcohol prior to sex. Further, FSWs with greater degree of mobility reported significantly more often than the FSWs with lesser degree of mobility that they had inconsistent condom use in sex with clients, even after controlling for several demographic characteristics and socio-economic vulnerabilities including experiences of violence. Additionally, short duration visits and visit to the Jatra (religious fairs) places found to have significant association with their inconsistent condom use in sex with clients as well as continuation of sex despite having STI symptoms. These findings suggest the need for screening FSWs for higher degree of mobility and to mobilize them to form community networks so as to deal with violence, reduce alcohol use and promote consistent condom use along the routes of mobility. HIV prevention interventions aimed at FSWs require an increased attention to address the socio-economic vulnerabilities including alcohol use, with particular emphasis on those FSWs who are on the move in India and elsewhere.

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“…Thereafter, a variety of sexual and behavioral studies were implemented in Cambodia and broader Asia (NCHADS 2004;Swe and Rashid 2013;Wirawan et al 1993;Jung 2013;Phrasisombath et al 2012;Lawless et al 1996;Le et al 2010), which resulted in the framing sex workers and LGBT persons as victims, potential disease vectors, social deviants and delinquents. In reference to her work on Myanmar, Gillian Fletcher explains how, in at-risk approaches to HIV prevention, there has been a construction of "otherness" based around assumptions of "good" and "bad" types of people rather than types of behaviors, contexts or power inequities (Fletcher 2011).…”

Section: "At-risk and Vulnerable" Or "Deviants And Threats To Tradition"mentioning

confidence: 99%

“At-Risk” or “Socially Deviant”? Conflicting Narratives and Grassroots Organizing of Sex/Entertainment Workers and LGBT Communities in Cambodia

Hoefinger

Srun

2017

Social Sciences

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Cambodia has experienced rapid economic development and increased globalization in the last two decades, which have influenced changes in sexual attitudes and politics. Yet deeply embedded patriarchal structures that promote adherence to traditional values, gender binaries, and sexual purity of women impede progress in the recognition of the rights of sex/entertainment workers and LGBT communities. Using the framework of sexual humanitarianism, this paper outlines the ways in which these constraints are compounded by two dominant conflicting narratives that place these groups as either at-risk and vulnerable or socially deviant, and deemed in need of interventions that protect and control. Drawing on over a decade of empirical research on the sex/entertainment industries, and broader gender/sexual landscape in Cambodia, as well as current social activism of the authors, this paper also describes the ways LGBT and sex worker communities are engaging in shared organizing and self-advocacy as strategies to address their needs and the consequences left in the wake of sexual humanitarian interventions. In order to contextualize their deeply-rooted legacy in Cambodia, the paper also provides an overview of past and contemporary gender/sexual norms and diversity, and concludes with a call for governments and policymakers to expand support for grassroots movements and to listen more closely to the voices of LGBT and sex worker communities so that the political and social needs of these groups can be addressed.

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HIV Risk Behaviors Among Three Classes of Female Sex Workers in Vietnam

Cited by 16 publications

References 39 publications

Reducing Sexual HIV/STI Risk and Harmful Alcohol Use Among Female Sex Workers in Mongolia: A Randomized Clinical Trial

Reducing Sexual HIV/STI Risk and Harmful Alcohol Use Among Female Sex Workers in Mongolia: A Randomized Clinical Trial

Indicators of Mobility, Socio-Economic Vulnerabilities and HIV Risk Behaviours Among Mobile Female Sex Workers in India

“At-Risk” or “Socially Deviant”? Conflicting Narratives and Grassroots Organizing of Sex/Entertainment Workers and LGBT Communities in Cambodia

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