Characteristics of a Sexual Network of Behaviorally Bisexual Men in Vientiane, Lao PDR, 2010

Gemert, Caroline van; Vongsaiya, Kongchay; Hughes, Chad; Jenkinson, Rebecca; Bowring, Anna L; Sihavong, Amphoy; Phimphachanh, Chansy; Chanlivong, Niramonh; Toole, Michael J.; Hellard, Margaret

doi:10.1521/aeap.2013.25.3.232

Cited by 11 publications

(9 citation statements)

References 18 publications

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“…Consistent with the findings of the current study where patterns of mobility and migration play a significant role in heightening the Ojek's susceptibility to HIV infection, other studies (Reinking et al, 1994;Jones and Handcock, 2003;Helleringer and Kohler, 2007;Schneider et al, 2007;Gemert et al, 2013) have reported sexual networks and sexual interactions as significant determinants of HIV epidemic within population groups and communities. The findings of the current study inform that, compared to the married Ojek, the unmarried Ojek were more susceptible to HIV transmission.…”

Section: Discussionsupporting

confidence: 91%

Inequalities in addressing the HIV epidemic: the story of the Indonesian Ojek community

Fauk

Mwanri

2015

International Journal of Human Rights in Healthcare

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If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to identify the potential socio-cultural determinants contributing to inequalities and the susceptibility of the Ojek to Human Immunodeficiency Virus (HIV) infection. Design/methodology/approach -In 2010 a qualitative enquiry was employed to collect data concerning the susceptibility of the Ojek to HIV infection. Both one-on-one open-ended in-depth interviews and focus group discussions were employed. Participants included Ojek (hired motorcycle drivers), religious and community leaders, staff from the HIV/Acquired Immune Deficiency Syndrome (AIDS) Commission of Belu and staff from two HIV/AIDS non-governmental organisations. A thematic analysis and a framework approach were used to analyse the data. Findings -The findings showed four socio-cultural determinants of susceptibility to HIV infection within the Ojek community. These included: first, mobility and migration; second, patterns of sexual behaviours, sexual networks and sexual incentives; third, cultural norms and social interactions; and fourth, the lack of resources, knowledge and awareness of HIV/AIDS. Underpinned by these factors, the main determinant of HIV susceptibility for the Ojek is an individual's engagement in sexual intercourse with multiple sex partners, including female commercial sex workers (FCSWs). Social implications -There is a need to disseminate HIV/AIDS information and education throughout the Ojek communities, and to engage the general population in the promotion of sexual behavioural change among the Ojek in Belu. Empowerment strategies should also be employed to empower the general community, the Ojek and FCSWs in order to address HIV/AIDS transmission. Originality/value -This paper provides evidence of the socio-cultural determinants of HIV inequalities within the Ojek community in Indonesia. An understanding of these determinants would enable the planning, implementation and application of a holistic approach addressing the determinants of HIV in Belu and other similar settings. Additionally, knowledge of such determinants would provide an understanding of the role of inter-sectoral collaboration and community participation in tackling the susceptibility t...

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Section: Discussionsupporting

confidence: 91%

Inequalities in addressing the HIV epidemic: the story of the Indonesian Ojek community

Fauk

Mwanri

2015

International Journal of Human Rights in Healthcare

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“…This indicates that peer influences particularly through sharing of information about the availability of FCSWs and linking up each other to FCSWs increased the frequency of their engagement in unsafe sexual intercourses with sex workers. The contribution of mobility as a driver to spreading HIV infections among other population groups and communities has been reported in several previous studies [ 19 , 42 – 45 ]. This was also detected in the current study, suggesting that being highly mobile and moving from one place to another for short-term stay for work purposes increased the study participants’ probability of unsafe sexual encounters with multiple FCSWs.…”

Section: Discussionmentioning

confidence: 63%

Societal determinants of HIV vulnerability among clients of female commercial sex workers in Indonesia

Fauk

Kustanti²,

Wulandari

et al. 2018

PLoS ONE

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This study aimed to explore societal determinants of HIV vulnerability among the clients of female commercial sex workers (FCSWs) in Belu and Malaka districts, Indonesia. A qualitative inquiry using in-depth interviews was employed to collect data from participants (n = 42) recruited using a purposive and snowball sampling technique. Data analysis was guided by a qualitative data analysis framework. The study results revealed several societal determinants that supported vulnerability to HIV infection among the participants. They included low education level and sexual health literacy including the lack of knowledge and information about HIV transmission and prevention. Additional determinants identified were limited source of HIV/AIDS-related information, availability of and ease of accessibility of brothels and FCSWs, peer influence, and high mobility of the study participants. Findings of this study indicate the needs and call for interventions that aim to protect both FCSWs and their clients, through provision of HIV/AIDS and sexual health education and information and improvement in the availability and accessibility of condoms.

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“…This study incorporates three different types of qualitative assessment of bisexual male behaviour in Hanoi, Vietnam and is one of the few in the GMS to do so (van Gemert et al, 2013). First, the study showed that behaviourally bisexually active men in our focus groups identified with a range of self-perceived sexual orientations.…”

Section: Discussionmentioning

confidence: 99%

Urbanisation and sexual health: understanding bisexually active men in Hanoi, Vietnam

Higgs

Reddel

Pham³

et al. 2014

Health Psychology and Behavioral Medicine

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Background: Men who have sex with men (MSM) in Vietnam are receiving increased attention in recognition of their high-risk behaviours and potential for human immunodeficiency virus (HIV) infection and transmission. Due to societal pressures, many MSM in Vietnam are also bisexually active, which ultimately increases the transmission risks beyond the MSM population. Evidence is emerging that indicates a greater proportion of women in Asia with low-risk sexual activities are contracting HIV from their male partners who have become HIV infected through male–male sex. Methodology: Fourteen focus group discussions exploring sexual and social networks were conducted in Hanoi between July 2010 and September 2010. A total of 96 individuals participated in these sessions. Findings: A risk environment approach was used to analyse the focus group themes of social stigma and marriage, sex with other men in closed settings and transactional sex in Hanoi, an increasingly urbanising and westernising city. Implications: Despite limited evidence globally that bisexual men act as a bridge for sexually transmitted diseases, there is particular concern in Vietnam about this potential risk. HIV rates amongst MSM are rapidly rising and there are reports of women contracting HIV from their male partners who are bisexually active.

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Characteristics of a Sexual Network of Behaviorally Bisexual Men in Vientiane, Lao PDR, 2010

Cited by 11 publications

References 18 publications

Inequalities in addressing the HIV epidemic: the story of the Indonesian Ojek community

Inequalities in addressing the HIV epidemic: the story of the Indonesian Ojek community

Societal determinants of HIV vulnerability among clients of female commercial sex workers in Indonesia

Urbanisation and sexual health: understanding bisexually active men in Hanoi, Vietnam

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