Prevalence and Behavioral Correlates of Depression and Anxiety Among Male Sex Workers in Vietnam

Goldsamt, Lloyd A.; Clatts, Michael C.; Giang, Lê Minh; Yu, Gary

doi:10.1080/19317611.2014.947055

Cited by 22 publications

(18 citation statements)

References 34 publications

(29 reference statements)

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“…At the institutional level, there is the expectation that the presence of key social stakeholders – notably families, schools, hospitals and public health clinics – will serve as resources of support and as a protective influence in preventing exposure and accumulation of sexual and drug risks within the early life trajectories of youth and young adults (Clatts et al, 2005, Baral et al, 2015). For example, consistent with earlier studies of MSW in Vietnam, these data show a majority of men that report non-homosexual tendencies and sexual attraction, indicative of the fact that many of these young men may turn to drug use to deal with the untreated psychological distress of male sex work (Clatts et al, 2005, Yu et al, 2015b, Goldsamt et al, 2015). Similarly, interactions with elective female and male sexual partners and exposure to female sex workers also occur frequently and early among MSW, and yet have failed to deter the progressive involvement in the street economy of sex work.…”

Section: Discussionsupporting

confidence: 87%

“…Thus, these data support the assumption that high rates of current drug use among MSW may be substantially attributable to a prior and underlying problem of psychologically coping with sex work (Clatts et al, 2005, Goldsamt et al, 2015, Yu et al, 2015b). Similarly, these data challenge the assumption that high rates of involvement in illegal activities, such as injection drug use, and the street economy, including sex work, can be causally attributed to an underlying and pre-existing problem with opiates and/or stimulants.…”

Section: Discussionsupporting

confidence: 74%

See 1 more Smart Citation

Sexual Initiation and Complex Recent Polydrug Use Patterns Among Male Sex Workers in Vietnam: A Preliminary Epidemiological Trajectory

Goldsamt

Clatts

et al. 2016

Arch Sex Behav

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Little is known about the age of onset of sexual and drug risk and their association with complex patterns of recent drug use among male sex workers (MSW) in a developing country, such as Vietnam. The aim of this study was to determine whether latent class analysis (LCA) would aid in the detection of current individual and polydrug use combinations to predict how different trajectories of sexual and drug initiation contribute to different patterns of current illicit drug use. Data were collected from a cross-sectional survey administered to young male sex workers between 2010 and 2011 in Vietnam (N = 710). Latent class analysis (LCA) clustered participants into recent drug use groups, incorporating both the specific types and overall count of different drugs used. Men reported drug use within a one month period from an 11-item drug use list. LCA identified 3 distinct drug use classes: 1) alcohol use, 2) alcohol and tobacco use and 3) high polydrug use. The current drug use classes are associated with sex worker status, housing stability, income level, educational attainment, marital status, sexual identity and sexual preferences. High levels of drug use are strongly associated with being a recent sex worker, not having recent stable housing, higher than median income, more than a high school education, less likely to be currently in school and more likely to have non-homosexual preferences and heterosexual partners. An event history analysis approach (time-event displays) examined the timing of the age of onset of drug and sexual risks. Early ages of drug and sexual initiation are seen for all three classes. High current drug users show earlier onset of these risks, which are significantly delayed for moderate and low current drug users. LCA incorporating an overall count of different drugs detected 3 distinct current drug use classes. The data illustrates that the complexity of drug factors that must be accounted for, both in advancing our epidemiological understanding of the complexity of drug use and the use of drug and sexual risk initiation data to predict current drug use subtypes among high risk populations.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 74%

Sexual Initiation and Complex Recent Polydrug Use Patterns Among Male Sex Workers in Vietnam: A Preliminary Epidemiological Trajectory

Goldsamt

Clatts

et al. 2016

Arch Sex Behav

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“…12 MSWs have high levels of mental health distress, including anxiety, depression and history of suicide thoughts. 11,13 MSWs evidence high rates of substance use, including alcohol and a wide variety of drugs. 7,11,14–16 MSWs evidence substantive gaps in knowledge and understanding of STI/HIV transmission risk.…”

Section: Discussionmentioning

confidence: 99%

Sexual practices, partner concurrency and high rates of sexually transmissible infections among male sex workers in three cities in Vietnam

et al. 2015

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Background This paper examines sexual practices, partner concurrency and sexually transmissible infections (STI)/HIV infection among male sex workers (MSWs) in Vietnam. Methods Six hundred and fifty-four MSWs, aged 16–35 years, were recruited in Hanoi, Nha Trang and Ho Chi Minh City between 2009 and 2011. Survey measures included demographic characteristics, drug use, types of sexual partners and sexual practices. Subjects were screened for STIs, including HIV. Results MSWs in Ho Chi Minh City (33%) were more likely than those from the other two sites to be current users of one or more types of illegal drugs (P < 0.001). MSWs with both male and female elective partners (compared with other partnership types) were more likely to have anal sex with male client partners (P < 0.001), elective male partners (P = 0.045) and elective female partners (P = 0.025). At last sex with a male client partner, only 30% used a condom during anal intercourse. At last sex with an elective female partner, only 31% used a condom during vaginal sex and only 3% during anal sex. Although rates of HIV are low (4%), other STIs are high, including chlamydia (17%), gonorrhoea (29%) and human papillomavirus (33%). Most (57.3%) have never been tested for HIV and only 17% have ever disclosed to a healthcare provider that they have sex with men. Conclusions Complex patterns of sexual concurrency, coupled with high rates of STIs, signal the urgent need for health services interventions among MSWs, both to improve individual health outcomes and to reduce secondary STI/HIV transmission among sexual partner networks.

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“…Moreover, the international literature points out that some types of mental disorders are associated with higher risk sexual behavior in MSM 45,46 . Moreover, high rates of depression and other mental disorders are reported in different countries 16,32,47 among MSM who received money in exchange for sex. Depression and hopelessness are associated with suicidal thoughts, which are considered a risk factor for effective suicide 48 .…”

Section: Discussionmentioning

confidence: 99%

Fatores associados à troca de sexo por dinheiro em homens que fazem sexo com homens no Brasil

Alecrim

Ceccato

Dourado

et al. 2020

Ciênc. saúde coletiva

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Resumo Objetivou-se analisar a associação entre fatores sociodemográficos, programáticos e contextuais e ter recebido dinheiro em troca de sexo entre homens que fazem sexo com homens (HSH). Estudo multicêntrico, transversal, realizado em 10 cidades brasileiras, entre 2008 e 2009. Foram entrevistados 3.749 HSH selecionados pela técnica amostral “Respondent Driven-Sampling” (RDS). “Odds Ratio” ponderado (ORp) foi obtido por meio de regressão logística, permanecendo no modelo final as variáveis associadas ao evento (p < 0,05). Da amostra total, 33,3% relataram ter recebido dinheiro em troca de sexo nos últimos 12 meses anteriores à entrevista. As variáveis associadas com o evento foram ter idade ≤ 25 anos, menor nível de escolaridade, classes sociais mais baixas, história prévia de infecção por sífilis, utilizar locais de encontros para ter parceiros sexuais, ter comportamento de risco para HIV muito alto e usar drogas ilícitas, se autoidentificarem como heterossexual ou bissexual, ter sofrido violência física devido à orientação sexual e apresentar ideação suicida sempre ou na maioria das vezes. Observa-se que os HSH que receberam dinheiro em troca de sexo apresentaram maior vulnerabilidade socioeconômica, programática e contextual, potencialmente aumentando o risco de infecção pelo HIV em relação aos demais HSH.

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Prevalence and Behavioral Correlates of Depression and Anxiety Among Male Sex Workers in Vietnam

Cited by 22 publications

References 34 publications

Sexual Initiation and Complex Recent Polydrug Use Patterns Among Male Sex Workers in Vietnam: A Preliminary Epidemiological Trajectory

Sexual Initiation and Complex Recent Polydrug Use Patterns Among Male Sex Workers in Vietnam: A Preliminary Epidemiological Trajectory

Sexual practices, partner concurrency and high rates of sexually transmissible infections among male sex workers in three cities in Vietnam

Fatores associados à troca de sexo por dinheiro em homens que fazem sexo com homens no Brasil

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