Historically, the Netherlands has hosted a large number of migrant sex workers. Since sex work is considered a legal profession it might serve as an example of better access to health services, including HIV testing, at least for those working within the legal framework. However, migrant sex workers, especially non-European Union EU nationals, might not be eligible to register for official employment and thus face obstacles in obtaining access to health services, becoming essentially invisible. We conducted a multi-stakeholder perspective study from November to September in Amsterdam. We found six key barriers to HIV testing: 1 migration and sex-work policies; 2 stigma, including self-stigmatization; 3 lack of trust in healthcare providers or social workers; 4 low levels of Dutch or English languages; 5 negative experience in accessing healthcare services in the home country; and 6 low perceived risk and HIV-related knowledge.
Male Sex Workers: Practices, Contexts, and Vulnerabilities for HIV acquisition and transmission
Lessons men in China are learning to find 'Mrs. Right' - CGTN
Qualitative interviews informed by the Ecological Perspective were conducted to interview 17 FSWs and 12 managers from 23 selected entertainment establishments in Jinan, the capital of Shandong province in northern China. While the majority of FSWs professed willingness to use VCT services, they described barriers to actual utilization of services which included: misunderstandings about HIV; low perceived risk and HIV prevalence; mistrust of the free VCT; and especially anxiety about the implications of possible test results. FSWs in China typically work in entertainment establishments EEs such as saunas, beauty parlors, karaoke bars, nightclubs, teahouses, reflexology foot massage parlors, and hotels, where managers provide them with the opportunity to meet clients. Women who are not associated with EEs are low end FSWs working on the streets or in their rented residence Huang et al.
Metrics details. This study was designed to examine the predictors of condom use with clients during vaginal intercourse among FSWs based on the Information-Motivation-Behavioral Skills IMB model and to describe the relationships between IMB model constructs. A self-administered questionnaire was used to collect data.
Try out PMC Labs and tell us what you think. Learn More. Information characterizing their practices, contexts where they live, and their needs is very limited, as these men are generally included as subsets of larger studies focused on gay men and other men who have sex with men MSM or even female sex workers. MSW, regardless of their sexual orientation, mostly offer sex to men, and rarely identify as sex workers, using local or international terms instead. There are several synergistic facilitator spotentiating HIV acquisition and transmission among MSW, including biological, behavioural, and structural determinants.