An exploratory study of HIV risk behaviors and testing among male sex workers in Beirut, Lebanon

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dc.contributor.author Mokhbat, Jacques
dc.contributor.author Aunon, Frances M.
dc.contributor.author Wagner, Glenn J.
dc.contributor.author Maher, Rabih
dc.contributor.author Khouri, Danielle
dc.contributor.author Kaplan, Rachel L.
dc.date.accessioned 2017-02-10T13:41:51Z
dc.date.available 2017-02-10T13:41:51Z
dc.date.copyright 2015 en_US
dc.date.issued 2017-02-10
dc.identifier.issn 1937-1918 en_US
dc.identifier.uri http://hdl.handle.net/10725/5209
dc.description.abstract Male sex workers (MSW) are a particularly high-risk subset of men who have sex with men in Lebanon and report higher numbers of sex partners and lower rates of condom use. The purpose was to explore the factors influencing sexual risk behaviors and HIV testing among MSW. Qualitative interviews were conducted with 16 MSW living in Beirut and working in bathhouses (hammam) or as escorts; content analysis identified emergent themes. Escorts reported more consistent condom use with clients and HIV testing than hammam MSW, with influential factors including HIV risk knowledge and perceived risk susceptibility, job security, and internalized stigma and related feelings of self-worth and fatalism regarding health and HIV risk. In contrast, both groups of MSW typically opted not to condoms with nonclient sex partners, in an effort to differentiate sex for work versus pleasure. The uptake of HIV testing was limited by concerns about the confidentiality of the test results and fear of repercussions of a positive test result for their health and employment. The respondents described an insular existence within the sex work culture, in part to limit exposure to stigma, which has implications for access to support as well as the influence of peer norms regarding sexual risk behavior and health seeking behaviors such as HIV testing. Further research is needed to tailor prevention and HIV testing efforts to reflect the distinct sexual health “cultures” that distinguish these two populations of MSW in Lebanon. en_US
dc.language.iso en en_US
dc.title An exploratory study of HIV risk behaviors and testing among male sex workers in Beirut, Lebanon en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200902719 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Social Work in Public Health en_US
dc.article.pages 373-384 en_US
dc.keywords Male sex workers en_US
dc.keywords HIV risk behavior en_US
dc.keywords HIV testing en_US
dc.keywords Special populations/gay/bisexual men en_US
dc.keywords Middle East and North Africa en_US
dc.identifier.doi http://dx.doi.org/10.1080/19371918.2014.979274 en_US
dc.identifier.ctation Aunon, F. M., Wagner, G. J., Maher, R., Khouri, D., Kaplan, R. L., & Mokhbat, J. (2015). An exploratory study of HIV risk behaviors and testing among male sex workers in Beirut, Lebanon. Social work in public health, 30(4), 373-384. en_US
dc.author.email jacques.mokhbat@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.tandfonline.com/doi/abs/10.1080/19371918.2014.979274 en_US
dc.author.affiliation Lebanese American University en_US

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