Original Paper

AIDS and Behavior

, Volume 20, Issue 4, pp 768-775

First online:

HIV, Hepatitis C, and Other Sexually Transmitted Infections Among Male Sex Workers in Ho Chi Minh City, Vietnam

  • Donn J. ColbyAffiliated withSEARCH, Thai Red Cross AIDS Research CentreCenter for Applied Research on Men and Health Email author View author's OrcID profile  
  • , Catherine E. OldenburgAffiliated withDepartment of Epidemiology, Harvard Chan School of Public HealthThe Fenway Institute, Fenway Community Health 
  • , Thi NguyenAffiliated withHarvard Medical School AIDS Initiative in Vietnam
  • , Elizabeth F. ClossonAffiliated withThe Fenway Institute, Fenway Community Health
  • , Katie B. BielloAffiliated withDepartment of Epidemiology, Harvard Chan School of Public HealthThe Fenway Institute, Fenway Community Health
  • , Kenneth H. MayerAffiliated withThe Fenway Institute, Fenway Community HealthDepartment of Medicine, Beth Israel Deaconess Medical CenterDepartment of Global Health and Population, Harvard Chan School of Public Health
  • , Matthew J. MimiagaAffiliated withDepartment of Epidemiology, Harvard Chan School of Public HealthThe Fenway Institute, Fenway Community HealthDepartment of Psychiatry, Massachusetts General Hospital

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Abstract

There is little data on the burden of HIV and other infections that affect male sex workers (MSW) in Vietnam. We conducted behavioral and biological sexual health surveys with 300 MSW in Ho Chi Minh City. Generalized estimating equation models were built to assess factors associated with HIV, hepatitis C, and other sexually transmitted infections (STI). Of 300 MSW, 19 (6.3 %) were diagnosed seropositive for HIV, 11 (3.7 %) had hepatitis C, and 26 (8.7 %) had at least one prevalent STI. In a multivariable model, opiate use was significantly associated with HIV infection (aOR 6.46, 95 % CI 1.28–32.7) and hepatitis C (aOR = 19.6, 95 % CI 2.35–163.6). Alcohol dependency was associated with increased odds of hepatitis C (aOR = 4.79, 95 % CI 1.02–22.5) and decreased odds of other STI (aOR = 0.30, 95 % CI 0.10–0.97). These findings suggest that MSW in Vietnam would benefit from regular HIV and STI testing, as well as linkage to care and substance use rehabilitation services.

Keywords

HIV Hepatitis C Prevalence Male sex work Vietnam