Abstract
Sex workers have their perspective on HIV transmission, claiming that in general they are more similar than different from other people in HIV status and the practice of safe sex. Such an assertion of similarity goes against public and professional opinion that prostitution is a major vector in the spread of AIDS. Taking the sex workers' similarity claim seriously, this paper considers the conditions under which it would be valid. We focus on those factors that make a population more or less vulnerable to HIV and how they affect its spread into the sex work population. Data from New Zealand comparing men sex workers and other men who have sex with men is used to evaluate these ideas. Data partially support the hypothesis in that these two groups of men are similar with regard to their HIV status. We do find the sex workers to be different, however, in their being less likely to engage in safe sex practices. We provide an explanation for why this has not lead to their having a higher rate of seropositivity.
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REFERENCES
Alexander, P. (1995). Sex workers fight against AIDS: An international perspective. In Schneider, B., and Stoller, N. (eds.), Women Resisting AIDS: Feminist Strategies of Empowerment, Temple University Press, Philadelphia.
Awareness of and Attitudes to Discrimination on Grounds of Sexual Orientation: A Survey of the New Zealand Population. (1992). Report prepared for the New Zealand AIDS Foundation.
Bloor, M. J., McKeganey, N. P., Finlay, A., and Barnard, M. A. (1992). The inappropriateness of psychosocial models of risk behaviour for understanding HIV-related risk practices among Glasgow male prostitutes. AIDS Care 4: 131-137.
Bloor, M. J., Barnard, M. A., Finalay, A., and McKeganey, N. P. (1993). HIV-related risk practices among Glasgow male prostitutes: Reframing concepts of risk behavior. Med. Anthropol. Q. 7: 152-169.
Boles, J., and Elifson, K. (1994). Sexual identity and HIV: The male prostitute. J. Sex Res. 31: 39-46.
Browne, J., and Minichiello, V. (1995). The social meanings behind male sex work: Implications for sexual interactions. Br. J. Sociol. 46: 598-622.
Browne, J., and Minichiello, V. (1996). The social and work context of commercial sex between men: A research note. Aust. N. Z. J. Sociol. 32: 86-92.
Chapkis, W. (1997). Live Sex Acts: Women Performing Erotic Labor, Routledge, New York.
Chiasson, M. A., Lifson, R. L., Stoneburner, W., Ewing, D., and Jaffe, H. W. (1988). HIV seroprevalence in male and female prostitutes in New York City. In Proceedings of the IV International Conference on AIDS, Stockholm, June.
Cortes, E., Detels, R., Aboulafia, D., Li, X. L., Moudgil, T., Alam, M., Bonecker, C., Gonzaga, A., Oyafuso, L., and Tondo, M. (1989). HIV-1, HIV-2, HTLV-1 infection in high risk groups in Brazil. Aust. N. Z. J. Med. 320: 953-958.
Davies, P., and Feldman, R. (1997). Prostitute men now. In Scambler, G., and Scambler, A. (eds.), Rethinking Prostitution: Purchasing Sex in the 1990s, Routledge, New York.
De Graaf, R., Vanwesenbeeck, I., van Zessen, G., Straver, C., and Visser, J. (1994). Male prostitutes and safe sex: Different settings, different risks. AIDS Care 6: 277-288.
Delacoste, F., and Alexander, P. (eds.). (1988). Sex Work: Writings by Women in the Sex Industry Virago, London.
Doll, L. S., and Beeker, C. (1996). Male bisexual behavior and HIV risk in the United States: Synthesis of research with implications for behavioral interventions. AIDS Educ. Prevent. 8: 205-225.
Dossier, P. (1990). The 3rd Epidemic: Repercussions of the Fear of AIDS, Panos Institute, London.
English Collective of Prostitutes. (1997). Campaigning for legal change. In Scambler, G., and Scambler, A. (eds.). Rethinking Prostitution: Purchasing Sex in the 1990s, Routledge, New York.
Jenness, V. (1993). Making it Work: The Prostitutes' Rights Movement in Perspective, Aldine de Gruyter, New York.
Kaplan, H. B., Johnson, R. J., and Simon, W. (1987). The sociological study of AIDS: A critical review of the literature and suggested research agenda. J. Health Soc. Behav. 28: 140-157.
Kippax, S., Crawford, J., Rodden, P., and Benton, K. (1994). Report on Project Male-Call: National Telephone Survey of Men Who Have Sex with Men, Australian Government Publishing Service, Canberra.
Kruhse-Mountburon, S. (1992). An evaluation of Australian legislation on prostitution. In Van de Vort, P., and Bruylant, P. M. (eds.), La Prostitution, Quarante ans Apres La Convention de New York, Ecole des Sciences Criminologiques Leon Cornil, Brussels.
Mann, J. M., and Tarantola, D. J. M. (1996). AIDS in the World II: Global Dimensions, Social Roots, and Responses, Oxford, New York.
McKeganey, N. S., and Barnard, M. (1992). Selling sex: Female street prostitution and HIV risk behavior in Glasgow. AIDS Care 4: 395-407.
Morse, E. V., Simon, P. M., and Gaumier, H. R. (1991). A vector for transmission of HIV infection into the heterosexual world. Soc. Sci. Med. 32: 535-539.
O'Neill, M. (1997). Prostitute women now. In Scambler, G., and Scambler, A. (eds.), Rethinking Prostitution: Purchasing Sex in the 1990s, Routledge, New York.
Overs, C., and Longo, P. (1997). Making Sex Work Safe, AHRTAG, London.
Pheterson, G. (1996). The Prostitution Prism, Amsterdam University Press, Amsterdam.
Plant, M. (ed.). (1990). AIDS, Drugs and Prostitution, Routledge, London.
Plant, M. (1997) Alcohol, drugs and social milieu. In Scambler, G., and Scambler, A. (eds.), Rethinking Prostitution: Purchasing Sex in the 1990s, Routledge, New York.
Pleak, R., and Meyer-Bahlburg, H. F. L. (1990). Sexual behavior and AIDS knowledge of young male prostitutes in Manhattan. J. Sex Res. 27: 557-587.
Prestage, G. (1994). Male and transsexual prostitution. In Perkins, R., Prestage, G., Sharp, R., and Lovejoy, F. (eds.), Sex Work, Sex Workers in Australia, UNSW Press, Sydney.
Prestage, G., and Hood, D. (1993). Targeting non-gay attached homosexually-active working class men. Paper presented at the Social Aspects of AIDS Conference, London.
Scambler, G. (1997). Conspicuous and inconspicuous sex work: The neglect of the ordinary and mundane. In Scambler, G., and Scambler, A. (eds.), Rethinking Prostitution: Purchasing Sex in the 1990s, Routledge, New York.
Shaver, F. M., and Newmeyer, T. (1996). Men who have sex with men: A comparison of the sexual practices and risk-taking behavior of gay and bisexual men and male prostitutes. Paper presented at Sida, jeunesse et prevention. Au-dela du discours, des actions! McGill University, Montreal.
Stokes, J. P., Vanable, P., and McKirnan, D. J. (1997). Comparing gay and bisexual men on sexual behavior, condom use, and psychosocial variables related to HIV/AIDS. Arch. Sex. Behav. 26: 377-391.
Vanwesenbeeck, I. (1994). Prostitutes Well-Being and Risk, VU University Press, Amsterdam.
Vanwesenbeeck, I. (1995). Professional HIV risk taking, levels of victimization, and well-being in female prostitutes in the Netherlands. Arch. Sex. Behav. 24: 503-515.
Vanwesenbeeck, I., van Zessen. G., de Graf, R., and Straver, C. J. (1994). Contextual and interactional factors influencing condom use in heterosexual prostitution contacts. Patient Educ. Couns. 24: 307-322.
Von den Hock, J. A. R., and Coutinho, R. A. (1991). Homosexual prostitution among male drug users and its risk for HIV infection. Genitourin. Med. 67: 303-306.
Waldorf, D., Murphy, S, Lauderback, D., Reinarman, C., and Marotta, T. (1990). Needle sharing among male prostitutes: Preliminary findings of the Prospero Project. J. Drug Iss. 20: 309-334.
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Weinberg, M.S., Worth, H. & Williams, C.J. Men Sex Workers and Other Men Who Have Sex With Men: How Do Their HIV Risks Compare in New Zealand?. Arch Sex Behav 30, 273–286 (2001). https://doi.org/10.1023/A:1002748013617
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DOI: https://doi.org/10.1023/A:1002748013617