Abstract
In, male sex workers (MSW) and travesti, transgender and transsexual
(TTT) sex workers are among the groups most affected by HIV. They suffer
from stigma and discrimination, yet are often absent from the design of specific
programmes and HIV prevention campaigns. The objective of this study was to
provide an account of the social context in which MSW and TTT sex workers
live, by focusing on their sexual identities, sexual practices, and vulnerability to
HIV. Data collection took place in and involved observational work
together with 36 in-depth interviews. Findings reveal a differentiation of
vulnerability by sub-group. In general, vulnerability is influenced by the social
context, stigma related to homosexuality and sex work, as well as sex workers’
access to scarce social capital, and the lack of response in terms of social and
health programmes. In order to diminish the vulnerability of MSW and TTT sex
workers and reduce their risk of HIV infection, preventive measures are needed
which take into account their specific health and social needs, promote
meaningful participation, and the encourage respect for human rights.
Keywords: HIV, travestis, transgender, transsexual, male sex workers,
Learning Objectives: Recognize the social conditions of male sex workers that determines specific vulnerabilities related to HIV/AIDS and to the stigma and discrimination. This information has to articulate the policies to prevent and control HIV/AIDS in regions with the concentrated epidemic, like Mexico, some Central America and Asia countries and The Caribbean.
Sub-Theme: Progress on prevention and control of HIV/AIDS, Malaria, and Tuberculosis