143.26 Sex work in Mexico: Vulnerability of male, travesti, transgender and transsexual sex workers

Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Silvia Magali Cuadra Hernández, PhD, Sociology National Institute of Public Health, Mexico, Mexico
Infante Xibillé César National Institute of Public Health, Mexico, Mexico
Sandra Sosa National Institute of Public Health, Mexico, Mexico
The countries of Central America have been making important strides towards policy coordination through the System of Central American Integration (SICA), an international organism that coordinates health policy through the meeting of Ministers of Health

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,

Mexico


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