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BACKGROUND: Male sex workers (MSWs), specifically cisgender men who exchange sex for money, goods, drugs, or other items of value with other cisgender men, are at high risk for HIV infection. Compared to men not engaged in sex work, MSWs are more likely to engage in frequent condomless sex with paying and non-paying sexual partners. While MSWs are often included as a subgroup of gay and bisexual men, data show that a large proportion identify as heterosexual; additionally, most MSWs do not identify as sex workers. This places MSWs in a unique position where they may not engage with traditional HIV prevention programs, and when they do, they may not feel comfortable, leading to poor retention. Thus, HIV prevention interventions that address MSWs unique life circumstances and provide support in exploring their sexual health options are needed. METHODS: In this protocol paper, we describe the design and procedures for a National Institute of Health-funded, randomized controlled trial testing the efficacy of PrEPare for Work,- a theory-based, manualized PrEP uptake and adherence intervention for MSW - using a 2-stage randomization design. Stage 1: MSWs are equally randomized to receive either the PrEPare for Work Stage 1 intervention (strength-based case management and facilitated PrEP linkage) or Standard of Care (SOC) to evaluate successful PrEP uptake (prescription filled) within two months post-randomization. Stage 2: Those who initiate PrEP are then equally re-randomized to receive either the PrEPare for Work Stage 2 intervention (1-on-1 skills training, problem-solving, and motivational interviewing adherence counseling and personalized, daily text message reminders) or SOC to assess adherence (Tenofovir concentrations in hair) over 12 months of follow up. Planned analyses will examine intervention efficacy, specific conceptual mediators, and hypothesized moderators. DISCUSSION: Based on our extensive preliminary research, multi-component, theory-informed interventions targeting this subpopulation of MSWs unique life circumstances are urgently needed. In this study, we are evaluating whether PrEPare for Work can improve PrEP uptake and adherence among MSWs. If this intervention is efficacious, it would be readily disseminated to diverse community organizations that serve MSWs and possibly other community or clinic-based settings. TRIAL REGISTRATION: ClinicalTrials.gov number NCT05736614, registered February 8, 2023.

HIV pre-exposure prophylaxis (PrEP) use is limited among male sex workers, who are at exceptionally high-risk for HIV infection. We developed a theory-informed, two-pronged intervention (PrEPare-for-Work) to optimize PrEP initiation and adherence among male sex workers, which was preliminarily evaluated in a two-stage pilot randomized controlled trial of 110 male sex workers in the US Northeast. Individuals randomized to the Stage 1 PrEPare-for-Work Case Management arm were three times as likely as those in the standard of care (SOC) arm to initiate PrEP (RR = 2.95, 95% CI = 1.57-5.57). Participants who initiated PrEP and were randomized to the Stage 2 PrEPare-for-Work Adherence Counseling arm had higher rates of prevention-effective adherence (measured via tenofovir in hair) compared to those in the SOC arm (RR = 1.7, 95% CI 0.64-4.77; 55.6% vs. 28.6%, respectively); though not statistically significant. Given the need and the promise of this pilot RCT, further efficacy testing is warranted and should be prioritized.

Abstract Background Male sex workers (MSWs), specifically cisgender men who exchange sex for money, goods, drugs, or other items of value with other cisgender men, are at high risk for HIV infection. Compared to men not engaged in sex work, MSWs are more likely to engage in frequent condomless sex with paying and non-paying sexual partners. While MSWs are often included as a subgroup of gay and bisexual men, data show that a large proportion identify as heterosexual; additionally, most MSWs do not identify as “sex workers.” This places MSWs in a unique position where they may not engage with traditional HIV prevention programs, and when they do, they may not feel comfortable, leading to poor retention. Thus, HIV prevention interventions that address MSWs’ unique life circumstances and provide support in exploring their sexual health options are needed. Methods In this protocol paper, we describe the design and procedures for a National Institute of Health-funded, randomized controlled trial testing the efficacy of “PrEPare for Work,”— a theory-based, manualized PrEP uptake and adherence intervention for MSW — using a 2-stage randomization design. Stage 1: MSWs are equally randomized to receive either the “PrEPare for Work Stage 1 intervention” (strength-based case management and facilitated PrEP linkage) or Standard of Care (SOC) to evaluate successful PrEP uptake (prescription filled) within two months post-randomization. Stage 2: Those who initiate PrEP are then equally re-randomized to receive either the “PrEPare for Work Stage 2 intervention” (1-on-1 skills training, problem-solving, and motivational interviewing adherence counseling and personalized, daily text message reminders) or SOC to assess adherence (Tenofovir concentrations in hair) over 12 months of follow up. Planned analyses will examine intervention efficacy, specific conceptual mediators, and hypothesized moderators. Discussion Based on our extensive preliminary research, multi-component, theory-informed interventions targeting this subpopulation of MSWs’ unique life circumstances are urgently needed. In this study, we are evaluating whether “PrEPare for Work” can improve PrEP uptake and adherence among MSWs. If this intervention is efficacious, it would be readily disseminated to diverse community organizations that serve MSWs and possibly other community or clinic-based settings. Trial registration ClinicalTrials.gov number NCT05736614, registered February 8, 2023.

This study conducted in-depth face to face interviews with twenty male sex workers (MSWs) servicing sex tourists in Botswana. Expert opinions were also sought with support organizations and the police in Botswana to understand more about male sex work in Botswana. The research questions were directed at exploring (a) how male sex workers experienced and perceived victimisation in their interactions with sex tourists, (b) what role support groups played, and (c) what reforms both male sex workers and support groups propose for the male sex work industry. The article presents their victimisation experiences, health risks and opinions of the support groups. The study found out that MSWs frequently experienced physical violence and sexual assaults such as stealthing, especially male sex workers who identified as gay or bisexual. MSWs never reported their victimisation experiences to the police due to fear of stigmatisation, shaming and possible arrests given the partial criminalisation of sex work. Support groups on the other, as non-governmental organizations offered the much-needed support services such as distribution of lubes, condoms, HIV screening, counselling, and ARV and PrEP access and management for sex workers. This study contributes to the limited literature examining the experiences of MSWs, demonstrating their vulnerability and the need for interventions to mitigate their victimisation and protect their health. Many sex workers emphasised constitutional protections of their rights, the need to decriminalise, as well as the promotion of safety and security. The study argues that traditionally, culture and religion have produced a gender-biased socio-cultural parameters that place males as providers, hence, their vulnerability to victimisation and sexual violence is often unnoticed, which also makes reporting difficult to law enforcement. [ABSTRACT FROM AUTHOR]

Introduction: Technological developments, primarily starting with the Internet, have transformed male sex work in fundamental ways including making the meeting of buyers and sellers of sex much more likely to occur virtually rather than on streets or bars. Notably, popular dating and hookup websites and apps not designed for sex work have become a new pathway into such activity. However, because they can blur the line between casual and exchange sex encounters, there may be a growing population of men engaging in exchange sex who do not identify as sex workers. Methods: To better understand this new pathway into sex work, we analyzed data from interviews conducted between October 2018 and April 2020 with 130 MSM who met their first client through a dating/hookup website or app. Results: Analysis revealed two principal groups of men. One had no intention of engaging in sex work, but while looking for a casual sexual partner online, accepted money or something of value in exchange for sex. The other strategically used dating/hookup websites and apps to find or be found by partners who would give them something in exchange for sex. Common motivations to begin exchange sex, in both groups, included access to money and drugs, curiosity, an interest in engaging in a transgressive act, and a desire for validation. Conclusions: Policy makers and intervention designers must consider this emerging population of men involved in sex work via apps and websites to ensure that they have access and are targeted for health services like HIV/STI prevention. [ABSTRACT FROM AUTHOR]

The sex industry literature predominantly focuses on the lived experiences of cisgender female sex workers, their customers, and work dynamics. Recently, there has been a shift in the discourse regarding sex work as the sex industry has been openly represented within art, fashion, and film. As such, there has been a growing number of qualitative studies dedicated to investigating cisgender men’s experiences of the sex industry. This article seeks to identify and synthesize these emergent findings to identify possible gaps in the literature, aid in defining new research opportunities, and guide public health policy development. Using qualitative meta-synthesis, 66 original studies were identified and analyzed. Nine meta-themes emerged. Findings demonstrated that male sex workers (MSWs) encounter many of the same experiences that have been previously documented by female sex workers, such as work-related discrimination and the influence of economics on their interest and involvement in the industry. However, MSWs also experience areas of privilege and discrimination unique to their lived experiences. This was particularly salient for men who sold sex in countries where sexual minorities are criminalized or decriminalized but not legalized. These findings highlight the need for responsive sex worker resources tailored to address the unique issues faced by MSWs.

Copyright of Maguaré is the property of Universidad Nacional de Colombia, Departamento de Antropologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The sex industry literature predominantly focuses on the lived experiences of cisgender female sex workers, their customers, and work dynamics. Recently, there has been a shift in the discourse regarding sex work as the sex industry has been openly represented within art, fashion, and film. As such, there has been a growing number of qualitative studies dedicated to investigating cisgender men's experiences of the sex industry. This article seeks to identify and synthesize these emergent findings to identify possible gaps in the literature, aid in defining new research opportunities, and guide public health policy development. Using qualitative meta-synthesis, 66 original studies were identified and analyzed. Nine meta-themes emerged. Findings demonstrated that male sex workers (MSWs) encounter many of the same experiences that have been previously documented by female sex workers, such as work-related discrimination and the influence of economics on their interest and involvement in the industry. However, MSWs also experience areas of privilege and discrimination unique to their lived experiences. This was particularly salient for men who sold sex in countries where sexual minorities are criminalized or decriminalized but not legalized. These findings highlight the need for responsive sex worker resources tailored to address the unique issues faced by MSWs. [ABSTRACT FROM AUTHOR]

Abstract Background Transactional sex is an important driver of HIV risk among people who use drugs in the USA, but there is a dearth of research characterizing men’s selling and trading of sex in the context of opioid use. To identify contextually specific factors associated with selling or trading sex in a US population of men who use drugs, we cross-sectionally examined social and structural correlates of transactional sex among men who use opioids (MWUO) in Anne Arundel County and Baltimore City, Maryland. Methods Between July 2018 and March 2020, we used targeted sampling to recruit men reporting past-month opioid use from 22 street-level urban and suburban recruitment zones. MWUO completed a 30-min self-administered interview eliciting substance use histories, experiences with hunger and homelessness, criminal justice interactions, and transactional sex involvement. We identified correlates of recent (past 3 months) transactional sex using multivariable log-binomial regression with cluster-robust standard errors. Results Among 422 MWUO (mean age 47.3 years, 73.4% non-Hispanic Black, 94.5% heterosexual), the prevalence of recent transactional sex was 10.7%. In multivariable analysis, younger age (adjusted prevalence ratio [aPR] 0.98, 95% confidence interval [95% CI] 0.97–0.99, p

Background: Transactional sex is an important driver of HIV risk among people who use drugs in the USA, but there is a dearth of research characterizing men's selling and trading of sex in the context of opioid use. To identify contextually specific factors associated with selling or trading sex in a US population of men who use drugs, we cross-sectionally examined social and structural correlates of transactional sex among men who use opioids (MWUO) in Anne Arundel County and Baltimore City, Maryland. Methods: Between July 2018 and March 2020, we used targeted sampling to recruit men reporting past-month opioid use from 22 street-level urban and suburban recruitment zones. MWUO completed a 30-min self-administered interview eliciting substance use histories, experiences with hunger and homelessness, criminal justice interactions, and transactional sex involvement. We identified correlates of recent (past 3 months) transactional sex using multivariable log-binomial regression with cluster-robust standard errors. Results: Among 422 MWUO (mean age 47.3 years, 73.4% non-Hispanic Black, 94.5% heterosexual), the prevalence of recent transactional sex was 10.7%. In multivariable analysis, younger age (adjusted prevalence ratio [aPR] 0.98, 95% confidence interval [95% CI] 0.97–0.99, p < 0.001), identifying as gay/bisexual (aPR = 5.30, 95% CI 3.81–7.37, p < 0.001), past-month food insecurity (aPR = 1.77, 95% CI 1.05–3.00, p = 0.032), and injection drug use in the past 3 months (aPR = 1.75, 95% CI 1.02–3.01, p = 0.043) emerged as statistically significant independent correlates of transactional sex. Conclusions: Synergistic sources of social and structural marginalization—from sexuality to hunger, homelessness, and injection drug use—are associated with transactional sex in this predominantly Black, heterosexual-identifying sample of MWUO. Efforts to mitigate physical and psychological harms associated with transactional sex encounters should consider the racialized dimensions and socio-structural drivers of transactional sex among MWUO. [ABSTRACT FROM AUTHOR]

Black men who have sex with men (BMSM) in the United States experience a disproportionate burden of violence, substance use, physical and mental health conditions relative to other racial groups. BMSM who engage in sex work (BMSM-SW) experience a high burden of psychosocial conditions, sexually transmitted infections, including HIV, and intersectional stigma. This analysis characterizes remuneration and client typologies for BMSM-SW, documents intersectional stigma experienced by BMSM-SW relative to other BMSM, and explores the impact of experienced intersectional stigma on the relationship between sex work engagement and psychosocial syndemic conditions (violence, polydrug use, and depression symptoms). Results show that a majority of BMSM-SW in the sample had female clients and that sex workers were more likely than other BMSM to hire another sex worker. BMSM-SW were more likely than other BMSM to report stigma attributed to race; sexuality; HIV status; socioeconomic status; and "other" attributes, and were more likely to report experiencing stigma across all settings assessed (schools; healthcare; employment; housing; police/courts; and in public/community). Intersectional stigma mediated the relationship between sex work engagement and psychosocial syndemic conditions, accounting for 49% (95% CI: 47.6–50.0%) of the relationship. Interventions for BMSM-SW should include resilience-building components to counteract the effects of intersectional stigma. [ABSTRACT FROM AUTHOR]

Research has historically constructed youths who are involved in sex work as victims of trafficking, exploitation, poverty, and substance abuse. These perceptions often cast the sex worker as deviant and in need of ‘care’ and ‘protection.’ Rarely seen are accounts that provide different perspectives and positioning of youth engaged in sex work. This article explores the lived experiences of Jack, a young gay cis-male who identifies as Indigenous Australian. Despite being a highly successful sex worker, his involvement in such a stigmatised occupation means that he must navigate the social and cultural perceptions of ‘deviant’ and ‘dirty’ work. This qualitative study explores the ways in which Jack negotiates his work, his communities, and the capitalisation of his sexuality. Drawing on Indigenous Standpoint Theory and wellbeing theory, Jack’s choice of sex work is explored through the intersections of sexuality and culture, with the consequences of Jack’s social and emotional wellbeing emerging as his narrative unfolds.

International health development discourse constructs and regulates male sex workers as risky bodies in need of interventions for HIV. Drawing on ethnographic research among male sex workers and interviews with development sector actors in Nairobi, Kenya, this paper shows how the identification of male sex workers as a high-risk group for HIV offers a singular conceptualisation of their bodies as risky and renders invisible broader everyday struggles for security and wellbeing. Within these everyday struggles, male sex workers experience bodily risk as they are exposed not only to HIV, but also to being outed or outing themselves as gay. Interview findings show that development actors recognise and are empathic to male sex workers' security risks but have limited opportunity to address these due to restrictive donor regimes. To contribute to enduring change and develop appropriate and effective programmes, it is important for donors to continue funding HIV activities in relation to male sex work, while broadening their understandings of risk. [ABSTRACT FROM AUTHOR]

Violence experience can increase HIV risk behaviors; however, literature is scarce on violence among male sex workers (MSWs) globally. In 2014, 210 Peruvian MSWs (median age 24.9) were interviewed about their experience of physical, emotional, and sexual violence and condom use with non-paying intimate partners and clients and were tested for HIV. Multivariable models examined relationships between violence in the past 6 months, condomless anal intercourse (CLAI) in the past 3 months and HIV infection. HIV infection (24 %), CLAI (43 %), being a violence victim (42 %) and perpetrator (39 %) were common. In separate multivariable models, being a violence victim [adjusted prevalence ratio aPR = 1.49 (95 % CI 1.09-2.03)] and perpetrator [aPR = 1.39 (1.03-1.87)] were associated with CLAI. Further, being a victim [aPR = 1.65 (1.04-2.62)] was associated with HIV infection. Violence, which was significantly associated with CLAI and HIV infection, is common among Peruvian MSWs, reinforcing the importance of violence awareness and prevention as HIV risk-reduction strategies.

Researchers have been moving toward understanding sex workers as agentic and career-based social actors for some time. However, while these modern sex work lenses are readily applied to a variety of high-end and emerging forms of sex work, the field has often been reluctant to frame impoverished and potentially exploitative sex work in the same manner. Here, I ask whether and how the frameworks of "agency" and "career" can be applied to a population of poor male-identified survival sex workers. I use data from an innovative mixed-methods community-based approach that yields a broad sample of majority African American male survival sex workers from a large US city. I argue that by privileging respondents' own interpretation of their lives, it is possible to construct a nuanced understanding of sex work as a "career" and to conceive of their work as both a profession and a source of disadvantage. I conclude that we should continue to focus on the voices of sex workers themselves in defining what sex work means and how it affects their lives. [ABSTRACT FROM AUTHOR]

Drawing from qualitative interview data, this article examines men who manage men in the sex industry. A gendered lens reveals that male sex work management engages with sexual and gender scripts in ways that are quite distinct from female sex work. These third parties assume that male sex workers can defend their own security but notably also worry about male workers victimizing them, even as they opportunistically deploy hegemonic masculinity in their business and security practices. The article highlights and reflects on how these framings shape managerial strategies, perceptions of risk and the law, and experiences of stigma. [ABSTRACT FROM AUTHOR]

This paper describes migration toward the UK, sex work involvement, use of health services, and health issues. This qualitative study interviewed twenty-five men. The data were analyzed using thematic analysis. Five main themes emerged: emigration, migration routes, sex work entrance, use of health services, and main health outcomes. Discrimination and social exclusion were identified before and during migration. Participants had used the NHS system and told positive experiences. They reported STI-HIV, recreational drugs and mental health issues. Findings suggest the influence of migration and sex work on their vulnerabilities and health outcomes. [ABSTRACT FROM AUTHOR]

The aim of the research was to gain knowledge of who the people using sexual services are, why they do it and what their relationship with men offering paid sex looked like. Results show that the people who used sexual services were both men and women of different ages and with different professional status. The main reasons for using paid sex services were: unsatisfactory sexual contact,; a sense of loneliness and being neglected by the life partner, partner's infertility, heartbreak or betrayal of a partner, problems with finding the right partner, unusual sexual preferences, change of gender and treatment of sex-meetings as a form of entertainment. [ABSTRACT FROM AUTHOR]

Sexually transmitted infections have always been a threat for both sex workers and their clients. This issue has become more prominent, however, since the early 1980s when HIV surfaced as an incurable and life-threatening virus. Studies on safer sex and male sex work have examined many topics but few studies have done so from the perspectives of both sex workers and their clients. In this article, we examine strategies used by both parties for risk assessments in Brazilian termas (saunas). We analyzed 45 in-depth interviews conducted between 2010 and 2014. All participants are or have been sex workers and or their clients. We used a grounded theory approach which allows themes and issues that participants deemed important to emerge in analyzing the data. The results of this exploratory study suggest that sex workers and their clients in Brazil attempt to make risk assessments even though their methods are not scientific or necessarily reliable. Three common strategies engaged by both parties include playing defensive, relying on visual verification, and using gossip as a source of information. In the absence of immediate and reliable source of information to aid risk assessment, these are some of the strategies they can use at the site of interaction to make their best informed decision on with whom to transact and what the transaction should entail. An often under-examined source of information is the role of gossips or small talk among clients, among sex workers and between sex workers and clients. [ABSTRACT FROM AUTHOR]

Objective. This paper focuses on knowing how a group of male sex workers build and give meaning to their emotional ties with their relatives through their life stories. Methodology. From a qualitative descriptive approach, semi-structured interviews were conducted which allowed the construction of five life stories. Result and conclusions. It is evident how sex work strongly permeates the representations and valuations of affective ties, insofar as it is subscribed as a lifestyle by the interviewees. Therefore, the family is seen as an ambiguous relational project in which links are established marked by affinity, emotional support, complicity, communication and care. [ABSTRACT FROM AUTHOR]

This qualitative study highlights the complex interplay between the social and structural conditions in Chengdu, China that shape the possibilities and vulnerabilities of money boys' sexual health. Within the context of China's liberalised market economy, we explore (1) how money boys' enter the sex trade market and navigate their sexual networks; (2) how their lives are enmeshed in fields of sexual desire, stigma and coercion; and (3) how the illicit and stigmatising nature of their work poses barriers to health service access. Findings reveal how the sex trade market and clinic are precarious spaces in which entrepreneurial ethics of the self and stigma-related coercive relations simultaneously enable and constrain money boys' sexual freedom and safer sex practices. By understanding this entrepreneurial precarity through the co-articulation of clinical and organisational work spaces, public health and social service providers can have a stronger sense of how various vulnerabilities configure to affect safer sex practices. [ABSTRACT FROM AUTHOR]

Copyright of Zeitschrift für Sexualforschung is the property of Georg Thieme Verlag Stuttgart and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article, showing how ubiquitous male youth prostitution was in 1950s Italy, exposes the pederastic and (homo)sexual vivacity of this decade. Moreover, this article also suggests that even if police, the media, and medical institutions were trying to crystallize a rigid chasm between homo- and heterosexuality, there were still forces in Italian society that resisted such strict categorization. The young hustlers described by contemporary observers bear witness to the sexual flexibility of the 1950s in Italy. These youths inhabited queer spaces lacking a clear-cut hetero–homo divide, spaces where "modern" sexological categories and identities had not yet entered. Prior to the mass circulation of rigid sexual labels, it was still possible for many Italian boys, youths, and young men to dwell in liminal queer spaces. The exchange of money purified their acts, guaranteed their maleness, and effaced potential stigmatization. [ABSTRACT FROM AUTHOR]

Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Access to safe and effective sexual healthcare services for transgender and male sex workers (TMSW) is a human right. Globally, TMSW experience a higher prevalence of human immunodeficiency virus (HIV) and sexually transmitted infections than the general population or other sex workers, suggesting the existence of unique challenges for this group when accessing healthcare. A systematic database search identified 22 qualitative papers addressing barriers to accessing sexual healthcare services for TMSW. These papers were critically evaluated for adherence to best practice standards for qualitative research and research with sex workers. A coding process identified five themes. Stigma was the predominant barrier, and was divided into stigma related to sexuality, gender identity, HIV status, sex worker status, and internalised stigma. Other barriers were confidentiality concerns, sexual health literacy, fatalism, and structural barriers. Each of these themes were informed by the wider context of stigma. The literature presents a complex syndemic of social disadvantage and exclusion acting to produce and reinforce health disparities related to sexual health and access to screening and treatment for TMSW. [ABSTRACT FROM AUTHOR]

In Mexico City, male sex workers (MSWs) are up to 126 times more likely to be living with HIV than the general public. We conducted interviews with 23 MSWs in Mexico City to examine their subjective understandings about their sexual risk behaviors and explore opportunities about HIV pre-exposure prophylaxis (PrEP) as a prevention approach in this group. Despite knowledge about sexual HIV risks, most participants reported condomless anal sex with clients. There was very little prior knowledge about PrEP, but very high interest in using a daily pill for prevention. Several participants expected an increase in condomless anal sex if taking PrEP, because of monetary incentives from clients or a perceived increase in pleasure. Additionally, seasonal sex workers expressed interest in using PrEP only during months when they were performing sex work. PrEP implementation efforts through Mexico's healthcare system should recognize the varying needs and sexual risk behaviors of MSWs. [ABSTRACT FROM AUTHOR]

In 1911, Dutch parliament changed and expanded the vice laws of the penal code. The most controversial change was the introduction of art. 248bis Sr., which created a specific age of consent (21) for homosexual contacts, while it remained 16 for heterosexual behaviour. According to Attorney General E.R.H. Regout, homosexuality was spreading rapidly, resulting from the seduction of minors between the age of 16 and 21. Referring to Greek pederasty, he claimed that adult homosexuals preyed almost exclusively on this age group. Once seduced, a minor would become a homosexual himself. Although a memorandum briefly mentioned that the new article would also apply to women, lesbian behaviour was not discussed at all during readings in parliament: originating from his previous role as public prosecutor, boys and young men were the minister's sole concern. Most publications about 248bis Sr. are descriptive with a near self-evident focus on its repressive nature. This contribution also recounts the way in which Regout's proposal was turned into law. Yet, based on a rereading of parliamentary papers, as well as on extensive archival research by the author, it raises questions viz-à-viz Regout's concern over young males and its relationship to contemporary sexual folk knowledge and prevailing etiologies. Moreover, this article will argue that 248bis, aside from criminalising aspects of homosexual behaviour, also turned a disciplinary eye towards male adolescents at a time when puberty as a cultural construct began to emerge. [ABSTRACT FROM AUTHOR]

This article presents selected results from the first exploratory study on male sex workers in Slovenia. Drawing on nine semi-structured interviews with self-identified male sex workers, who sell sex predominantly to (gay) men, and starting from Altman's (1999) suggestion to understand sex work as a continuum ranging from sex work as a profession to casual or accidental encounters, it discusses three themes recurring in the interviews: (1) entrance into sex work; (2) relationships with clients and occupational strategies; and (3) use of technology for sex work. The male sex workers' narratives are clustered along the distinctions between the "devoid-of-choice-oriented" and "business-oriented" male sex work, pointing to the somewhat blurred professional/private relations of the business in the context of post-socialist Slovenia. Entry into sex work is narrated at the crossroads of poor socioeconomic circumstances as a trigger, as exemplified in past studies, and a career decision-making, as noted by the recent studies. The distinction also runs along the lines of types of relationship male sex workers establish with their clients; while the first group describe relationships as turning into friends-like and moving beyond sexual encounters, the second group keep their contacts with clients as strictly business relations. This distinction can also be read in the context of the use of online technologies: although all our participants have used the internet to obtain clients, the business-oriented ones have thoughtfully worked on creating and updating their online profiles to make them as appealing to potential clients as possible, while the "devoid-of-choice-oriented" have reverted to only using a mobile phone, counting on "word of mouth" promotion of their work. [ABSTRACT FROM AUTHOR]

The article discusses how Irish gay fiction writer Keith Ridgway tackles the subject of male prostitution in his novels "Angelo" and "The Parts." It is said that Ridgway emerged in the 1990s as a powerful literary voice concerned with the rapid changes taking place in Irish society. Both the novels demonstrate the injustice, alienation and social divides of Celtic Tiger Dublin.

In this article I examine the negotiations of national and sexual belonging of a Romanian gay sex worker in Berlin in the contemporary geosexual context defined by binarism between 'modern', 'liberal' and 'tolerant' Western Europe and its 'traditionalist' and 'homophobic' East European Other. I analyse how, by means of an overt display of his own homosexuality, the sex worker symbolically distances himself from his native country. By extension, this reinforces the image of the East and its inhabitants as inherently homophobic and, therefore, backwards. The article is based on ethnographic research in the drop-in centre for male sex workers in Berlin, an environment that reveals how deeply contemporary geosexual differences are anchored in the cultural logic of everyday life. [ABSTRACT FROM AUTHOR]

Purpose - Exploration of the methodological aspects of male sex work is rather limited. Without a strong methodological toolkit to draw from, research in male sex work will not be able to accurately capture changes in the dynamic sex work environment. Thus, the author provides a comprehensive review of methods in male sex work along with a broad spectrum of methodological insights through which future research can be advanced. Methodology/approach - Drawing from two studies that the author conducted in the male independent escorting space, this chapter provides a range of methodological insights and offers avenues for future research. Findings - This chapter reviews the methods used in male sex work research over the years and details the lack of research on methodological inquiry in the field. Originality/value - With the increasing normalization and dynamism of male sex work, it is necessary for the research to provide methodological guidance for the next wave of studies in the field. The recommendations and research directions proposed herein are hoped to have implications for research in the larger sex work context. [ABSTRACT FROM AUTHOR]

Copyright of Mediterranean Journal of Communication / Revista Mediterránea de Comunicación is the property of Revista Mediterranea de Comunicacion / Mediterranean Journal of Communication and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Studies of male sex workers are often confined to the individual level rather than exploring their work environment per se or the larger ecological context in which their business activities are embedded. We know relatively little, for example, about the spatial location of erotic worksites (apart from street-level work) or the interactional dynamics of sellers and clients within such settings. This article presents an ethnographic study of bars and clubs in Prague and Berlin where male sexual commerce is transacted. We find important differences between the cities in the social organization of the bars and in participants’ demographic characteristics. The analysis links our micro-level findings to the larger forces of labour migration and sex tourism, factors that differ between the two cases. [ABSTRACT FROM AUTHOR]

Sex workers confront unique challenges in the face of COVID-19. Data from an international sex work website popular with cisgender men and transgender men and women suggest that, after a period of physical distancing, many sex workers are returning to in-person work: from May to August 2020, active sex work profiles increased 9.4% (P < 0.001) and newly created profiles increased by 35.6% (P < 0.001). Analysis of sex work and COVID-19 guidelines published by five community-based organisations found that they focused on altering sexual practices, enhancing hygiene and pivoting to virtual work. To capitalise on these guidelines, funding and research for implementation and evaluation are needed to support COVID-19 risk reduction strategies for sex workers. [ABSTRACT FROM AUTHOR]

Individual perceptions of HIV risk influence willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention. Among men who have sex with men (MSM) and male sex workers (MSWs), temporal or episodic changes in risk behavior may influence perceived risk and PrEP acceptability over time. We investigated fluctuations in perceived HIV risk and PrEP acceptability, comparing MSWs against MSM who do not engage in sex work. We conducted 8 focus groups (n = 38) and 56 individual interviews among MSM and MSWs in Providence, RI. Perceived HIV risk shaped willingness to use PrEP among both MSWs and MSM who did not engage in sex work, and risk perceptions changed over time depending on behavior. For MSWs, perceived risk cycled according to patterns of substance use and sex work activity. These cycles yielded an "access-interest paradox": an inverse relationship between willingness to use and ability to access PrEP. MSM who did not engage in sex work also reported temporal shifts in risk behavior, perceived risk, and willingness to use PrEP, but changes were unrelated to access. MSM attributed fluctuations to seasonal changes, vacations, partnerships, behavioral "phases," and episodic alcohol or drug use. Efforts to implement PrEP among MSM and street-based MSWs should address temporal changes in willingness to use PrEP, which are linked to perceived risk. Among MSWs, confronting the access-interest paradox may require intensive outreach during high-risk times and efforts to address low perceived risk during times of reduced sex work. [ABSTRACT FROM AUTHOR]

A Theodosian law against male prostitution in Rome, preserved intact in the Collatio Mosaicarum et Romanarum Legum (5.3.1), contains motifs which reveal its likely author. Virius Nicomachus Flavianus, Quaestor of the Palace of Theodosius, was at that time in charge of redacting and supervising the laws. A close textual analysis suggests that the hand of Flavianus was behind the wording and the contents of this text, which find parallels in the works of historians and classical authors. At that time, Flavianus was writing his Annales, a historical work that he would dedicate to Theodosius only a few years later as his Praetorian Prefect. [ABSTRACT FROM AUTHOR]

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This article is based on a qualitative study of male street-based prostitution. It suggests that the street-based sector is more varied, with sellers adopting a wider range of working practices, than is commonly acknowledged in the literature on male prostitution. Drawing on data from Manchester, England, I identify a number of ‘life patterns’ among male street sellers that reflect varied working practices based on issues around rational decision-making and the sex worker’s relationship to place and environment. The discussion has implications for urban policies around street-based sex work but also for a more general understanding of male sex work in an international and comparative perspective. [ABSTRACT FROM AUTHOR]