People engaging in
transactional sex are considered a key population for HIV prevention. Prior
quantitative surveys demonstrated that behaviorally bisexual men in Vientiane,
Laos commonly transact sex.
In 2013, we conducted a qualitative study to
explore behaviorally bisexual men's experience, motivations, and perceptions
related to transactional sex in Vientiane. Behaviorally bisexual men were
recruited from bars, nightclubs, and dormitories for five focus group
discussions (FGDs) and 11 in-depth interviews (n = 31). Additionally,
young women were recruited from a university, garment factory, and nightclub
for four FGDs (n = 22). Transcripts were translated and thematically
coded.
Bisexual male participants most commonly described being paid for sex by
male-to-female transgender people and buying sex from women. Both male and
female participants reported that older, single women pay younger men for sex.
Negotiation and direction of sexual transactions are influenced by age,
attraction, and wealth. Common motivations for selling sex included the need
for money to support family or fund school fees, material gain, or physical
pleasure. Transactional sex was often opportunistic. Some behaviorally bisexual
men reported selling sex in order to pay another more desirable sex partner or
to buy gifts for their regular sex partner. Participants perceived high risk
associated with intercourse with female sex workers but not with other
transactional sex partners.
Health interventions are needed to improve
knowledge, risk perception, and health behaviors, but must recognize the
diversity of transactional sex in Vientiane. Both physical and virtual settings
may be appropriate for reaching behaviorally bisexual men and their partners.
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By:
- 1Centre for Population Health, Burnet Institute, 85 Commercial Rd., Melbourne, VIC, 3004, Australia. annab@burnet.edu.au.
- 2Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia. annab@burnet.edu.au.
- 3Burnet Institute, Vientiane, Lao PDR.
- 4Centre for International Health, Burnet Institute, Melbourne, Australia.
- 5Centre for Population Health, Burnet Institute, 85 Commercial Rd., Melbourne, VIC, 3004, Australia.
- 6Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
- 7Faculty of Health Sciences, National Drug Research Institute, Curtin University, Fitzroy, Melbourne, Australia.
- 8Faculty of Postgraduate Studies, University of Health Sciences, Vientiane, Lao PDR.
- 9Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
- Arch Sex Behav. 2016 Mar 23.
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