Abstract
There is little data on the burden of HIV and other infections that affect male sex workers (MSW) in Vietnam. We conducted behavioral and biological sexual health surveys with 300 MSW in Ho Chi Minh City. Generalized estimating equation models were built to assess factors associated with HIV, hepatitis C, and other sexually transmitted infections (STI). Of 300 MSW, 19 (6.3%) were diagnosed seropositive for HIV, 11 (3.7%) had hepatitis C, and 26 (8.7%) had at least one prevalent STI. In a multivariable model, opiate use was significantly associated with HIV infection (aOR 6.46, 95% CI 1.28-32.7) and hepatitis C (aOR=19.6, 95% CI 2.35-163.6). Alcohol dependency was associated with increased odds of hepatitis C (aOR=4.79, 95% CI 1.02-22.5) and decreased odds of other STI (aOR=0.30, 95% CI 0.10-0.97). These findings suggest that MSW in Vietnam would benefit from regular HIV and STI testing, as well as linkage to care and substance use rehabilitation services.
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