Intimate Relationships and HIV Infection Risks Among Shan Female Sex Workers From Myanmar in Chiang Mai, Thailand: A Qualitative Study

Date

2021

Authors

Ayuttacorn, Arratee
Tangmunkongvorakul, Arunrat
Kelly, Matthew
Amporn, Jirattikorn
Banwell, Cathy
Srithanaviboonchai, Kriengkrai

Journal Title

Journal ISSN

Volume Title

Publisher

Guilford Publications Inc.

Abstract

This study aimed to investigate HIV risks among female sex workers (FSWs) who were from the Shan ethnic group, and how they relate to complex relationships with inconsistent condom use. The study was conducted using in-depth interviews with 17 Shan FSWs (aged 18-45 years old) in Chiang Mai. Intimate relationships between participants and regular clients/steady partners were found to facilitate inconsistent condom use. Participating Shan FSWs sustained intimacy with regular clients not only for economic ends but also for emotional support. Gender norms and male power dominated condom use decision making. Some participants lacked proper HIV preventive knowledge regarding condom breakage and HIV risks. Effective intervention and proper HIV preventive practices should address these intimate contexts. Capacity building among women would assist FSWs to make choices that protect them from HIV/STDs infections. Couples-based HIV interventions addressing emotional intimacy is an urgent need for HIV communication and service delivery in Thailand.

Description

Keywords

female sex worker, HIV infection risk, condom use, intimate relationship, intimacy, Shan migrant, Thailand

Citation

Source

AIDS Education and Prevention

Type

Journal article

Book Title

Entity type

Access Statement

License Rights

DOI

10.1521/aeap.2021.33.6.551

Restricted until

2099-12-31