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The Effect of Withholding Information on HIV Risk Behavior among Dominican Male Sex Workers

The Effect of Withholding Information on HIV Risk Behavior among Dominican Male Sex Workers.

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The Effect of Withholding Information on HIV Risk Behavior among Dominican Male Sex Workers

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  1. The Effect of Withholding Information on HIV Risk Behavior among Dominican Male Sex Workers Santo Domingo - March, 2004With financial support from:National Science Foundation, Wenner-Gren Foundation for Anthropological Research, Fulbright IIE, Fogarty AITRP (Johns Hopkins), and USAID / DR (AcciónSIDA)Collaborating organization: Amigos Siempre Amigos, Inc. (ASA)Investigative team: Leonardo Sánchez, Martha Arredondo, Armando Matiz Mark B. Padilla, MPH, PhDSociomedical Sciences, Mailman School of Public HealthColumbia University (Photo: Parque Colón, Zona Colonial, Santo Domingo)

  2. Research phases: • 3 years of multi-sited ethnographic fieldwork 3. 98 audiotaped semi-structured interviews: 2. Survey of 200 male sex workers, emphasizing: 1. Exploratory: Description, mapping of sex work sites; informal interviewing; focus groups • Research association with the NGO “Amigos Siempre Amigos” (ASA) - Socio-demographic profile- Terms of self-identification- Social norms about sex work- Sexual behavior and condom use- Affective and emotional bonds- Substance use history- Migration experiences- Measures of selected ‘co-factors’ of HIV / STD risk - Childhood experiences / traumas- Relations with parents & siblings- Stigma-management techniques- Initiation into sex work- Relations with girlfriends, spouses, and children- Stories of worst and best clients- Beliefs, fears, behaviors related to HIV/AIDS- Future aspirations / plans • Combined qualitative / quantitative methodology (Photo: El Conde, Santo Domingo) Methodology

  3. (Photo: El Conde, Santo Domingo) Methodology Continuous participant observation, informal interviewing, and ethnographic note-taking throughout research

  4. Sanky panky Bugarrón (Photo: El Conde, Santo Domingo)

  5. 76% in Boca Chica 88% in Sto. Dom. (Photo: Near Plaza España, Santo Domingo)

  6. (Photo: Near Plaza España, Santo Domingo)

  7. (Photo: Malecón, Santo Domingo)

  8. (Photo: Zona Colonial, Santo Domingo)

  9. ‘Eduardo’: “Well, yeah, but at the end of it all, I came back with my acting, because I did a drama for her, an entire role… you understand? And to stay in good stead, I told her that no, that it [the infidelity] was with a woman, that what was going on was that I didn’t want to tell her, for this or that reason. [In voice of girlfriend] ‘I knew that it was a woman!’ That was my means… Or my trick. I used an illusion, that’s it… I performed a part for her: ‘No, it was a woman!’ I didn’t want to say anything to her, because I know how she is… [In voice of girlfriend] ‘It better not be a homosexual! Careful, you hear!’ But that’s how it was… We went eight days without talking to each other. That’s how it was.” (Photo: Zona Colonial, Santo Domingo)

  10. (Photo: Beach adjacent to tourist hotels,Boca Chica) Tourist arrivals by year

  11. Hetero Figure 6.1: Model of HIV transmission based on the ‘bisexual bridge’ Homo bisexual bridge Hetero HIV HIV Figure 6.2: Model of HIV transmission in a hypothetical bisexually-driven epidemic Male and female partners ‘Non- disclosers’ Exclusive opposite-sex activity Exclusive same-sex activity (Photo: Malecón, Santo Domingo)

  12. (Photo: Monument to the Mirabal Sisters, Santo Domingo)

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