Vu Thi Du. Negotiating safer sex practices by female sex workers infected with STIsHIV in Haiphong city Vietnam. Master's Degree(Health Social Science). Mahidol University. : Mahidol University, 2009.
Negotiating safer sex practices by female sex workers infected with STIsHIV in Haiphong city Vietnam
Abstract:
Sex work is not accepted as a job in Vietnam. Illegal sex work causes sexual
health problems for female sex workers. The study explores dominant social, political,
and cultural discourses on sex work and female sex workers and how these discourses
influence the gendered-self and sexual subjectivities of those who are infected with
STIs/ HIV and how they have an impact on the ability of female sex workers to
negotiate safer sex practices
This is a postmodern feminist qualitative ethnographic study in Haiphong over
a period of four months. The data were collected through participant observation,
secondary data review, focus group discussions, in-depth interviews and narrative
interviews with ten female sex workers infected with STIs/HIV
The findings show that the discourses on sex work in Vietnam are
concentrated on the sex worker as a social evil, social deviant and immoral person.
Female sex workers are portrayed as women who break human dignity and damage
cultural tradition. Conversely, these women explained their gendered-self as women
who fulfill their duty and dignity as independent and good women in their real
social life. Their cyborg bodies display sexual desire so as to have sexual pleasure or
forced sexual desire by faking an orgasm. Interviewed female sex workers are
committed to using condoms with their clients/ boyfriends and husbands. Service
based female sex workers successfully negotiate for vaginal-penile safe sex. The
unsafe sex practices result from the discursive practices of masculinity and other
socio-cultural determinants. Female sex workers infected with STIs/HIV carry
feelings of guilt and responsibility for the health of themselves and clients to sustain
public morality. The research emphasizes a need to advocate sexual rights for female
sex workers. Intervention programs for safer sex need to be gender and culturally
sensitive as well as promoting responsibility for safer sex among clients