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Social contexts of risk behaviors for HIV among male, unskilled, unregistered laborers in urban Vietnam

机译：越南城市男性，非技术，未注册劳动力中艾滋病毒危险行为的社会环境

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In Vietnam there has been relatively little success in controlling the HIV epidemic, in part because the subpopulations most exposed to the virus are often difficult to engage in prevention research and programs. In this qualitative study we explored social contexts shaping HIV risk behaviors among Vietnamese men involved in unskilled, unregistered, and low-income labor in urban settings. Based on self-disclosed behaviors, it is clear that these men were at high risk of sexually transmitted infection (STI). Evidence emerged from the interview data highlighting equivalent influences of individual psychological factors, social integration, social barriers, and accessibility regarding drug use and sexual risk behavior. Psychological influences such as tedium, distress, fatalism and revenge, and the strong effects of collective decision making and fear of social isolation appeared important for these men living on the economic and social margins of this rapidly urbanizing society. The study findings suggest directions for research and culturally appropriate HIV preventive education and services for these men.
机译：在越南，控制艾滋病毒流行的成功率相对较低，部分原因是最易感染该病毒的亚人群通常难以参与预防研究和计划。在这项定性研究中，我们探讨了在城市环境中从事非熟练，未注册和低收入劳动力的越南男性中构成艾滋病毒风险行为的社会环境。根据自我披露的行为，很明显，这些男人处于性传播感染（STI）的高风险中。从访谈数据中得出的证据强调了个人心理因素，社会融合，社会障碍以及与毒品使用和性风险行为有关的可及性的同等影响。对于这些生活在这个快速城市化社会的经济和社会边缘的人而言，诸如沉闷，痛苦，宿命论和复仇之类的心理影响以及集体决策的强大影响和对社会隔离的恐惧显得很重要。研究结果为这些男性提供了研究方向和在文化上适当的艾滋病毒预防教育及服务的建议。

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