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We additionally thank all participants who gave their time to share their data and experiences and Natalia Shuter for conducting lots of the interviews. Addressing the expanding HIV epidemic in Russia, an unlimited country that has proven limited response so far , will require a complete approach that includes a better understanding of the possibly weak population of male sex staff. For recruitment in future research, the Internet may be a great tool, however it is important to recognise that this method may miss some male sex staff and maybe these at greatest danger. Vulnerabilities related to professional isolation, restricted disclosure about their work, threats to non-public safety, restricted HIV threat notion, and suboptimal condom use ought to be explored in future research. A higher understanding of these dangers can inform future prevention interventions and programmes. Alcohol use was commonly reported but in moderate amounts and sometimes related to the membership setting. It is difficult to say from these data if this pattern is substantially totally different from membership scenes where non-industrial sexual encounters take place.
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There have been reports of trafficking of children and of child intercourse tourism in Russia. The Russian government has made some effort to combat trafficking however has additionally been criticized for not complying with the minimal standards for eliminating it. The United States Department of State Office to Monitor and Combat Trafficking in Persons ranks Russia as a ‘Tier 3’ nation.
Clearly, further information about the susceptible inhabitants of male intercourse employees is needed to better understand the broader context of those dangers. The social, financial, and political changes that accompanied the transition in post-Soviet Russia were unprecedented, widespread, and accompanied by a rise in several types of intercourse work (Atlani et al,. 2000). This proliferation was partially an adaptive response to loss of previous income and facilitated by altering social norms that increased the provision facet for intercourse work (Levina et al. 2012). Despite this, intercourse work occurs largely in an environment of intolerance, stigma, and ethical public attitudes. Legally, sex work is an administrative offence for which individuals can be fined.
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