Implications of Migration Patterns and Sex Work on Access to Health Services and Key Health Outcomes: A Qualitative Study on Male Migrant Sex Workers in London

Abstract

Objectives: This paper describes migration toward the UK, sex work involvement, use of health services, and health issues.

Methods: This qualitative study interviewed twenty-five men. The data were analyzed using thematic analysis.

Results: Five main themes emerged: emigration, migration routes, sex work entrance, use of health services, and main health outcomes.

Conclusions: Discrimination and social exclusion were identified before and during migration. Participants had used the NHS system and told positive experiences. They reported STI-HIV, recreational drugs and mental health issues. Findings suggest the influence of migration and sex work on their vulnerabilities and health outcomes.

Keywords: Migration; health inequalities; male sex work; sexual health.