Table 2.

Taxonomy of agency-Motivational themes Components based male sex workers’ motivations for avoiding sexual risk behavior with clients(n = 30)

Individual health concerns
	Fear of being infected with HIV/STI by client Personal consequences of being infected with HIV/STI Fear of infecting a relationship partner with HIV/STI
Client attractiveness
	Clients were too old Clients were not physically attractive sexual partners Clients were unable to perform sexually Heterosexual MSWs did not have same-sex attractions
Emotional intimacy
	Avoided extended contact with clients Avoided sexual behaviors perceived as more intimate Restrict anal sex without a condom and kissing to non-clients
Interpersonal influences
	Friends and family outside the agency often were aware of participants’ sex work Acceptance of sex work by social network People in social network were concerned about MSW health and safety
Structural work factors
	Lack of economic incentives to engage in riskier sex Strong sense of personal connection to the agency & management Agency endorsed condom use and regular HIV testing Agency established client expectations for safer sex behavior Agency supported MSWs who restricted sexual repertoire or who disagreed with clients about sexual risk behaviors