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While urisen clients are invariably homosexual, urisen themselves are mostly straight, though even those who are gay are told to pretend they are heterosexual as it provides an enticing challenge for many clients, according to Shingo, 28, a manager at First Dash who until recently worked as an urisen. Money talk sometimes convinces some of the more reticent ones. Can you hack the work? To all of them, we are just a product. Both moved to Tokyo to find work and accommodation and were scouted off the streets as they arrived fresh off the train in the capital.
According to one NPO in the devastated region, this is not an uncommon trend, and one that is not limited to young men. Perhaps the most disturbing revelation in the film is how poorly schooled interviewees are in sexual health matters. Some appear to have no or only a vague notion as to what sexually transmitted diseases STDs are or how they can be transmitted. Soap, mouthwash and brushing teeth are cited as being effective ways to prevent them. One urisen is unsure if men can even get STDs. When it comes to prevention all they are told about at school is condoms, but even then, they are poorly educated in how to use them.
Particularly vulnerable are those in the sex industry, especially those who are in a weak position, financially or physically, such as urisen — who fit the AIDS-unaware age profile almost too well. Instilling a sense of responsibility among bar managers and owners is also essential, Ikushima says, although this concern is not confined to the urisen industry.
Indeed, a similar lack of instruction on sexual health would seem to exist in host clubs, an industry that traditionally pairs handsome young men with female clientele, though not officially for sex. You just assume, for their own sakes, they will be careful. One of its main projects is an outreach program that delivers condoms and flyers about HIV testing and prevention to gay bars and cruising spots known as hattenba in the district.
According to Iwahashi, one change is the gradual increase in the number of MSM men who have sex with men getting tested, which has risen 10 percent over the past decade.
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There is now also talk of the arrival in Japan of an HIV-prevention drug for high-risk people known as PrEP pre-exposure prophylaxis , which has been available in the U. While incidences of HIV among Japanese aged 30 and over are still high, they have leveled out over the past decade, Iwahashi says.
And the background to that is the awareness issue. For all the apparent downsides of the industry, many urisen comment on a unique camaraderie that exists. In , homosexual contact accounted for For reported AIDS cases total , homosexual contact accounted for Between and , HIV cases among foreign males reached , including a more-than-four-fold increase among foreign men who have sex with men MSM from 15 in to 66 in In that shot up further to reported cases, although non-MSM case numbers were virtually unchanged.