This is more Gay Fiction than m/m romance. The story is well done. It alternates between Jackson's life in New York when he first ran away from his family at age 18, and 20 years later when he returns home after a family tragedy. I must say the family part of this, in particular the grief when they first lose their sister, is satisfyingly raw and honest. The tale of Jackson's gradual immersion in the seedy life of a prostitute is actually far more interesting than I thought it would be. There is a fair amount of tension as you wonder how he is going to extricate himself from his situation.
Where it lost a little oomph was with Jackson's age in the New Orleans part of the story. He just doesn't sound or act like a 40 year old man. And I couldn't understand what he was still running from 20 years later.
The romance is ok but it isn't the major focus of the story.