High Risk Health Behaviors and Healthcare Access Among Female Adult Entertainment Club Employees

Esther Choo, Megan L. Ranney, Michael J. Mello, Melissa A. Clark, Tina Charest, Christine Followill Garro, Karina Bertsch, Saskia Larsen, Caron Zlotnick

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Prior studies of adult entertainment club employees have been qualitative and lacked information regarding a range of important health factors. Methods: Sixty-nine female club employees completed a computer-assisted survey on healthcare access and health behaviors. An age-matched comparison sample was obtained from the Behavioral Risk Factor Surveillance System. Researchers calculated descriptive characteristics and developed multivariable logistic regression models to provide the adjusted odds of health factors. Results: In the combined study sample, the mean age was 28.5 years; 75% were white, 20% Hispanic/Latino; 58% were single; 46% had at least one child. Compared to the Behavioral Risk Factor Surveillance System sample, significantly fewer club employees had health insurance or a primary care provider, and more reported not seeing a physician due to cost. Club employees had significantly higher adjusted odds of smoking (aOR 4.38, 95% CI 1.13-16.88), high-risk drinking (aOR 5.68, 95% CI 1.73-18.67), HIV risk factors (aOR 4.91, 95% CI 1.26-28.2), and lower odds of HIV testing (aOR 0.10, 95% CI 0.04-0.27) than the comparison group. Conclusions: Compared to a national sample of women, more club employees reported high-risk drinking and HIV risk behaviors, and fewer reported HIV testing and access to healthcare. Adult club employees may benefit from interventions to reduce harmful behaviors and increase healthcare access.

Original languageEnglish (US)
Pages (from-to)646-657
Number of pages12
JournalWomen and Health
Volume52
Issue number7
DOIs
StatePublished - Oct 2012
Externally publishedYes

Fingerprint

Health Behavior
Risk-Taking
HIV
Behavioral Risk Factor Surveillance System
Delivery of Health Care
Hispanic Americans
Drinking
Logistic Models
Health Care Surveys
Health
Occupational Health
Health Insurance
Primary Health Care
Smoking
Research Personnel
Physicians
Costs and Cost Analysis

Keywords

  • adult clubs
  • alcohol abuse
  • drug abuse
  • exotic dancers
  • human immunodeficiency virus
  • substance abuse

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Choo, E., Ranney, M. L., Mello, M. J., Clark, M. A., Charest, T., Garro, C. F., ... Zlotnick, C. (2012). High Risk Health Behaviors and Healthcare Access Among Female Adult Entertainment Club Employees. Women and Health, 52(7), 646-657. https://doi.org/10.1080/03630242.2012.707172

High Risk Health Behaviors and Healthcare Access Among Female Adult Entertainment Club Employees. / Choo, Esther; Ranney, Megan L.; Mello, Michael J.; Clark, Melissa A.; Charest, Tina; Garro, Christine Followill; Bertsch, Karina; Larsen, Saskia; Zlotnick, Caron.

In: Women and Health, Vol. 52, No. 7, 10.2012, p. 646-657.

Research output: Contribution to journalArticle

Choo, E, Ranney, ML, Mello, MJ, Clark, MA, Charest, T, Garro, CF, Bertsch, K, Larsen, S & Zlotnick, C 2012, 'High Risk Health Behaviors and Healthcare Access Among Female Adult Entertainment Club Employees', Women and Health, vol. 52, no. 7, pp. 646-657. https://doi.org/10.1080/03630242.2012.707172
Choo, Esther ; Ranney, Megan L. ; Mello, Michael J. ; Clark, Melissa A. ; Charest, Tina ; Garro, Christine Followill ; Bertsch, Karina ; Larsen, Saskia ; Zlotnick, Caron. / High Risk Health Behaviors and Healthcare Access Among Female Adult Entertainment Club Employees. In: Women and Health. 2012 ; Vol. 52, No. 7. pp. 646-657.
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