Structural vulnerabilities to HIV/STI risk among female exotic dancers in Baltimore, Maryland

Reilly, Meredith; German, Danielle; Serio-Chapman, Chris; Sherman, Susan G.

doi:10.1080/09540121.2014.998613

Cited by 14 publications

(13 citation statements)

References 18 publications

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“…EDCs are unique occupational settings that generally feature stage dancing with no physical contact and can be home to illegal activity including drug activity and purchase of sexual services [3]. Research focused on the health and safety of exotic dancers or entertainment workers in urban settings illustrates hazards spanning substance use and sexual risk behavior [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Qualitative research documents that physical abuse from partners, often concurrent with economic desperation, can prompt women into exotic dancing [4]. Social and economic disadvantage and histories of substance use and incarceration are other common precursors to dancing [3][4][5]8]. Client violence can be enabled by structural and environmental elements of EDCs, such as management control over negotiations for sexual services and limited management support regarding condom use with clients [3].…”

Section: Introductionmentioning

confidence: 99%

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Client and Partner Violence Among Urban Female Exotic Dancers and Intentions for Seeking Support and Justice

et al. 2017

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Urban female exotic dancers are thought to experience unique risk for violence and barriers to care, though limited research has focused on this aspect of urban sex industries. We characterize recent client-perpetrated and intimate partner violence (IPV) and their correlates, and describe women's intentions for violence-related help-seeking, among venue-based exotic dancers in a high-risk urban environment. We conducted a cross-sectional study with new female exotic dancers (n = 117) in Baltimore, MD. Over one third (36%) reported intimate partner violence (IPV), and 16% reported client physical or sexual violence, in the six months prior to the survey. Both forms of violence were correlated with arrest, sex trade, substance use, and childhood abuse. Violence-related help-seeking intentions were highest for club management. Intentions to seek help from police and violence-related support hotlines were lowest among those with recent experiences of violence. Recent violence, particularly from intimate partners, was pervasive in this sample of female exotic dancers, and enabled by substance use, criminal history, and sex trade. Preferences for help within venues, rather than the justice sector and publicly funded support services, indicate the need for systems reform to meet the needs of this high-risk group of women.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Client and Partner Violence Among Urban Female Exotic Dancers and Intentions for Seeking Support and Justice

et al. 2017

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“…Survey items in the SAPPHIRE study were theoretically informed by the risk environment framework and the theory of structuration as well as drawn from existing validated scales, our previous studies [5,44], and the expertise of the SAPPHIRE Community Advisory Board, a group comprised of current and former sex workers.…”

Section: Study Variablesmentioning

confidence: 99%

Structural vulnerabilities and HIV risk among sexual minority female sex workers (SM-FSW) by identity and behavior in Baltimore, MD

et al. 2020

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Background: Research suggests sexual minority female sex workers (SM-FSW) face elevated structural vulnerability and HIV risk compared to their heterosexual counterparts. Structural vulnerabilities reflect societal level factors (e.g., sexism, homophobia, racism) that constrain an individual's agency, particularly related to health outcomes. This study examines the association between SM status by identity and behavior, structural vulnerability, and HIV risk among a sample of street-based FSW. Methods: The current study utilizes baseline data from the SAPPHIRE study, a prospective cohort of cis gender and transgender FSW in Baltimore, MD, recruited through targeted time-location sampling from April 2016 to January 2017. The current analysis focuses on cisgender women. The baseline survey ascertained demographics, substance use, intimate partner violence (IPV), and sex work characteristics. Multivariable models were constructed using selfidentity and behaviorally defined SM status as independent variables with vulnerability outcomes (e.g., injection drug use, injection speedball, binge drinking, homelessness, physical IPV, ever had a pimp, and being a minor at sex work entry (age < 18)) as dependent variables. Results: Of the participants (n = 247), 25.5% (n = 63) self-identified as a SM by identity (e.g., gay or bisexual), and 8.5% (n = 21) reported SM behavior (e.g., same-gender sexual behavior) in the past 3 months. In multivariable logistic regression models, SM status by identity was associated with increased odds of injection drug use, binge drinking, homelessness, physical IPV, and being a minor at sex work entry. SM status by behavior was associated with increased odds of binge drinking, homelessness, ever having a pimp, and being a minor at sex work entry. Conclusion: The study indicates disproportionate structural vulnerability and heightened HIV risk among SM-FSW, as compared to their heterosexual counterparts, with differences in their profile by sexual identity and behavior. Findings suggest a need for nuanced interventions tailored to these populations.

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“…Female exotic dancers experience a unique set of vulnerabilities, owing greatly to their work environment [ 1 ]. Drug use, sex exchange (for money or drugs), and multiple sex partners are common [ 2 ]. Consequently, the small body of literature on this population focuses largely on infectious disease, specifically emphasizing HIV prevention and condom promotion, with little attention to their reproductive health [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Contraceptive utilization among new exotic dancers: a cross-sectional study

et al. 2018

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BackgroundFemale exotic dancers are a population at high risk of unintended pregnancy. The objective of this study is to describe the reproductive health needs and contraceptive utilization of exotic dancers.MethodsNew exotic dancers (< 6 months dancing) from 26 clubs in Baltimore City/County completed a one-time survey.ResultsOf 117 participants, 96 (82%) had current contraceptive need. The mean age was 24 years, and 55% were black. Sex work (45%), alcohol use disorder (73%), illicit (44%; e.g., heroin, crack, cocaine), and injection drug use (8%) were common. The majority (66%) reported contraception use in the prior 6 months. Condoms were reported by 46% whereas 45% reported non-barrier methods, most commonly hormonal injection. Consistent condom use was rare (3%), and only 11% used a long-acting reversible method.ConclusionsDespite their unique reproductive health vulnerabilities, female exotic dancers have unmet contraceptive needs. Targeted harm reduction strategies are needed to fill this gap.

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Structural vulnerabilities to HIV/STI risk among female exotic dancers in Baltimore, Maryland

Cited by 14 publications

References 18 publications

Client and Partner Violence Among Urban Female Exotic Dancers and Intentions for Seeking Support and Justice

Client and Partner Violence Among Urban Female Exotic Dancers and Intentions for Seeking Support and Justice

Structural vulnerabilities and HIV risk among sexual minority female sex workers (SM-FSW) by identity and behavior in Baltimore, MD

Contraceptive utilization among new exotic dancers: a cross-sectional study

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