Visiting Entertainment Venues and Sexual Health in China

Li, Li; Wu, Zunyou; Guan, Jihui; Yin, Yue-Ping; Detels, Roger; Wu, Shenghao; Lee, Sung–Jae; Cao, Hao; Lin, Chunqing; Rou, Keming; Liu, Zhendong

doi:10.1007/s10508-008-9311-7

Cited by 20 publications

(33 citation statements)

References 19 publications

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“…Given the expanding literature that links sex venues and sexual risk in China, 725 this observation is unexpected. We would offer three potential explanations for this lack of an association.…”

Section: Discussionmentioning

confidence: 99%

“…56 Rapidly expanding entertainment centres and related sex venues have created specific local environments that may increase the likelihood of unsafe commercial sex. 78 A rich anthropological and sociological literature describes densely clustered sex venues that serve as a locus for purchasing and selling sex. 9 Yet sex venues frequented by high-risk groups have also been the site of pilot syphilis testing and control strategies in many parts of China, 10 including Shenzhen.…”

Section: Introductionmentioning

confidence: 99%

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Multilevel and spatial analysis of syphilis in Shenzhen, China, to inform spatially targeted control measures

Tucker

Hong

et al. 2012

Sex Transm Infect

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Objectives The present study investigates the varied spatial distribution of syphilis cases in Shenzhen, China, and explores the individual-, neighbourhood- and district-level factors affecting the distribution. Methods This study uses spatial analysis and multi-level generalised estimating equations to explore the spatial distribution of reported syphilis cases among individuals in Shenzhen, Guangdong Province, China. The spatial distribution of primary/secondary and latent cases was investigated using the Moran’s I-statistic. Primary/secondary syphilis cases were compared with all syphilis cases using a three-level model with individual (n=6496), neighbourhood (n=55) and district (n=6) levels. Results A total of 6496 syphilis cases were reported in 2009 with 35.8% primary and secondary syphilis cases. Both primary/secondary syphilis cases (Moran’s I value=0.33, p<0.01) and latent syphilis cases (Moran’s I value=0.19, p<0.01) showed significant spatial clustering at the neighbourhood level. Adjusting for the number of reporting hospitals, the best model found that the following characteristics were associated with primary/secondary syphilis infection: individuals who are younger in age (p=0.003), male (p<0.001), migrant labourers (p=0.047) and those who live in districts with a higher gross domestic product (p<0.001). Conclusions There is substantial clustering of primary and secondary syphilis cases at the neighbourhood level in Shenzhen, suggesting the need for greater STD health service provision in these clustered neighbourhoods. Spatially targeted syphilis control measures may be useful to optimise testing, treatment and partner services.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multilevel and spatial analysis of syphilis in Shenzhen, China, to inform spatially targeted control measures

Tucker

Hong

et al. 2012

Sex Transm Infect

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“…Missing values accounted for less than 10% of all the respective independent variables. Occupation was dichotomised into entertainment and non-entertainment based on earlier work supporting higher sexual risk behaviours at entertainment establishments 25. First-borns were categorised as being either the eldest or only children.…”

Section: Methodsmentioning

confidence: 99%

“…Occupation was dichotomised into entertainment and non-entertainment based on earlier work supporting higher sexual risk behaviours at entertainment establishments. 25 First-borns were categorised as being either the eldest or only children. Middle-borns had at least one elder sibling and one younger sibling.…”

Section: Methodsmentioning

confidence: 99%

Social determinants of syphilis in South China: the effect of sibling position on syphilis and sexual risk behaviours

Tucker

Young

Yang³

et al. 2013

BMJ Open

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ObjectiveThis study evaluated the relationship between sibling position and sexual risk based on behavioural and syphilis infection data from sexually transmitted infection (STI) patients in South China.DesignA cross-sectional study examining sexual behaviours and syphilis infection.Setting4 STI clinics in the Pearl River Delta of South China.Participants1792 Chinese men and women attending STI clinics.Primary outcome measuresSTI history, syphilis infection defined as positive non-treponemal and treponemal tests.ResultsAmong all clinic patients, 824 (46.3%) were first-born, 354 (19.9%) were middle-born and 602 (33.8%) were final-born. Middle-born individuals had a higher percentage of reported STI history (44.7% compared to 34.7%, p<0.001) and syphilis infection (9.7% compared to 4.9%, p=0.01) among men (n=1163) compared to other sibling positions in bivariate analyses, but not in the final multivariate model. The relationship between sibling position and syphilis was independent of income and education level. There was no trend observed between middle-born position and female sexual risk behaviours (n=626). Higher education was significantly associated with syphilis among women and men in respective multivariate models.ConclusionsThis study suggests that middle-born men in China may have an increased sexual risk compared to other sibling positions. As Chinese family and social structures change, a more thorough understanding of how demographic factors influence sexual risk behaviours is needed.

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“…We found that male participants who reported visiting entertainment venues were more than five times more likely to report unprotected sex than those who did not. Entertainment venue visits were also significantly correlated with STD infection (Li et al, 2008). HIV prevention in entertainment venues in China needs to go beyond targeting female entertainment workers.…”

Section: Introductionmentioning

confidence: 99%

Entertainment Venue Visiting and Commercial Sex in China

Lin

Wu³

et al. 2010

International Journal of Sexual Health

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Entertainment venues in China play an important role in the sexually transmitted disease (STD)/HIV epidemic. Most previous studies have focused on sex workers working in entertainment venues, but little is known about their clients. This study investigated the perceptions and behavior of the patrons visiting entertainment venues. Qualitative in-depth interviews were conducted with 30 male market vendors who visited entertainment venues at least once in the past 3 months in an eastern city in China. Information about their risky behavior, attitude toward commercial sex, and STD/HIV prevention approaches was collected. Saunas, karaoke bars, and massage centers are the most frequently visited entertainment venues. Seventy-three percent of study participants reported purchasing commercial sex at these entertainment venues. Participants expressed a very liberal attitude toward commercial sex. Seeking commercial sex was perceived as a characteristic of a male’s nature. The perceived risks of STD/HIV infection do not deter participants from engaging in commercial sex. Commercial sex clients reported irregular condom use and a number of other misperceptions and improper practices toward preventing STD/HIV infection. Venue-based intervention is urgently needed to target the population. The sex workers themselves could potentially serve as “health educators” to communicate prevention information to their clients and encourage safer sex behavior.

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Visiting Entertainment Venues and Sexual Health in China

Cited by 20 publications

References 19 publications

Multilevel and spatial analysis of syphilis in Shenzhen, China, to inform spatially targeted control measures

Multilevel and spatial analysis of syphilis in Shenzhen, China, to inform spatially targeted control measures

Social determinants of syphilis in South China: the effect of sibling position on syphilis and sexual risk behaviours

Entertainment Venue Visiting and Commercial Sex in China

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