Patterns of primary healthcare use among female exotic dancers in Baltimore, Maryland

Natalie L. Flath, Meredith Reilly Brantley, Wendy W. Davis, Sahnah Lim, Susan Sherman

Research output: Contribution to journalArticle

Abstract

Female exotic dancers (FEDs) are often exposed to violence-, sex- and drug-related occupational harms and are precluded from employer-based health insurance. We examined access to primary health-care resources, correlates of use, and service needs among a sample of new FEDs (N = 117) working in 22 exotic dance clubs (EDCs) in Baltimore, MD. Self-administered surveys were completed between May and October 2014. Health care measures were aggregated and described, and correlates of use were evaluated using Fisher Exact and Poisson regression with robust variance, adjusting for race/ethnicity. The majority of dancers reported having health insurance (80%), a primary care provider (PCP) (68%), and having visited a PCP (74%). Among dancers with insurance, all were covered by Medicaid. Multivariable regression models demonstrated that having a regular PCP was associated with recent PCP use (adjusted prevalence ratio 1.5; 95% confidence interval: 1.1, 2.1). Despite a high level of health-care coverage and recent visits to PCP, dancers frequently sought services at the emergency department and reported needs for medical care, including mental health support services and drug treatment. Findings highlight that basic access to primary health care is available and used but may not be fully meeting dancers’ complex needs.

Original languageEnglish (US)
JournalWomen and Health
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Baltimore
Primary Health Care
Health Services Accessibility
Health Insurance
Delivery of Health Care
Health Resources
Medicaid
Mental Health Services
Insurance
Violence
Pharmaceutical Preparations
Health Status
Hospital Emergency Service
Confidence Intervals

Keywords

  • Female exotic dancers
  • health services availability
  • occupational health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Patterns of primary healthcare use among female exotic dancers in Baltimore, Maryland. / Flath, Natalie L.; Brantley, Meredith Reilly; Davis, Wendy W.; Lim, Sahnah; Sherman, Susan.

In: Women and Health, 01.01.2018.

Research output: Contribution to journalArticle

Flath, Natalie L. ; Brantley, Meredith Reilly ; Davis, Wendy W. ; Lim, Sahnah ; Sherman, Susan. / Patterns of primary healthcare use among female exotic dancers in Baltimore, Maryland. In: Women and Health. 2018.
@article{7b710c43b9ee492fbb211c8e217481b1,
title = "Patterns of primary healthcare use among female exotic dancers in Baltimore, Maryland",
abstract = "Female exotic dancers (FEDs) are often exposed to violence-, sex- and drug-related occupational harms and are precluded from employer-based health insurance. We examined access to primary health-care resources, correlates of use, and service needs among a sample of new FEDs (N = 117) working in 22 exotic dance clubs (EDCs) in Baltimore, MD. Self-administered surveys were completed between May and October 2014. Health care measures were aggregated and described, and correlates of use were evaluated using Fisher Exact and Poisson regression with robust variance, adjusting for race/ethnicity. The majority of dancers reported having health insurance (80{\%}), a primary care provider (PCP) (68{\%}), and having visited a PCP (74{\%}). Among dancers with insurance, all were covered by Medicaid. Multivariable regression models demonstrated that having a regular PCP was associated with recent PCP use (adjusted prevalence ratio 1.5; 95{\%} confidence interval: 1.1, 2.1). Despite a high level of health-care coverage and recent visits to PCP, dancers frequently sought services at the emergency department and reported needs for medical care, including mental health support services and drug treatment. Findings highlight that basic access to primary health care is available and used but may not be fully meeting dancers’ complex needs.",
keywords = "Female exotic dancers, health services availability, occupational health",
author = "Flath, {Natalie L.} and Brantley, {Meredith Reilly} and Davis, {Wendy W.} and Sahnah Lim and Susan Sherman",
year = "2018",
month = "1",
day = "1",
doi = "10.1080/03630242.2018.1452833",
language = "English (US)",
journal = "Women and Health",
issn = "0363-0242",
publisher = "Routledge",

}

TY - JOUR

T1 - Patterns of primary healthcare use among female exotic dancers in Baltimore, Maryland

AU - Flath, Natalie L.

AU - Brantley, Meredith Reilly

AU - Davis, Wendy W.

AU - Lim, Sahnah

AU - Sherman, Susan

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Female exotic dancers (FEDs) are often exposed to violence-, sex- and drug-related occupational harms and are precluded from employer-based health insurance. We examined access to primary health-care resources, correlates of use, and service needs among a sample of new FEDs (N = 117) working in 22 exotic dance clubs (EDCs) in Baltimore, MD. Self-administered surveys were completed between May and October 2014. Health care measures were aggregated and described, and correlates of use were evaluated using Fisher Exact and Poisson regression with robust variance, adjusting for race/ethnicity. The majority of dancers reported having health insurance (80%), a primary care provider (PCP) (68%), and having visited a PCP (74%). Among dancers with insurance, all were covered by Medicaid. Multivariable regression models demonstrated that having a regular PCP was associated with recent PCP use (adjusted prevalence ratio 1.5; 95% confidence interval: 1.1, 2.1). Despite a high level of health-care coverage and recent visits to PCP, dancers frequently sought services at the emergency department and reported needs for medical care, including mental health support services and drug treatment. Findings highlight that basic access to primary health care is available and used but may not be fully meeting dancers’ complex needs.

AB - Female exotic dancers (FEDs) are often exposed to violence-, sex- and drug-related occupational harms and are precluded from employer-based health insurance. We examined access to primary health-care resources, correlates of use, and service needs among a sample of new FEDs (N = 117) working in 22 exotic dance clubs (EDCs) in Baltimore, MD. Self-administered surveys were completed between May and October 2014. Health care measures were aggregated and described, and correlates of use were evaluated using Fisher Exact and Poisson regression with robust variance, adjusting for race/ethnicity. The majority of dancers reported having health insurance (80%), a primary care provider (PCP) (68%), and having visited a PCP (74%). Among dancers with insurance, all were covered by Medicaid. Multivariable regression models demonstrated that having a regular PCP was associated with recent PCP use (adjusted prevalence ratio 1.5; 95% confidence interval: 1.1, 2.1). Despite a high level of health-care coverage and recent visits to PCP, dancers frequently sought services at the emergency department and reported needs for medical care, including mental health support services and drug treatment. Findings highlight that basic access to primary health care is available and used but may not be fully meeting dancers’ complex needs.

KW - Female exotic dancers

KW - health services availability

KW - occupational health

UR - http://www.scopus.com/inward/record.url?scp=85050557281&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050557281&partnerID=8YFLogxK

U2 - 10.1080/03630242.2018.1452833

DO - 10.1080/03630242.2018.1452833

M3 - Article

JO - Women and Health

JF - Women and Health

SN - 0363-0242

ER -