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 language | English (US) |
|---|---|
| Journal | Women and Health |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
Fingerprint
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 journal › Article
}
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
C2 - 30040602
AN - SCOPUS:85050557281
JO - Women and Health
JF - Women and Health
SN - 0363-0242
ER -