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Sex work and risky sexual behaviors among foreign entertainment workers in urban Singapore: findings from Mystery Client Survey.
J Urban Health. 2012 Dec; 89(6):1031-44.JU

Abstract

Globalization has led to a rapid influx of female workers from Asian countries with high prevalence of HIV to Singapore, with many entering the entertainment industry. We assessed the prevalence of sexual services, condom use, and self-initiated screening for sexually transmitted infections (STIs) and associated variables among foreign female entertainment workers in Singapore. A cross-sectional survey of 317 female entertainment workers, using mystery clients, was conducted on a two-stage proportional cluster sample of 93 entertainment establishments stratified by geographical zone in Singapore. We found a high prevalence (71 %) of sexual services in entertainment establishments with 53 % of the female entertainment workers reporting selling sex. Consistent condom use for sex with paying clients in a usual week in the past 3 months was low, ranging from 37.9 % for oral sex, 46.9 % for anal sex, to 51.9 % for vaginal sex. On multivariate logistic regression, consistent condom use for vaginal sex with clients showed a significant independent association with the entertainment worker's behavior of asking clients to use condoms and a borderline association with entertainment worker being a Chinese national. Less than half (48.9 %) of the sex workers had ever been screened for STIs either locally or in their home country. The only independent factor significantly associated with STI screening was having to support one's family. In summary, a high percentage of foreign female entertainment workers in Singapore reported selling sex. Condom use and STI screening were low among them. Access to STI screening, treatment, and education services should be enhanced for foreign female entertainment workers in Singapore.

Authors+Show Affiliations

Saw Swee Hock School of Public Health (MD 3), National University of Singapore, Singapore, Singapore. ephwml@nus.edu.sgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22707309

Citation

Wong, Mee-Lian, et al. "Sex Work and Risky Sexual Behaviors Among Foreign Entertainment Workers in Urban Singapore: Findings From Mystery Client Survey." Journal of Urban Health : Bulletin of the New York Academy of Medicine, vol. 89, no. 6, 2012, pp. 1031-44.
Wong ML, Chan R, Tan HH, et al. Sex work and risky sexual behaviors among foreign entertainment workers in urban Singapore: findings from Mystery Client Survey. J Urban Health. 2012;89(6):1031-44.
Wong, M. L., Chan, R., Tan, H. H., Yong, E., Lee, L., Cutter, J., Tay, J., & Koh, D. (2012). Sex work and risky sexual behaviors among foreign entertainment workers in urban Singapore: findings from Mystery Client Survey. Journal of Urban Health : Bulletin of the New York Academy of Medicine, 89(6), 1031-44. https://doi.org/10.1007/s11524-012-9723-5
Wong ML, et al. Sex Work and Risky Sexual Behaviors Among Foreign Entertainment Workers in Urban Singapore: Findings From Mystery Client Survey. J Urban Health. 2012;89(6):1031-44. PubMed PMID: 22707309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sex work and risky sexual behaviors among foreign entertainment workers in urban Singapore: findings from Mystery Client Survey. AU - Wong,Mee-Lian, AU - Chan,Roy, AU - Tan,Hiok Hee, AU - Yong,Eunice, AU - Lee,Lionel, AU - Cutter,Jeffrey, AU - Tay,Joanne, AU - Koh,David, PY - 2012/6/19/entrez PY - 2012/6/19/pubmed PY - 2013/6/26/medline SP - 1031 EP - 44 JF - Journal of urban health : bulletin of the New York Academy of Medicine JO - J Urban Health VL - 89 IS - 6 N2 - Globalization has led to a rapid influx of female workers from Asian countries with high prevalence of HIV to Singapore, with many entering the entertainment industry. We assessed the prevalence of sexual services, condom use, and self-initiated screening for sexually transmitted infections (STIs) and associated variables among foreign female entertainment workers in Singapore. A cross-sectional survey of 317 female entertainment workers, using mystery clients, was conducted on a two-stage proportional cluster sample of 93 entertainment establishments stratified by geographical zone in Singapore. We found a high prevalence (71 %) of sexual services in entertainment establishments with 53 % of the female entertainment workers reporting selling sex. Consistent condom use for sex with paying clients in a usual week in the past 3 months was low, ranging from 37.9 % for oral sex, 46.9 % for anal sex, to 51.9 % for vaginal sex. On multivariate logistic regression, consistent condom use for vaginal sex with clients showed a significant independent association with the entertainment worker's behavior of asking clients to use condoms and a borderline association with entertainment worker being a Chinese national. Less than half (48.9 %) of the sex workers had ever been screened for STIs either locally or in their home country. The only independent factor significantly associated with STI screening was having to support one's family. In summary, a high percentage of foreign female entertainment workers in Singapore reported selling sex. Condom use and STI screening were low among them. Access to STI screening, treatment, and education services should be enhanced for foreign female entertainment workers in Singapore. SN - 1468-2869 UR - https://www.unboundmedicine.com/medline/citation/22707309/Sex_work_and_risky_sexual_behaviors_among_foreign_entertainment_workers_in_urban_Singapore:_findings_from_Mystery_Client_Survey_ L2 - https://dx.doi.org/10.1007/s11524-012-9723-5 DB - PRIME DP - Unbound Medicine ER -