Bloomberg School of Public Health, Department of Epidemiology, Johns Hopkins University, Baltimore, MD 21205, USA.
Drug Alcohol Depend. 2011 Apr 1;114(2-3):249-52. doi: 10.1016/j.drugalcdep.2010.10.003. Epub 2010 Nov 19.
There is a dearth of research focusing on sex work in exotic dance clubs. We conducted a cross-sectional study to examine the prevalence and correlates of crack cocaine smoking among a sample of exotic dancers.
The "block," a historical red-light district in downtown Baltimore, MD, is comprised of 30 adult-entertainment establishments. Between 01/09 and 08/09, we conducted a survey with exotic dancers (N=98). The survey explored demographic, and drug and sexual/drug risk behaviors. Bivariate and multivariate analysis was conducted using Poisson regression with robust variance estimates to examine correlates of current crack smoking.
Crack cocaine smokers compared to non-crack cocaine smokers were significantly more likely to report: older age (29 vs. 23 years, respectively, p<0.0001); being White (79% vs. 50%, respectively, p=0.008); having been arrested (93% vs. 67%, respectively, p=0.008); daily alcohol consumption (36% vs. 17%, p=0.047); current heroin injection (57% vs. 13%, p<0.001); and current sex exchange (79% vs. 30%, p<0.001). In the presence of other variables, crack cocaine smokers compared to non-crack cocaine smokers were significantly older, more likely to report current heroin injection, and more likely to report current sex exchange.
We found high levels of drug use and sexual risk behaviors as well as a number of risks behaviors associated with crack cocaine smoking among this very under-studied population. Targeted interventions are greatly needed.
目前，针对脱衣舞俱乐部性工作者的研究十分匮乏。本研究通过横断面调查，旨在探究脱衣舞娘中吸食快克可卡因的流行情况及其相关影响因素。
马里兰州巴尔的摩市中心的“街区”，是一个历史悠久的红灯区，区内有 30 家成人娱乐场所。2009 年 1 月至 8 月，我们对区内的脱衣舞娘进行了调查（共 98 人）。调查内容包括人口统计学资料、药物使用情况及性伴和药物相关危险行为。采用泊松回归和稳健方差估计进行二变量和多变量分析，以检验当前吸食快克可卡因的相关因素。
与非快克可卡因吸食者相比，快克可卡因吸食者更有可能：年龄更大（分别为 29 岁和 23 岁，p<0.0001）；为白人（分别为 79%和 50%，p=0.008）；有被捕经历（分别为 93%和 67%，p=0.008）；每日饮酒（分别为 36%和 17%，p=0.047）；当前注射海洛因（分别为 57%和 13%，p<0.001）；当前性交易（分别为 79%和 30%，p<0.001）。在控制其他变量的情况下，与非快克可卡因吸食者相比，快克可卡因吸食者年龄更大，当前注射海洛因的可能性更高，且更有可能从事性交易。
我们发现，该人群存在大量的药物使用和性风险行为，以及与吸食快克可卡因相关的一些风险行为。非常有必要对此类人群进行针对性的干预。
