Sherman Susan G, Brantley Meredith R, Zelaya Carla, Duong Quyen, Taylor Ralph B, Ellen Jon M
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway Street, 749, Baltimore, MD, 21205, USA.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
AIDS Behav. 2017 Jul;21(7):2147-2155. doi: 10.1007/s10461-017-1749-y.
Exotic dancers have received little research attention despite evidence of high-risk behaviours within exotic dance clubs (EDCs). We developed and assessed the reliability and validity of a risk environment score, examining differences between dancers (n = 107) and other staff (n = 172). In the summer of 2013, anonymous surveys were administered via A-CASI in EDCs (N = 26) in Baltimore among exotic dancers and staff. Surveys consisted of a brief demographic section followed by 65 statements. The overall domain had an alpha = 0.77 and subdomains had the following: social (alpha = 0.87), economic (alpha = 0.92), drug (alpha = 0.89), and policy (alpha = 0.66). In a factor analysis, each domain contributed significantly to the overall latent construct. The results indicate a high level of HIV/STI risk for dancers in EDCs and underscore the need for targeted interventions in these environments. As we continue to unpack the function of the broader environment in STI/HIV risk transmission, the scale could be instructive for other settings.
尽管有证据表明脱衣舞俱乐部（EDC）内存在高风险行为，但脱衣舞女受到的研究关注甚少。我们开发并评估了一种风险环境评分的信效度，比较了舞者（n = 107）和其他工作人员（n = 172）之间的差异。2013年夏天，在巴尔的摩的26家脱衣舞俱乐部对脱衣舞女和工作人员进行了匿名的计算机辅助自我访谈（A-CASI）调查。调查包括简短的人口统计学部分，随后是65条陈述。总体领域的信度系数α = 0.77，子领域的信度系数如下：社会（α = 0.87）、经济（α = 0.92）、毒品（α = 0.89）和政策（α = 0.66）。在因子分析中，每个领域对总体潜在结构都有显著贡献。结果表明，脱衣舞俱乐部中的舞者面临着较高的艾滋病毒/性传播感染风险，并强调了在这些环境中进行有针对性干预的必要性。随着我们继续剖析更广泛环境在性传播感染/艾滋病毒风险传播中的作用，该量表可能对其他环境具有指导意义。
