Flath Natalie L, Brantley Meredith Reilly, Davis Wendy W, Lim Sahnah, Sherman Susan G
a Department of Health, Behavior and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland , USA.
b Department of Epidemiology , Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Women Health. 2019 Mar;59(3):334-346. doi: 10.1080/03630242.2018.1452833. Epub 2018 Jul 24.
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.
女性脱衣舞娘（FEDs）经常面临与暴力、性和毒品相关的职业危害，并且无法享受雇主提供的医疗保险。我们调查了在马里兰州巴尔的摩市22家脱衣舞俱乐部（EDCs）工作的一批新入职女性脱衣舞娘（N = 117）获得初级卫生保健资源的情况、使用的相关因素以及服务需求。2014年5月至10月期间完成了自我管理的调查。汇总并描述了卫生保健措施，并使用费舍尔精确检验和具有稳健方差的泊松回归评估使用的相关因素，同时对种族/族裔进行了调整。大多数舞娘报告拥有医疗保险（80%）、初级保健医生（PCP）（68%），并且看过初级保健医生（74%）。在有保险的舞娘中，所有人都由医疗补助计划承保。多变量回归模型表明，有固定的初级保健医生与近期看初级保健医生有关（调整后的患病率比为1.5；95%置信区间：1.1，2.1）。尽管卫生保健覆盖率很高且近期看过初级保健医生，但舞娘们仍经常在急诊科寻求服务，并报告有医疗需求，包括心理健康支持服务和药物治疗。研究结果突出表明，虽然可以获得并使用初级卫生保健的基本服务，但可能无法完全满足舞娘们复杂的需求。
