Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

The Development of an HIV Risk Environment Scale of Exotic Dance Clubs

TitleThe Development of an HIV Risk Environment Scale of Exotic Dance Clubs
Publication TypeJournal Article
Year of Publication2017
AuthorsSherman, SG, Brantley, MR, Zelaya, C, Duong, Q, Taylor, RB, Ellen, JM
JournalAIDS Behav
Date PublishedJul
ISBN Number1573-3254 (Electronic)1090-7165 (Linking)
Accession Number28337633
KeywordsExotic dance clubs, HIV risk environment, Strippers, validation

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.