Journal of Urban Health

, Volume 89, Issue 6, pp 1031–1044

Sex Work and Risky Sexual Behaviors among Foreign Entertainment Workers in Urban Singapore: Findings from Mystery Client Survey

  • Mee-Lian Wong
  • Roy Chan
  • Hiok Hee Tan
  • Eunice Yong
  • Lionel Lee
  • Jeffrey Cutter
  • Joanne Tay
  • David Koh
Article

DOI: 10.1007/s11524-012-9723-5

Cite this article as:
Wong, ML., Chan, R., Tan, H.H. et al. J Urban Health (2012) 89: 1031. doi:10.1007/s11524-012-9723-5

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.

Keywords

Selling sex Foreign entertainment workers Mystery clients Condom use Screening 

Copyright information

© The New York Academy of Medicine 2012

Authors and Affiliations

  • Mee-Lian Wong
    • 1
  • Roy Chan
    • 1
    • 2
  • Hiok Hee Tan
    • 2
  • Eunice Yong
    • 3
  • Lionel Lee
    • 4
  • Jeffrey Cutter
    • 5
  • Joanne Tay
    • 5
  • David Koh
    • 1
  1. 1.Saw Swee Hock School of Public Health (MD 3)National University of SingaporeSingaporeSingapore
  2. 2.Department of STI ControlNational Skin CentreSingaporeSingapore
  3. 3.Health Promotion BoardSingaporeSingapore
  4. 4.Action for AIDSSingaporeSingapore
  5. 5.Ministry of HealthSingaporeSingapore

Personalised recommendations