[Study on sexual and drug use behaviors of high risk among sex workers in entertainment in establishments in Shanghai].

OBJECTIVE

To understand the types of entertainment establishments involved in commercial sex and Acquired immunodeficiency syndrome (AIDS) related risk behaviors among sex workers.

METHODS

One district in Shanghai was selected. All entertainment establishments in the district were mapped. In-depth interview was carried out to collect information about demographic, sexual, drug use, measures of self-protection, condom use, history with sexually transmitted disease (STD) and health care seeking behaviors.

RESULTS

Sixty-three sex workers were recruited from 38 places, of which, 38 from beauty parlors, 13 from pubs/bars and sauna settings, 10 from KTV and 2 freelance. The average age was 25 (17-45) years old. 73% were not permanent residents. Thirty-seven had reportedly engaged in commercial sex activities. Some reportedly had sex even during menstruation and involved in-group sex. Five drug users and 3 of them reported injecting and sharing needles. Ten of them knew that other sex workers had used drugs. Sixteen (25%) reportedly using condoms but only 4 for disease prevention. Another 2 reported consistent condom use with clients but never used with boyfriends or steady partners. Twenty-two (35%) reported suffering from STDs at least once. Twenty-six (41%) reported seeking care when having diseases, with 38% going to public clinics, 27% to pharmacy and 35% to private clinics.

CONCLUSION

AIDS related sexual and drug injecting high-risk behaviors were common among sex workers in Shanghai. Specific and effective interventions, particularly the implementation of 100% condom use program at all entertainment establishments are called with much urgency.