Mr. Michael LeVasseur, a recent epidemiology graduate student at the City University of New York School of Public Health, was a co-author on a publication in Global Public Health.
China’s rapid economic growth over the last three decades has led to increased population wealth and the proliferation of entertainment centers where people can conduct business, relax and meet new people. Little is known about the sexual risk behaviors of employees at high-tier entertainment centers. This paper compares the HIV risk perception and sexual and reproductive health behaviors among female and male employees at three high-tier entertainment centers in two cities in China. The study compares those who report a history of transactional sex to those who report not having transactional sex. In both cities, participants who reported a history of transactional sex were more likely than those without a history of transactional sex to report multiple sexual partnerships, more lifetime sexual partners, a history of sexually transmitted infections (STIs), having anal sex and/or recent abortions, and were more likely to perceive themselves to be at risk for STIs/HIV. However, risk behavior was also high among those with no history of transactional sex. These findings highlight the need for targeted sexual and reproductive health initiatives for employees in these work settings.