Building upon Andersen’s model, the present study examined individual-level and contextual-level factors, including potential interactions between characteristics of the individual and the workplace.We hypothesized that the relationship between the FSW and the establishment in which she is employed may well affect the likelihood of utilizing sexual health services even though these factors have not been well studied in relation to the commercial sex industry in the past.Hierarchical linear modeling was used to estimate the simultaneous effects of individual- and workplace-level factors.
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Individual characteristics found to have significant effects on clinic attendance included occupation, income, length of work and commercial sex involvement.
City of establishment was a workplace characteristic significantly associated with appointment attendance.
These Filipina workers, officially labeled as guest relation officers but, in truth, dancers, massage parlor attendants and entertainers or hospitality girls, were required to attend a Social Hygiene Clinic (SHC) and undergo free STI examinations on a routine basis (Tiglao , 1996).
Individual clinic appointment attendance is an essential element in maintaining the effectiveness of such a screening program.
For instance, younger groups have been found to miss significantly more appointments than their older counterparts (Andersen , 2001).
Social structure measures related to occupation and education determine the status of a person in a particular community; and female sex workers have reported that lower societal status, resulting from their occupation, contributes to their health behavior patterns relative to their sexual circumstance (Gysels , 2002).For instance, this type of sexual health service successfully sustained low and stable HIV seroprevalence among female sex workers in Senegal (Meda , 2002).Another example occurred in the Philippines where the government initiated regulations, particularly with respect to the employment of female hospitality workers in entertainment-based establishments.Filipina girls are renowned around the world for their charm and stunning beauty.But I think any guy who is interested in courting a Filipina wife or girl friend is wondering, "What are they like in the sack? Rest assured that's exactly what our skilled staff is trying to find out. It has been widely used in program planning and evaluation of health behavior and expanded to include non-behavioral determinants that may indirectly affect health behaviors, particularly in relation to reinforcement.