Social
determinants of health may be substantially affected by spatial factors, which
together may explain the persistence of health inequities. Clustering of
possible sources of negative health and social outcomes points to a spatial
focus for future interventions. We analyzed the spatial clustering of sex work
businesses in Southern California to examine where and why they cluster. We
explored economic and legal factors as possible explanations of clustering.
A total
of 889 venues were identified. Clusters of tracts having higher-than-expected
numbers of sexually oriented massage parlors ("hot spots") were
located outside downtowns. These hot spots were characterized by a higher
proportion of adult males, a higher proportion of households below the federal
poverty level, and a smaller average household size.
Sexually
oriented massage parlors in Los Angeles and Orange counties cluster in
particular neighborhoods. More research is needed to ascertain the causal
factors of such clusters and how interventions can be designed to leverage
these spatial factors.
- 1Hunter College, City University of New York, Urban Affairs and Planning, New York, NY.
- 2Georgia Institute of Technology, City and Regional Planning, Atlanta, GA.
- 3University of California, Los Angeles, Urban Planning, Los Angeles, CA.
- 4University of Pennsylvania, Department of Biostatistics and Epidemiology, Perelman School of Medicine, Philadelphia, PA.
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