Kagema were often passed off as apprentice kabuki actors (who were themselves often prostitutes on the side) and catered to a mixed male and female clientele.
Kagema sering dilangsungkan sebagai magang bagi para aktor kabuki (yang sendirinya sering sebagai pelacur di sisi lainnya) dan melayani para pelanggan campuran antara laki-laki dan perempuan.