Correlates of Mental Depression Among Female Sex Workers in Southern India
Correlates of Mental Depression Among Female Sex Workers in Southern India
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DOI：
10.1177/1010539515601480
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发表时间：
2015-11-01
影响因子：
2.5
通讯作者：
Prabhakar, Parimi
中科院分区：
文献类型：
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作者：
Patel, Sangram Kishor;Saggurti, Niranjan;Prabhakar, Parimi
心理健康是整体健康状况的一个组成部分，但在发展中国家，特别是女性性工作者（FSW）中，心理健康一直是一个被忽视的问题。本研究探讨了印度南部女性性工作者中抑郁症的患病率和相关因素。使用患者健康问卷-2抑郁量表数据进行评估，该数据来自2010-2011年在印度南部安得拉邦的FSW（n = 1986）中进行的横断面行为跟踪调查。近五分之二的FSW（39%）报告了重度抑郁症。多变量Logistic回归分析显示，重度抑郁症与FSW的以下特征之间存在显着关联：自主性低，饮酒，暴力经历，警察逮捕，与客户不一致的安全套使用，性工作的流动性，以及HIV阳性或不想透露HIV状态。需要开展研究和宣传工作，以确保边缘化群体的心理健康问题在艾滋病毒预防方案中得到适当解决。
Mental health is an integral part of overall health status but has been a largely neglected issue in the developing world especially among female sex workers (FSWs). This study examines the prevalence and correlates of major depression among FSWs in southern India. Major depression was assessed using Patient Health Questionnaire-2 depression scale data from a cross-sectional Behavioral Tracking Survey, 2010-2011 conducted among FSWs (n = 1986) in Andhra Pradesh, a state in southern India. Almost two-fifths of FSWs (39%) reported major depression. Multivariate logistic regression analysis shows a significant association between major depression and the following characteristics for FSWs: low autonomy, alcohol use, experience of violence, police arrest, inconsistent condom use with clients, mobility for sex work, and being HIV positive or not wanting to disclose HIV status. Research and advocacy efforts are needed to ensure that the mental health issues of marginalized groups are appropriately addressed in HIV prevention programs.