Depression and Post Traumatic Stress amongst female sex workers in Soweto, South Africa: A cross sectional, respondent driven sample.
Depression and Post Traumatic Stress amongst female sex workers in Soweto, South Africa: A cross sectional, respondent driven sample.
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DOI：
10.1371/journal.pone.0196759
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Jewkes R
中科院分区：
文献类型：
--
作者：
Coetzee J;Buckley J;Otwombe K;Milovanovic M;Gray GE;Jewkes R
南非的性工作者暴露在高水平的暴力中，但人们对她们的心理健康需求知之甚少。本研究旨在了解南非索韦托女性性工作者（fsw）中抑郁症和创伤后应激障碍（PTSD）的患病率及其危险因素。一项横断面、受访者驱动抽样（RDS）调查共入组508名渔护生。使用关联卡方检验和多项回归分析与抑郁和创伤后应激障碍相关的危险因素，对原始数据和RDS调整后的数据进行分析。68.7%的人有严重抑郁症状，39.6%的人有创伤后应激障碍，32.7%的人患有创伤后应激障碍和抑郁症。经历≥3种暴力会增加共病的可能性（RRR4.11, 95% CI 1.52-11.12,p = 0.005）。内化的耻辱增加了一种心理健康状况的可能性（RRR1.25, 95% CI 1.10-1.42,p = 0.001），较高的自尊与独立（RRR1.14, 95% CI 1.05-1.25,p = 0.002）和共病（RRR1.17, 95% CI 1.07-1.27,p = 0.001）相关。我们的研究结果强调了索韦托的fsw中可治疗的精神健康状况的巨大负担。这是由于多次接触暴力、与性工作有关的歧视以及总体适度的自尊掩盖防御机制造成的。这表明迫切需要设计和整合针对这一人群心理健康需求的服务。
Sex workers in South Africa are exposed to high levels of violence, yet little is known about their mental health needs. This study aims to understanding the prevalence of depression and post-traumatic stress disorder (PTSD) and their risk factors amongst female sex worker (FSWs) in Soweto, South Africa. A cross-sectional, respondent-driven sampling (RDS) survey enrolled 508 FSWs. Raw and RDS adjusted data were analyzed using a chi-squared test of association and multinomial regression for risk factors associated with depression and PTSD. Symptoms of severe depression were prevalent amongst 68.7%, PTSD was 39.6%, and 32.7% suffered from comorbid PTSD and depression. Experiencing ≥3 kinds of violence increased the likelihood of comorbidity (RRR4.11, 95% CI 1.52–11.12,p = 0.005). Internalised stigma increased the likelihood of one mental health condition (RRR1.25, 95% CI 1.10–1.42,p = 0.001), higher self-esteem was associated with independent (RRR1.14, 95% CI 1.05–1.25,p = 0.002) and comorbid conditions (RRR1.17, 95% CI 1.07–1.27,p = 0.001). Our findings highlight the sizable burden of treatable mental health conditions among FSWs in Soweto. This was driven by multiple exposures to violence, sex work related discrimination and overall moderate levels of self-esteem masking defence mechanisms. This suggests the urgent need to design and integrate services geared to the mental health needs for this population.
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影响因子：
3.3
作者：
Gibbs, Andrew;Govender, Kaymarlin;Jewkes, Rachel
通讯作者：
Jewkes, Rachel
影响因子：
168.9
作者：
Lopez, Alan D.;Mathers, Colin D.;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
影响因子：
5.4
作者：
HEISE, LL;RAIKES, A;ZWI, AB
通讯作者：
ZWI, AB
PTSD-8：简短的PTSD清单。
DOI：
10.2174/1745017901006010101
发表时间：
2010-09-28
期刊：
Clinical practice and epidemiology in mental health : CP & EMH
影响因子：
--
作者：
Hansen M;Andersen TE;Armour C;Elklit A;Palic S;Mackrill T
通讯作者：
Mackrill T
影响因子：
17.7
作者：
BERNSTEIN, DP;FINK, L;RUGGIERO, J
通讯作者：
RUGGIERO, J