Depression and Post Traumatic Stress amongst female sex workers in Soweto, South Africa: A cross sectional, respondent driven sample.

作者: Jenny Coetzee , Janice Buckley , Kennedy Otwombe , Minja Milovanovic , Glenda E. Gray

DOI: 10.1371/JOURNAL.PONE.0196759

关键词:

摘要: Background Sex workers in South Africa are exposed to high levels of violence, yet little is known about their mental health needs. This study aims understanding the prevalence depression and post-traumatic stress disorder (PTSD) risk factors amongst female sex worker (FSWs) Soweto, Africa. Methods A cross-sectional, respondent-driven sampling (RDS) survey enrolled 508 FSWs. Raw RDS adjusted data were analyzed using a chi-squared test association multinomial regression for associated with PTSD. Findings Symptoms severe prevalent 68.7%, PTSD was 39.6%, 32.7% suffered from comorbid depression. Experiencing ≥3 kinds violence increased likelihood comorbidity (RRR4.11, 95% CI 1.52–11.12,p = 0.005). Internalised stigma one condition (RRR1.25, 1.10–1.42,p 0.001), higher self-esteem independent (RRR1.14, 1.05–1.25,p 0.002) conditions (RRR1.17, 1.07–1.27,p 0.001). Conclusion Our findings highlight sizable burden treatable among FSWs Soweto. driven by multiple exposures work related discrimination overall moderate masking defence mechanisms. suggests urgent need design integrate services geared needs this population.

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