Hong Yan, Li Xiaoming, Fang Xiaoyi, Zhao Ran
Prevention Research Center, Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, Detroit, Michigan 48201-2196, USA.
Health Care Women Int. 2007 May;28(5):490-505. doi: 10.1080/07399330701226529.
The purpose of this study was to explore the factors associated with suicidal ideation and attempt among female sex workers (FSWs) in China. A cross-sectional survey was administered among 454 FSWs in a rural county of Guangxi, China. About 14% of FSWs had thought of suicide and 8% had attempted suicide in the past 6 months. Multiple logistic regression analyses indicated that those FSWs who were dissatisfied with life, abused alcohol, were deceived or forced into commercial sex, and had stable sexual partners were more likely to report suicidal ideation. Female sex workers who had multiple stable partners, experienced sexual coercion, and worried about an inability to make enough money were more likely to report a suicide attempt. These FSWs who entered commercial sex because of financial needs or who were influenced by the peers were less likely to report a suicide attempt. Our data suggested that the rates of suicidal ideation and attempts were high among FSWs in China, and there were multiple factors associated with their suicidality. Future health education and promotion efforts among FSWs need to take into consideration substance abuse, interpartner conflict, and psychological stress.
本研究的目的是探讨中国女性性工作者（FSW）中与自杀意念和自杀未遂相关的因素。在中国广西一个农村县对454名女性性工作者进行了横断面调查。在过去6个月中，约14%的女性性工作者有过自杀念头，8%有过自杀未遂行为。多项逻辑回归分析表明，那些对生活不满意、酗酒、曾被欺骗或被迫从事商业性交易以及有固定性伴侣的女性性工作者更有可能报告有自杀意念。有多个固定伴侣、经历过性胁迫且担心赚不到足够钱的女性性工作者更有可能报告有自杀未遂行为。因经济需求而从事商业性交易或受同伴影响的女性性工作者报告自杀未遂的可能性较小。我们的数据表明，中国女性性工作者的自杀意念和自杀未遂发生率较高，且有多种因素与她们的自杀倾向相关。未来针对女性性工作者的健康教育和促进工作需要考虑药物滥用、伴侣间冲突和心理压力等因素。
