Burnette Mandi L, Lucas Emma, Ilgen Mark, Frayne Susan M, Mayo Julia, Weitlauf Julie C
Sierra Pacific Mental Illness Research and Education Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA.
Arch Gen Psychiatry. 2008 Mar;65(3):337-44. doi: 10.1001/archpsyc.65.3.337.
Studies of prostitution have focused largely on individuals involved in the commercial sex trade, with an emphasis on understanding the public health effect of this behavior. However, a broader understanding of how prostitution affects mental and physical health is needed. In particular, the study of prostitution among individuals in substance use treatment would improve efforts to provide comprehensive treatment.
To document the prevalence of prostitution among women and men entering substance use treatment, and to test the association between prostitution, physical and mental health, and health care utilization while adjusting for reported history of childhood sexual abuse, a known correlate of prostitution and poor health outcomes.
DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional, secondary data analysis of 1606 women and 3001 men entering substance use treatment in the United States who completed a semistructured intake interview as part of a larger study.
Self-reported physical health (respiratory, circulatory, neurological, and internal organ conditions, bloodborne infections) and mental health (depression, anxiety, psychotic symptoms, and suicidal behavior), and use of emergency department, clinic, hospital, or inpatient mental health services within the past year.
Many participants reported prostitution in their lifetime (50.8% of women and 18.5% of men) and in the past year (41.4% of women and 11.2% of men). Prostitution was associated with increased risk for bloodborne viral infections, sexually transmitted diseases, and mental health symptoms. Prostitution was associated with use of emergency care in women and use of inpatient mental health services for men.
Prostitution was common among a sample of individuals entering substance use treatment in the United States and was associated with higher risk of physical and mental health problems. Increased efforts toward understanding prostitution among patients in substance use treatment are warranted. Screening for prostitution in substance use treatment could allow for more comprehensive care to this population.
对卖淫的研究主要集中在参与商业性交易的个体上，重点是了解这种行为对公共健康的影响。然而，需要更全面地了解卖淫如何影响身心健康。特别是，对接受药物使用治疗的个体中的卖淫情况进行研究，将有助于改进提供综合治疗的工作。
记录进入药物使用治疗的女性和男性中卖淫的流行情况，并在调整报告的童年性虐待史（已知与卖淫和不良健康结果相关）的情况下，测试卖淫、身心健康与医疗保健利用之间的关联。
设计、地点和参与者：对美国1606名女性和3001名男性进行横断面二次数据分析，这些人进入药物使用治疗并完成了半结构化的入院访谈，作为一项更大规模研究的一部分。
自我报告的身体健康（呼吸系统、循环系统、神经系统和内脏疾病、血源感染）和心理健康（抑郁、焦虑、精神病症状和自杀行为），以及过去一年中使用急诊科、诊所、医院或住院心理健康服务的情况。
许多参与者报告在其一生中（50.8%的女性和18.5%的男性）以及过去一年中（41.4%的女性和11.2%的男性）有过卖淫行为。卖淫与血源病毒感染、性传播疾病和心理健康症状的风险增加有关。卖淫与女性使用急诊护理以及男性使用住院心理健康服务有关。
在美国进入药物使用治疗的个体样本中，卖淫很常见，并且与更高的身心健康问题风险相关。有必要加大力度了解接受药物使用治疗的患者中的卖淫情况。在药物使用治疗中筛查卖淫情况可以为这一人群提供更全面的护理。
