Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0849, USA.
J Environ Public Health. 2013;2013:631479. doi: 10.1155/2013/631479. Epub 2013 May 12.
This mixed methods study examined the prevalence and characteristics of physical and sexual abuse and depression symptoms among 624 injection drug-using female sex workers (FSW-IDUs) in Tijuana and Ciudad Juarez, Mexico; a subset of 47 from Tijuana also underwent qualitative interviews. Linear regressions identified correlates of current depression symptoms. In the interviews, FSW-IDUs identified drug use as a method of coping with the trauma they experienced from abuse that occurred before and after age 18 and during the course of sex work. In a multivariate linear regression model, two factors-ever experiencing forced sex and forced sex in the context of sex work-were significantly associated with higher levels of depression symptoms. Our findings suggest the need for integrated mental health and drug abuse services for FSW-IDUs addressing history of trauma as well as for further research on violence revictimization in the context of sex work in Mexico.
这项混合方法研究调查了 624 名在墨西哥蒂华纳和华雷斯城注射吸毒的女性性工作者（FSW-IDU）中身体和性虐待以及抑郁症状的流行率和特征；其中来自蒂华纳的 47 人还接受了定性访谈。线性回归确定了当前抑郁症状的相关因素。在访谈中，FSW-IDU 确定吸毒是应对她们在 18 岁之前和之后以及性工作过程中所经历的创伤的一种方法。在多元线性回归模型中，两个因素——曾经历过被迫性行为和性工作背景下的被迫性行为——与更高水平的抑郁症状显著相关。我们的研究结果表明，需要为 FSW-IDU 提供综合心理健康和药物滥用服务，以解决创伤史问题，并进一步研究墨西哥性工作背景下的暴力再受害问题。
