墨西哥注射吸毒女性性工作者中虐待经历和抑郁症状的流行率和特征。
Prevalence and characteristics of abuse experiences and depression symptoms among injection drug-using female sex workers in Mexico.
机构信息
Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0849, USA.
出版信息
J Environ Public Health. 2013;2013:631479. doi: 10.1155/2013/631479. Epub 2013 May 12.
Abstract
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.
摘要
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。
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