Plataforma INVEST Medicina UANL KER Unit Mayo Clinic (KER Unit Mexico), Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.
Department of Psychiatry, Hospital Universitario "Dr, José Eleuterio González", Francisco I. Madero Avenue n.n. & Gonzalitos Avenue, Mitras Centro, P.C. 64460, Monterrey, Nuevo León, Mexico.
Arch Womens Ment Health. 2021 Dec;24(6):867-879. doi: 10.1007/s00737-021-01144-1. Epub 2021 Jun 10.
The purpose was to assess prevalence of suicidality, depression, post-traumatic stress disorder (PTSD), and anxiety among female sex workers (FSW). A systematic review and meta-analysis was performed. Search strategy was performed in MEDLINE, Scopus, Web of Science, EMBASE, Ovid and Cochrane Central Database from inception until March 2020. Considered for inclusion were cross-sectional studies performed on FSW that assessed prevalence of any of the following: suicide attempt or suicidal ideation, depression, PTSD, or anxiety. Five reviewers, independently and in duplicate, selected all eligible articles in an abstract and full-text screening phase and, moreover, extracted information from each study. A binomial-normal generalized linear mixed model was employed to estimate prevalence of the conditions. From 8035 studies yielded in the search strategy, 55 were included for analysis. The overall prevalence of suicidal ideation and attempt was 27% (95% C.I. 18-39%) and 20% (95% C.I. 13-28%), respectively. Furthermore, overall prevalence of depression and PTSD was 44% (95% C.I. 35-54%) and 29% (95% C.I. 18-44%), respectively. Eleven studies were classified as high quality. Findings indicate that there is an overall high prevalence of suicidality, depression, and PTSD among FSW. Development of accessible large-scale interventions that assess mental health among this population remains critical.
目的是评估女性性工作者（FSW）中的自杀意念、抑郁、创伤后应激障碍（PTSD）和焦虑的患病率。进行了系统评价和荟萃分析。从建库到 2020 年 3 月，在 MEDLINE、Scopus、Web of Science、EMBASE、Ovid 和 Cochrane 中央数据库中进行了搜索策略。纳入的研究为在 FSW 中进行的横断面研究，评估了以下任何一种情况的患病率：自杀企图或自杀意念、抑郁、PTSD 或焦虑。5 名审查员独立地、重复地在摘要和全文筛选阶段选择所有合格的文章，并从每项研究中提取信息。采用二项正态广义线性混合模型来估计疾病的患病率。从搜索策略中产生的 8035 项研究中，有 55 项被纳入分析。自杀意念和自杀企图的总体患病率分别为 27%（95%置信区间 18-39%）和 20%（95%置信区间 13-28%）。此外，抑郁和 PTSD 的总体患病率分别为 44%（95%置信区间 35-54%）和 29%（95%置信区间 18-44%）。有 11 项研究被归类为高质量研究。研究结果表明，FSW 中普遍存在自杀意念、抑郁和 PTSD。制定针对该人群心理健康的普及性大规模干预措施仍然至关重要。
