Aim
To examine the mental
health and functioning of female sex workers (FSW) in Chittagong, Bangladesh, a
population that has commonly been neglected in mental health policy and
research.
Methods
We included 259 women in
the study (M age:
23.2 years; range: 11–48). The comprehensive Composite International Diagnostic
Interview was used to assess their 12-month prevalence rates of DSM-IV mental
disorders, and a comprehensive questionnaire was adapted to explore various
factors, such as socio-demographics, working and living conditions, or
experiences of abuse.
Results
On average, participants
began their commercial sex work at 18.5 years old (range: 10–45). Their main
motives for sex work were coercion (49.4%) and the necessity to financially
support families (54.8%). In total, 224 FSW (86.5%) wanted to quit commercial
sex work. A mental disorder within the past 12 months was reported by 100 FSW
(38.6%), with drug abuse clearly being the most prevalent diagnosis (15.4%).
Sexual, physical, and emotional abuse were very common among the FSW, and
substance use disorders (SUD) were significantly more prevalent in persons who
experienced emotional abuse (OR = 2.2). Prevalence rates of any mental disorder
and SUD were higher in women who did sex work to support their family, whereas
mood disorders were more frequent in those who needed the money to pay debts.
Participants with any disorder were significantly older than those without (M age:
24.4 vs. 22.5 years) and had started significantly later in the sex business (M age:
19.7 vs. 17.7 years).
Conclusion
Our study revealed that
FSW in Chittagong are very vulnerable and highly impaired, as expressed by high
rates of abuse and mental disorders. Coercion is very common and many FSW are
required to work in the sex business because they need the money to support
their families. FSW are a very marginalized population, especially in the
developing countries where awareness for mental health is low and the
availability of mental health services is insufficient.
Below: Self-reported abuse
Below: Relationship between quality of life and occurrence of any mental disorder
Below: Association of age with number of co-occurring mental disorders (error bars indicate 95% confidence intervals)
Full article at: http://goo.gl/nOlX6l
By: Michael P. Hengartner,1 Md Nazrul Islam,2 Helene Haker,3 and Wulf Rössler4,5,*
1Department of Applied Psychology, Zurich
University of Applied Sciences, Zurich, Switzerland
2Rehabilitation Centre for Prostitutes and
Rootless Children (PARC), Chittagong, Bangladesh
3Translational Neuromodeling Unit,
Institute for Biomedical Engineering, University of Zurich and ETH Zurich,
Zurich, Switzerland
4Department of Psychiatry, Psychotherapy
and Psychosomatics, University of Zurich, Zurich, Switzerland
5Laboratory of Neuroscience (LIM 27),
Institute of Psychiatry, University of São Paulo, São Paulo, Brazil
Edited by: Shervin Assari, University of Michigan, USA
Reviewed by: Taiwo Lateef Sheikh, Federal Neuropsychiatric
Hospital, Nigeria; Mohammadreza Mokhtari, Hartford Hospital, USA; Masoumeh
Dejman, University of Social Welfare and Rehabilitation Sciences, Iran
*Correspondence: Wulf Rössler, Email: hc.hzu@relsseor.fluw
More at: https://twitter.com/hiv_insight
No comments:
Post a Comment