Prevalence and Characteristics of Abuse Experiences and Depression Symptoms among Injection Drug-Using Female Sex Workers in Mexico

Ulibarri, Monica D.; Hiller, Sarah P.; Lozada, Remedios; Rangel, Gudelia; Stockman, Jamila K.; Silverman, Jay G.; Ojeda, Victoria D.

doi:10.1155/2013/631479

Cited by 59 publications

(78 citation statements)

References 49 publications

(53 reference statements)

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“…“Psychological distress,” “serious mental illness,” and “psychological problems” are general terms usually comprised of any combination of anxiety, depression, and posttraumatic stress disorder symptoms making comparisons of mental health status across FSW studies difficult. This study examined depression symptoms specifically given the consistently high rates of depression symptoms documented among FSW populations (33, 35, 37, 40, 41). …”

Section: Introductionmentioning

confidence: 99%

“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

et al. 2014

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A significant body of research among female sex workers (FSWs) has focused on individual-level HIV risk factors. Comparatively little is known about their non-commercial, steady partners who may heavily influence their behavior and HIV risk. This cross-sectional study of 214 FSWs who use drugs and their male steady partners aged ≥18 in two Mexico-U.S. border cities utilized a path-analytic model for dyadic data based upon the Actor-Partner Interdependence Model to examine relationships between sexual relationship power, intimate partner violence (IPV), depression symptoms, and unprotected sex. FSWs’ relationship power, IPV perpetration and victimization were significantly associated with unprotected sex within the relationship. Male partners’ depression symptoms were significantly associated with unprotected sex within the relationship. Future HIV prevention interventions for FSWs and their male partners should address issues of sexual relationship power, IPV, and mental health both individually and in the context of their relationship.

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Section: Introductionmentioning

confidence: 99%

“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

et al. 2014

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“…35 36 Women-only trauma-informed programmes designed to reduce levels of drug use have had inconclusive results,46 47 though some have suggested that certain subgroups48 49 such as sex workers,50 may benefit from this approach. Our findings are in keeping with theory suggesting that drug use is a strategy to avoid traumatic symptoms 51.…”

Section: Discussionmentioning

confidence: 99%

“…34 Poor mental health has been implicated in SSWs' poor outcomes from drug treatment services 33. Experience of abuse and violence from young age35 36 something frequently reported by SSWs,37 has also been linked to poor treatment outcomes in women 38…”

Section: Introductionmentioning

confidence: 99%

Identifying possible reasons why female street sex workers have poor drug treatment outcomes: a qualitative study

et al. 2017

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AimsTo explore street sex workers (SSWs) views and experiences of drug treatment, in order to understand why this population tend to experience poor drug treatment outcomes.DesignIn-depth interviews.SettingBristol, UK.Participants24 current and exited SSWs with current or previous experience of problematic use of heroin and/or crack cocaine.FindingsParticipants described how feeling unable to discuss their sex work in drug treatment groups undermined their engagement in the treatment process. They outlined how disclosure of sex work resulted in stigma from male and female service users as well as adverse interactions with male service users. Participants highlighted that non-disclosure meant they could not discuss unresolved trauma issues which were common and which emerged or increased when they reduced their drug use. As trauma experiences had usually involved men as perpetrators participants said it was not appropriate to discuss them in mixed treatment groups. SSWs in recovery described how persistent trauma-related symptoms still affected their lives many years after stopping sex work and drug use. Participants suggested SSW-only services and female staff as essential to effective care and highlighted that recent service changes were resulting in loss of trusted staff and SSW-only treatment services. This was reported to be reducing the likelihood of SSWs engaging in drug services, with the resultant loss of continuity of care and reduced time with staff acting as barriers to an effective therapeutic relationship.ConclusionsSSWs face many barriers to effective drug treatment. SSW-only treatment groups, continuity of care with treatment staff and contact with female staff, particularly individuals who have had similar lived experience, could improve the extent to which SSWs engage and benefit from drug treatment services. Service engagement and outcomes may also be improved by drug services that include identification and treatment of trauma-related symptoms.

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“…El estudio de la salud mental en este grupo se ha abordado de manera escasa en el mundo y en México es casi inexistente, destacando el de Ulibarri et al, 14 realizado en 2010 en sexoservidoras de Tijuana y Ciudad Juárez, en el que describieron las características y la prevalencia del abuso sexual y físico, y su asociación con los síntomas de la depresión.…”

Section: Discussionunclassified

Correlatos psicosociales de depresión y riesgo de suicidio en trabajadoras sexuales del Estado de Hidalgo, México

et al. 2014

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SUMMARYAvailable data on mental health among female sex workers in Mexico are scarce. The scarce evidence shows that the prevalence of depression and suicidal problems is much higher than in the general population. The objective of this article was to explore the psychosocial factors associated with depression and suicide risk in a sample of 103 sex workers from the state of Hidalgo, Mexico. Among them, the frequency of depression and suicide risk was higher than for women in the general population (39.8% and 3.0%, respectively). The variables that predicted these illnesses were a bad relationship with the mother, the negative health effects due to alcohol use, partner violence, and sexual violence. It is necessary to consider these results to promote actions that reduce or eliminate partner violence, promote the acquisition of skills to manage the negative consequences of violence and implement strategies to reduce the harm caused by alcohol consumption in this vulnerable group of the population.Key words: Depression, sex workers, suicide risk, alcohol use.. RESUMENLos datos disponibles sobre la salud mental en trabajadoras sexuales en México son escasos. Sin embargo la poca evidencia disponible muestra que las prevalencias de depresión y problemática suicida son mucho más elevadas que en la población general. El objetivo de este artículo es explorar los factores psicosociales que se relacionan con la depresión y el riesgo de suicidio en una muestra de 103 trabajadoras sexuales del Estado de Hidalgo, México. Los resultados muestran que las frecuencias de depresión y riesgo de suicidio fueron más elevadas que en las mujeres de la población general (39.8 y 3.0%, respectivamente). Las variables que predijeron estos malestares fueron la mala relación con la madre, los efectos perjudiciales del consumo de alcohol sobre la salud física y las actividades domésticas, la violencia de la pareja y la violencia sexual. Es necesario considerar estos resultados para propiciar acciones que reduzcan o eliminen la violencia de pareja, fomenten la adquisición de habilidades para el manejo de las consecuencias negativas de la violencia, así como implementar estrategias para reducir el daño ocasionado por el consumo de alcohol en este grupo poblacional en situación de vulnerabilidad.Palabras clave: Depresión, riesgo suicida, trabajadoras sexuales, consumo de alcohol. INTRODUCCIÓNLa depresión y la problemática suicida se encuentran entre los principales problemas de salud mental pública que enfrenta la población de México. En la Encuesta Nacional de Epidemiología Psiquiátrica, que se realiza con población general entre los 18 y 65 años de edad, se encontró una prevalencia de problemas depresivos alguna vez en la vida de 4.8% (2.6% en hombres y 6.8% en mujeres).1 Se ha documentado que en 2.0% de la población, éstos se inician durante la infancia o la adolescencia, que no reciben tratamiento y que están relacionados de manera directa con la problemática suicida.2,3

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Prevalence and Characteristics of Abuse Experiences and Depression Symptoms among Injection Drug-Using Female Sex Workers in Mexico

Cited by 59 publications

References 49 publications

“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

Identifying possible reasons why female street sex workers have poor drug treatment outcomes: a qualitative study

Correlatos psicosociales de depresión y riesgo de suicidio en trabajadoras sexuales del Estado de Hidalgo, México

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