Volume 11, Issue 1 (3-2022)                   JCHR 2022, 11(1): 22-30 | Back to browse issues page


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1- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois, United States of America , sramos2@hawk.iit.edu
2- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois, United States of America
Abstract:   (332 Views)
Introduction: Full-service sex workers (FSSWs) are relatively prevalent in the U.S. and are known to face criminalization, stigma, and other factors relating to poor health. The main aim of this study was compare the mental and physical health of full-service sex workers in the United States in 2019-2020
Methods: In this prospective cohort study, participants were recruited through national community samples from U.S.-based FSSW advocacy and community organizations. Data were collected from November 2019 to February 2020. The study sample (n=83) included mostly of the white (81.9%), cisgender females (66.3%), who were relatively young (28.01 [4.25]), and identified as a sexual minority (57.8%). Participants completed an online survey on mental (e.g., depression, anxiety) and physical (e.g., sleep, fatigue) health, using the patient-reported outcomes measurement information system (PROMIS-29). Mean (SD) and Frequency (%) were used for description and for data analysis z-tests in SPSS version 27 with 5% significant level were used.
Results: The sample of FSSWs reported significantly poorer health in all health domains compared to the U.S. general population reference indices. FSSWs showed higher levels of depression (p <.001), anxiety (p <.001), fatigue
(p <.001), sleep difficulties (p <.001), lower levels of physical functioning
(p <.001) and the ability to participate in social activities (p =.03) compared with the U.S. reference indices.

Conclusions: FSSWs experience significant mental and physical health disparities compared to general population.  the need for further investigation of the social-ecological determinants of health for members of this marginalized community, many of whom are known to face health inequities.

 
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Review: Research | Subject: Public Health
Received: 2020/12/17 | Accepted: 2022/03/28 | Published: 2022/03/30

References
1. Cohan D, Lutnick A, Davidson P, Cloniger C, Herlyn A, Breyer J, et al. Sex worker health: San Francisco style. Sex Transm Infect. 2006;82(5):418-22. [DOI:10.1136/sti.2006.020628]
2. Sawicki DA, Meffert BN, Read K, Heinz AJ. Culturally competent health care for sex workers: an examination of myths that stigmatize sex work and hinder access to care. Sex Relatsh Ther. 2019;34(3):355-71. [DOI:10.1080/14681994.2019.1574970]
3. Shannon K, Strathdee SA, Goldenberg SM, Duff P, Mwangi P, Rusakova M, et al. Global epidemiology of HIV among female sex workers: influence of structural determinants. Lancet. 2015;385(9962):55-71. [DOI:10.1016/S0140-6736(14)60931-4]
4. Havoscope. Prostitution: Prices and Statistics of the Global Sex Trade. 2013.
5. Hagen JJ. Compounding Risk for Sex Workers in the United States: Latinx queer and trans women will suffer disproportionally from a set of new laws restricting sex workers from seeking clients online. NACLA Rep Am. 2018;50(4):395-7. [DOI:10.1080/10714839.2018.1550984]
6. Weitzer R. Sociology of sex work. Annu Rev Sociol. 2009;35:213-34. [DOI:10.1146/annurev-soc-070308-120025]
7. Platt L, Grenfell P, Meiksin R, Elmes J, Sherman SG, Sanders T, et al. Associations between sex work laws and sex workers' health: A systematic review and meta-analysis of quantitative and qualitative studies. PLoS Med. 2018;15(12):e1002680. [DOI:10.1371/journal.pmed.1002680]
8. Shannon K, Csete J. Violence, condom negotiation, and HIV/STI risk among sex workers. Jama. 2010;304(5):573-4. [DOI:10.1001/jama.2010.1090]
9. Koken JA. Independent female escort's strategies for coping with sex work related stigma. Sex Cult. 2012;16(3):209-29. [DOI:10.1007/s12119-011-9120-3]
10. Ma PHX, Chan ZCY, Loke AY. The socio-ecological model approach to understanding barriers and facilitators to the accessing of health services by sex workers: a systematic review. AIDS Behav. 2017;21(8):2412-38. [DOI:10.1007/s10461-017-1818-2]
11. Duff P, Ogilvie G, Shoveller J, Amram O, Chettiar J, Nguyen P, et al. Barriers to cervical screening among sex workers in Vancouver. Am J Public Health. 2016;106(2):366-73. [DOI:10.2105/AJPH.2015.302863]
12. Shaver FM. Sex work research: Methodological and ethical challenges. J Interpers Violence. 2005;20(3):296-319. [DOI:10.1177/0886260504274340]
13. Lobo R, McCausland K, Bates J, Hallett J, Donovan B, Selvey LA. Sex workers as peer researchers-a qualitative investigation of the benefits and challenges. Cult Health Sex. 2020;1-16. [DOI:10.1080/13691058.2020.1787520]
14. Cunningham S, Kendall TD. Prostitution 2.0: The changing face of sex work. J Urban Econ. 2011;69(3):273-87. [DOI:10.1016/j.jue.2010.12.001]
15. Harcourt C, Donovan B. The many faces of sex work. Sex Transm Infect. 2005;81(3):201-6. [DOI:10.1136/sti.2004.012468]
16. Wilson EC, Garofalo R, Harris RD, Herrick A, Martinez M, Martinez J, et al. Transgender Advisory Committeethe Adolescent Medicine Trials Network for HIV/AIDS Interventions. Transgender female youth and sex work: HIV risk and a comparison of life factors related to engagement in sex work. AIDS Behav. 2009;13(5):902-13. [DOI:10.1007/s10461-008-9508-8]
17. Buttram ME, Surratt HL, Kurtz SP. Resilience and syndemic risk factors among African-American female sex workers. Psychol Health Med. 2014;19(4):442-52. [DOI:10.1080/13548506.2013.824595]
18. Edeza A, Galárraga O, Santamaria EK, Sosa-Rubí S, Operario D, Biello KB. "I Do Try To Use Condoms, But…": Knowledge and Interest in PrEP Among Male Sex Workers in Mexico City. Arch Sex Behav. 2020;49(1):355-63. [DOI:10.1007/s10508-019-01473-4]
19. Longino A, Montano MA, Sanchez H, Bayer A, Sanchez J, Tossas-Milligan K, et al. Increasing PrEP uptake and adherence among MSM and TW sex workers in Lima, Perú: what and whom do different patients trust? AIDS Care. 2020;32(2):255-60. [DOI:10.1080/09540121.2019.1634787]
20. Picos AP, González RP, de la Iglesia Gutierrez M. Exploring causes and consequences of sex workers' psychological health: Implications for health care policy. A study conducted in Spain. Health Care Women Int. 2018;39(8):844-58. [DOI:10.1080/07399332.2018.1452928]
21. Paz-Bailey G, Noble M, Salo K, Tregear SJ. Prevalence of HIV among US female sex workers: systematic review and meta-analysis. AIDS Behav. 2016;20(10):2318-31. [DOI:10.1007/s10461-016-1332-y]
22. Baker LM, Case P, Policicchio DL. General health problems of inner-city sex workers: A pilot study. J Med Libr Assoc. 2003;91(1):67.
23. Farley M, Banks ME, Ackerman RJ, Golding JM. Screening for traumatic brain injury in prostituted women. Dign A J Sex Exploit Violence. 2018;3(2):5. [DOI:10.23860/dignity.2018.03.02.05]
24. Surratt HL, Kurtz SP, Chen M, Mooss A. HIV risk among female sex workers in Miami: the impact of violent victimization and untreated mental illness. AIDS Care. 2012;24(5):553-61. [DOI:10.1080/09540121.2011.630342]
25. Shannon K, Strathdee SA, Shoveller J, Rusch M, Kerr T, Tyndall MW. Structural and environmental barriers to condom use negotiation with clients among female sex workers: implications for HIV-prevention strategies and policy. Am J Public Health. 2009;99(4):659-65. [DOI:10.2105/AJPH.2007.129858]
26. Talbott JR. Size matters: the number of prostitutes and the global HIV/AIDS pandemic. PLoS One. 2007;2(6):e543. [DOI:10.1371/journal.pone.0000543]
27. National Institute of Mental Health. Statistics [Internet]. 2018 [cited 2020 Nov 20]. Available from: https://www.nimh.nih.gov/health/statistics/index.shtml
28. Hays RD, Spritzer KL, Schalet BD, Cella D. PROMIS®-29 v2. 0 profile physical and mental health summary scores. Qual life Res. 2018;27(7):1885-91. [DOI:10.1007/s11136-018-1842-3]
29. Hinchcliff M, Beaumont JL, Thavarajah K, Varga J, Chung A, Podlusky S, et al. Validity of two new patient reported outcome measures in systemic sclerosis: The PROMIS-29 Profile and the FACIT-Dyspnea. Arthritis Care Res (Hoboken). 2011;63(11):1620. [DOI:10.1002/acr.20591]
30. Hatzenbuehler ML, Phelan JC, Link BG. Stigma as a fundamental cause of population health inequalities. Am J Public Health. 2013;103(5):813-21. [DOI:10.2105/AJPH.2012.301069]
31. Tomko C, Nestadt DF, Rouhani S, Silberzahn BE, Haney K, Park JN, et al. Confirmatory Factor Analysis and Construct Validity of the Internalized Sex Work Stigma Scale among a Cohort of Cisgender Female Sex Workers in Baltimore, Maryland, United States. J Sex Res. 2020;1-11. [DOI:10.1080/00224499.2020.1755821]
32. Grittner AL, Walsh CA. The role of social stigma in the lives of female-identified sex workers: A scoping review. Sex Cult. 2020;1-30. [DOI:10.1007/s12119-020-09707-7]
33. Meyer IH, Frost DM. Minority stress and the health of sexual minorities. 2013; [DOI:10.1093/acprof:oso/9780199765218.003.0018]
34. Sausa LA, Keatley J, Operario D. Perceived risks and benefits of sex work among transgender women of color in San Francisco. Arch Sex Behav. 2007;36(6):768-77. [DOI:10.1007/s10508-007-9210-3]

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