Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study

Background. Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China. Method. We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets i...

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Veröffentlicht in:BioMed research international 2016-01, Vol.2016 (2016), p.1-8
Hauptverfasser: Zheng, Heping, Yang, Bin, Tang, Weiming, Zhang, Ye, Chen, Lei, Zhao, Peizhen, Liu, Fengying, Huang, Shujie, Zou, Hua-Chun, Shen, Hongcheng, Luo, Xiaomin
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container_issue 2016
container_start_page 1
container_title BioMed research international
container_volume 2016
creator Zheng, Heping
Yang, Bin
Tang, Weiming
Zhang, Ye
Chen, Lei
Zhao, Peizhen
Liu, Fengying
Huang, Shujie
Zou, Hua-Chun
Shen, Hongcheng
Luo, Xiaomin
description Background. Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China. Method. We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets in Guangdong, China, in 2014. Information on demographic characteristics, HIV testing history, and sexual behaviors was collected using a questionnaire. A blood sample was collected to test for HIV, syphilis, and HCV. A participant was defined as being depressed if she obtained 6 points or above using the 12-item General Health Questionnaire. Results. Among the 653 participants, 41.7% were 21–30 years old and 43.6% married. Overall, 52.4% were found to be depressed. FSWs who had correct syphilis related knowledge [aOR = 1.45; 95% CI: 1.04–2.03] and had primary sex partner (1.63, 1.14–2.33) were more likely to be depressed. FSWs who did not use a condom during their last sex with the primary sex partner were less likely to be depressed (0.47, 0.31–0.71). Conclusion. Our study observed high level of depression and HIV risk behaviors among Chinese FSWs. Future interventions should integrate mental health services in comprehensive interventions to prevent depression among Chinese FSWs.
doi_str_mv 10.1155/2016/6986173
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Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China. Method. We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets in Guangdong, China, in 2014. Information on demographic characteristics, HIV testing history, and sexual behaviors was collected using a questionnaire. A blood sample was collected to test for HIV, syphilis, and HCV. A participant was defined as being depressed if she obtained 6 points or above using the 12-item General Health Questionnaire. Results. Among the 653 participants, 41.7% were 21–30 years old and 43.6% married. Overall, 52.4% were found to be depressed. FSWs who had correct syphilis related knowledge [aOR = 1.45; 95% CI: 1.04–2.03] and had primary sex partner (1.63, 1.14–2.33) were more likely to be depressed. FSWs who did not use a condom during their last sex with the primary sex partner were less likely to be depressed (0.47, 0.31–0.71). Conclusion. Our study observed high level of depression and HIV risk behaviors among Chinese FSWs. Future interventions should integrate mental health services in comprehensive interventions to prevent depression among Chinese FSWs.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2016/6986173</identifier><identifier>PMID: 28097145</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adult ; Age ; China ; Condoms ; Cross-Sectional Studies ; Depression ; Depression, Mental ; Domestic violence ; Education ; Female ; Health aspects ; Health services ; Hepatitis C virus ; HIV (Viruses) ; HIV - pathogenicity ; HIV Infections - blood ; HIV Infections - epidemiology ; HIV Infections - psychology ; HIV Infections - virology ; Humans ; Lentivirus ; Marital status ; Mental depression ; Mental health ; Multivariate analysis ; Prostitutes ; Public health ; Retroviridae ; Risk Factors ; Sex industry ; Sex Workers - psychology ; Sexual Behavior - psychology ; Sexually transmitted diseases ; STD ; Studies ; Surveys and Questionnaires ; Syphilis ; Syphilis - blood ; Syphilis - epidemiology ; Treponema pallidum</subject><ispartof>BioMed research international, 2016-01, Vol.2016 (2016), p.1-8</ispartof><rights>Copyright © 2016 Hongcheng Shen et al.</rights><rights>COPYRIGHT 2017 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2016 Hongcheng Shen et al. 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Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China. Method. We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets in Guangdong, China, in 2014. Information on demographic characteristics, HIV testing history, and sexual behaviors was collected using a questionnaire. A blood sample was collected to test for HIV, syphilis, and HCV. A participant was defined as being depressed if she obtained 6 points or above using the 12-item General Health Questionnaire. Results. Among the 653 participants, 41.7% were 21–30 years old and 43.6% married. Overall, 52.4% were found to be depressed. FSWs who had correct syphilis related knowledge [aOR = 1.45; 95% CI: 1.04–2.03] and had primary sex partner (1.63, 1.14–2.33) were more likely to be depressed. 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subjects Adult
Age
China
Condoms
Cross-Sectional Studies
Depression
Depression, Mental
Domestic violence
Education
Female
Health aspects
Health services
Hepatitis C virus
HIV (Viruses)
HIV - pathogenicity
HIV Infections - blood
HIV Infections - epidemiology
HIV Infections - psychology
HIV Infections - virology
Humans
Lentivirus
Marital status
Mental depression
Mental health
Multivariate analysis
Prostitutes
Public health
Retroviridae
Risk Factors
Sex industry
Sex Workers - psychology
Sexual Behavior - psychology
Sexually transmitted diseases
STD
Studies
Surveys and Questionnaires
Syphilis
Syphilis - blood
Syphilis - epidemiology
Treponema pallidum
title Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study
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