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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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. |
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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 & Sons, Inc.</rights><rights>Copyright © 2016 Hongcheng Shen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2016 Hongcheng Shen et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-3a51f4b14b98add3b9876f93c14310d4bec0f68d1acce70e4bc06d92c43d06b63</citedby><cites>FETCH-LOGICAL-c532t-3a51f4b14b98add3b9876f93c14310d4bec0f68d1acce70e4bc06d92c43d06b63</cites><orcidid>0000-0002-8161-7576 ; 0000-0002-7155-6079 ; 0000-0001-9559-9412 ; 0000-0002-9846-975X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5206416/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5206416/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28097145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Bener, Abdulbari</contributor><creatorcontrib>Zheng, Heping</creatorcontrib><creatorcontrib>Yang, Bin</creatorcontrib><creatorcontrib>Tang, Weiming</creatorcontrib><creatorcontrib>Zhang, Ye</creatorcontrib><creatorcontrib>Chen, Lei</creatorcontrib><creatorcontrib>Zhao, Peizhen</creatorcontrib><creatorcontrib>Liu, Fengying</creatorcontrib><creatorcontrib>Huang, Shujie</creatorcontrib><creatorcontrib>Zou, Hua-Chun</creatorcontrib><creatorcontrib>Shen, Hongcheng</creatorcontrib><creatorcontrib>Luo, Xiaomin</creatorcontrib><title>Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><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.</description><subject>Adult</subject><subject>Age</subject><subject>China</subject><subject>Condoms</subject><subject>Cross-Sectional Studies</subject><subject>Depression</subject><subject>Depression, Mental</subject><subject>Domestic violence</subject><subject>Education</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health services</subject><subject>Hepatitis C virus</subject><subject>HIV (Viruses)</subject><subject>HIV - pathogenicity</subject><subject>HIV Infections - blood</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - virology</subject><subject>Humans</subject><subject>Lentivirus</subject><subject>Marital status</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Multivariate analysis</subject><subject>Prostitutes</subject><subject>Public health</subject><subject>Retroviridae</subject><subject>Risk Factors</subject><subject>Sex industry</subject><subject>Sex Workers - psychology</subject><subject>Sexual Behavior - psychology</subject><subject>Sexually transmitted diseases</subject><subject>STD</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Syphilis</subject><subject>Syphilis - blood</subject><subject>Syphilis - epidemiology</subject><subject>Treponema pallidum</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkktv1DAUhSMEolXpjjWyxAaJhvrGjyQsKg0DfUhFSAyPpeXYzozbxB7spI9_j6MZhsKq3lxL99O518cny14CfgfA2HGBgR_zuuJQkifZfkGA5hwoPN3dCdnLDmO8wulUwHHNn2d7RYXrEijbz-JHsw4mRusdkk6j84sf6KuN1-iDWckb60NEsvduiU5NLzuDFuYO_fTh2qSGdehslG6pU_8IzVfWyfdohj6P3WCVcYMJaB58jPnCqCENkB1aDKO-f5E9a2UXzeG2HmTfTz99m5_nl1_OLuazy1wxUgw5kQxa2gBt6kpqTVIpeVsTBZQA1rQxCre80iCVMiU2tFGY67pQlGjMG04OspON7npseqOnlYLsxDrYXoZ74aUV_3acXYmlvxGswJzCJPBmKxD8r9HEQfQ2KtN10hk_RgEVrwjUlLHHoMA4rzhO6Ov_0Cs_huTORDHKygpw8ZdaJtuFda1PK6pJVMwYKwkuWAmJOtpQajI6mHb3OsBiSoiYEiK2CUn4q4eO7OA_eUjA2w2QPlPLW_tIuZSNNFs-oBNBS_IbUCXLSg</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Zheng, Heping</creator><creator>Yang, Bin</creator><creator>Tang, Weiming</creator><creator>Zhang, Ye</creator><creator>Chen, Lei</creator><creator>Zhao, Peizhen</creator><creator>Liu, Fengying</creator><creator>Huang, Shujie</creator><creator>Zou, Hua-Chun</creator><creator>Shen, Hongcheng</creator><creator>Luo, Xiaomin</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8161-7576</orcidid><orcidid>https://orcid.org/0000-0002-7155-6079</orcidid><orcidid>https://orcid.org/0000-0001-9559-9412</orcidid><orcidid>https://orcid.org/0000-0002-9846-975X</orcidid></search><sort><creationdate>20160101</creationdate><title>Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study</title><author>Zheng, Heping ; Yang, Bin ; Tang, Weiming ; Zhang, Ye ; Chen, Lei ; Zhao, Peizhen ; Liu, Fengying ; Huang, Shujie ; Zou, Hua-Chun ; Shen, Hongcheng ; Luo, Xiaomin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-3a51f4b14b98add3b9876f93c14310d4bec0f68d1acce70e4bc06d92c43d06b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age</topic><topic>China</topic><topic>Condoms</topic><topic>Cross-Sectional Studies</topic><topic>Depression</topic><topic>Depression, Mental</topic><topic>Domestic violence</topic><topic>Education</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health services</topic><topic>Hepatitis C virus</topic><topic>HIV (Viruses)</topic><topic>HIV - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zheng, Heping</au><au>Yang, Bin</au><au>Tang, Weiming</au><au>Zhang, Ye</au><au>Chen, Lei</au><au>Zhao, Peizhen</au><au>Liu, Fengying</au><au>Huang, Shujie</au><au>Zou, Hua-Chun</au><au>Shen, Hongcheng</au><au>Luo, Xiaomin</au><au>Bener, Abdulbari</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>2016</volume><issue>2016</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>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.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>28097145</pmid><doi>10.1155/2016/6986173</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8161-7576</orcidid><orcidid>https://orcid.org/0000-0002-7155-6079</orcidid><orcidid>https://orcid.org/0000-0001-9559-9412</orcidid><orcidid>https://orcid.org/0000-0002-9846-975X</orcidid><oa>free_for_read</oa></addata></record> |
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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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