Predictors of Depressive Symptoms and Post Traumatic Stress Disorder Among Women Engaged in Commercial Sex Work in Southern Uganda.
Journal: Psychiatry research
Volume: 298
Issue:
Year of Publication: 2021
Affiliated Institutions:
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: nabunyap@wustl.edu.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: byansiw@wustl.edu.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: damulirac@wustl.edu.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: ozge.sensoybahar@wustl.edu.
Indiana University School of Public Health, Department of Applied Health Science, E. (TH) Street, Bloomington, IN , USA. Electronic address: ljmayowi@iu.edu.
New York University College of Global Public Health, East (th) street, (rd) floor. New York, NY , USA. Electronic address: yt@nyu.edu.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: j.kiyingi@wustl.edu.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: josepn@gmail.com.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: rachel.brathwaite@wustl.edu.
Columbia University School of Social Work Amsterdam Avenue, New York, NY , USA. Electronic address: ssw@columbia.edu.
Washington University in St. Louis Brown School, International Center for Child Health and Development (ICHAD), Brookings Drive, St. Louis, MO , USA. Electronic address: fms@wustl.edu.
Abstract summary
This study examined the factors associated with depressive symptoms and post traumatic depressive disorder (PTSD) among economically vulnerable women engaged in commercial sex work (WESW) in southern Uganda. Baseline data from a longitudinal cluster randomized study involving 542 self-identified WESW (18-55 years), recruited from 19 HIV hotspots were analyzed. Hierarchical linear regression modelling was utilized to estimate individual, family-level and economic-level predictors of depressive symptoms and PTSD. Family cohesion, sex work stigma, HIV status, financial distress, household assets, number of children and number of household income earners, were associated with PTSD. Similarly, family cohesion, number of people in the household, HIV status, sex work stigma, financial distress, and household assets, were associated with depressive symptoms. Women engaged in commercial sex work are at a higher risk of HIV and poor mental health outcomes. Sex work stigma and financial distress elevate levels of depressive symptoms and PTSD, over and above an individual's HIV status. Family and economic-level factors have the potential to mitigate the risk of poor mental health outcomes. As such, integrating stigma reduction and economic strengthening components in the programming targeting WESW-a key population, may be critical to address their mental health outcomes.
Authors & Co-authors:
Nabunya Proscovia P
Byansi William W
Damulira Christopher C
Bahar Ozge Sensoy OS
Jennings Mayo-Wilson Larissa L
Tozan Yesim Y
Kiyingi Joshua J
Nabayinda Josephine J
Braithwaite Rachel R
Witte Susan S SS
Ssewamala Fred M FM
Study Outcome
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