Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic
Identifieur interne : 000F46 ( Pmc/Corpus ); précédent : 000F45; suivant : 000F47Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic
Auteurs : Maryam Shahmanesh ; Sonali Wayal ; Frances Cowan ; David Mabey ; Andrew Copas ; Vikram PatelSource :
- American Journal of Public Health [ 0090-0036 ] ; 2009.
Abstract
Url:
DOI: 10.2105/AJPH.2008.149930
PubMed: 19443819
PubMed Central: 2696657
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic</title><author><name sortKey="Shahmanesh, Maryam" sort="Shahmanesh, Maryam" uniqKey="Shahmanesh M" first="Maryam" last="Shahmanesh">Maryam Shahmanesh</name></author><author><name sortKey="Wayal, Sonali" sort="Wayal, Sonali" uniqKey="Wayal S" first="Sonali" last="Wayal">Sonali Wayal</name></author><author><name sortKey="Cowan, Frances" sort="Cowan, Frances" uniqKey="Cowan F" first="Frances" last="Cowan">Frances Cowan</name></author><author><name sortKey="Mabey, David" sort="Mabey, David" uniqKey="Mabey D" first="David" last="Mabey">David Mabey</name></author><author><name sortKey="Copas, Andrew" sort="Copas, Andrew" uniqKey="Copas A" first="Andrew" last="Copas">Andrew Copas</name></author><author><name sortKey="Patel, Vikram" sort="Patel, Vikram" uniqKey="Patel V" first="Vikram" last="Patel">Vikram Patel</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19443819</idno><idno type="pmc">2696657</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2696657</idno><idno type="RBID">PMC:2696657</idno><idno type="doi">10.2105/AJPH.2008.149930</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">000F46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000F46</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic</title><author><name sortKey="Shahmanesh, Maryam" sort="Shahmanesh, Maryam" uniqKey="Shahmanesh M" first="Maryam" last="Shahmanesh">Maryam Shahmanesh</name></author><author><name sortKey="Wayal, Sonali" sort="Wayal, Sonali" uniqKey="Wayal S" first="Sonali" last="Wayal">Sonali Wayal</name></author><author><name sortKey="Cowan, Frances" sort="Cowan, Frances" uniqKey="Cowan F" first="Frances" last="Cowan">Frances Cowan</name></author><author><name sortKey="Mabey, David" sort="Mabey, David" uniqKey="Mabey D" first="David" last="Mabey">David Mabey</name></author><author><name sortKey="Copas, Andrew" sort="Copas, Andrew" uniqKey="Copas A" first="Andrew" last="Copas">Andrew Copas</name></author><author><name sortKey="Patel, Vikram" sort="Patel, Vikram" uniqKey="Patel V" first="Vikram" last="Patel">Vikram Patel</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We sought to study suicidal behavior prevalence and its association with social and gender disadvantage, sex work, and health factors among female sex workers in Goa, India.</p><p><italic>Methods.</italic> Using respondent-driven sampling, we recruited 326 sex workers in Goa for an interviewer-administered questionnaire regarding self-harming behaviors, sociodemographics, sex work, gender disadvantage, and health. Participants were tested for sexually transmitted infections. We used multivariate analysis to define suicide attempt determinants.</p><p><italic>Results</italic><italic>.</italic> Nineteen percent of sex workers in the sample reported attempted suicide in the past 3 months. Attempts were independently associated with intimate partner violence (adjusted odds ratio [AOR] = 2.70; 95% confidence interval [CI] = 1.38, 5.28), violence from others (AOR = 2.26; 95% CI = 1.15, 4.45), entrapment (AOR = 2.76; 95% CI = 1.11, 6.83), regular customers (AOR = 3.20; 95% CI = 1.61, 6.35), and worsening mental health (AOR = 1.05; 95% CI = 1.01, 1.11). Lower suicide attempt likelihood was associated with Kannad ethnicity, HIV prevention services, and having a child.</p><p><italic>Conclusions.</italic> Suicidal behaviors among sex workers were common and associated with gender disadvantage and poor mental health. India's widespread HIV-prevention programs for sex workers provide an opportunity for community-based interventions against gender-based violence and for mental health services delivery.</p></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title>American Journal of Public Health</journal-title><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19443819</article-id><article-id pub-id-type="pmc">2696657</article-id><article-id pub-id-type="publisher-id">149930</article-id><article-id pub-id-type="doi">10.2105/AJPH.2008.149930</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>17</subject><subject>26</subject><subject>50</subject><subject>65</subject><subject>81</subject></subj-group><subj-group subj-group-type="heading"><subject>Research and Practice</subject></subj-group></article-categories><title-group><article-title>Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Shahmanesh</surname><given-names>Maryam</given-names></name><degrees>MSc, MRCP</degrees></contrib><contrib contrib-type="author"><name><surname>Wayal</surname><given-names>Sonali</given-names></name><degrees>MSc</degrees></contrib><contrib contrib-type="author"><name><surname>Cowan</surname><given-names>Frances</given-names></name><degrees>MD, FRCP</degrees></contrib><contrib contrib-type="author"><name><surname>Mabey</surname><given-names>David</given-names></name><degrees>DM, FRCP</degrees></contrib><contrib contrib-type="author"><name><surname>Copas</surname><given-names>Andrew</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Patel</surname><given-names>Vikram</given-names></name><degrees>PhD, MRCPsych</degrees></contrib><aff>At the time of the study, Maryam Shahmanesh was with the Centre for Sexual Health and HIV Research, University College London, London, England, and Positive People, Goa, India. Sonali Wayal was with Positive People, Goa. Frances M. Cowan and Andrew Copas were with the Centre for Sexual Health and HIV Research, University College London, London. David Mabey was with the Department of Infection and Tropical Disease, London School of Hygiene and Tropical Medicine, London. Vikram Patel was with the Department of Epidemiology and Public Health, London School of Hygiene and Tropical Medicine, London, and Sangath, Porvorim, Goa, and Positive People, Goa.</aff></contrib-group><author-notes><corresp>Requests for reprints should be sent to Dr Maryam Shahmanesh, Centre for Sexual Health and HIV Research, University College London, 3rd floor Mortimer Market Centre, off Caper St, London WC1E 6AU UK (e-mail:<email>bamaryjoon@yahoo.co.uk</email>).</corresp><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold></p><p>M. Shahmanesh designed and implemented the study and reviewed, analyzed, and interpreted the data. She wrote the first and subsequent drafts of the article. S. Wayal participated in the implementation of the study, collection and analysis of the data, and critical appraisal of all the drafts of the article. F. Cowan, D. Mabey, and V. Patel participated in the design of the study, interpretation of the data, and critical appraisal of all the drafts of the article. A. Copas supported the statistical analysis of the quantitative data and was involved in the critical appraisal of all the drafts of the article.</p></fn></author-notes><pub-date pub-type="ppub"><month>7</month><year>2009</year></pub-date><volume>99</volume><issue>7</issue><fpage>1239</fpage><lpage>1246</lpage><history><date date-type="accepted"><day>11</day><month>11</month><year>2008</year></date></history><permissions><copyright-statement>© American Public Health Association</copyright-statement><copyright-year>2009</copyright-year></permissions><abstract><p><italic>Objectives.</italic> We sought to study suicidal behavior prevalence and its association with social and gender disadvantage, sex work, and health factors among female sex workers in Goa, India.</p><p><italic>Methods.</italic> Using respondent-driven sampling, we recruited 326 sex workers in Goa for an interviewer-administered questionnaire regarding self-harming behaviors, sociodemographics, sex work, gender disadvantage, and health. Participants were tested for sexually transmitted infections. We used multivariate analysis to define suicide attempt determinants.</p><p><italic>Results</italic><italic>.</italic> Nineteen percent of sex workers in the sample reported attempted suicide in the past 3 months. Attempts were independently associated with intimate partner violence (adjusted odds ratio [AOR] = 2.70; 95% confidence interval [CI] = 1.38, 5.28), violence from others (AOR = 2.26; 95% CI = 1.15, 4.45), entrapment (AOR = 2.76; 95% CI = 1.11, 6.83), regular customers (AOR = 3.20; 95% CI = 1.61, 6.35), and worsening mental health (AOR = 1.05; 95% CI = 1.01, 1.11). Lower suicide attempt likelihood was associated with Kannad ethnicity, HIV prevention services, and having a child.</p><p><italic>Conclusions.</italic> Suicidal behaviors among sex workers were common and associated with gender disadvantage and poor mental health. India's widespread HIV-prevention programs for sex workers provide an opportunity for community-based interventions against gender-based violence and for mental health services delivery.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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