Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.11861/6149
Title: Psychological health and HIV transmission among female sex workers: A systematic review and meta-analysis
Authors: Dr. YUEN Wing Yan, Winnie 
Tran, Lynn 
Wong, Carlos King Ho 
Holroyd, Eleanor 
Prof. TANG So Kum, Catherine 
Wong, Chi-Wai William 
Issue Date: 2016
Source: AIDS Care, Jul. 2016, vol. 28(7), pp. 816-824.
Journal: AIDS Care 
Abstract: Current HIV prevention interventions for female sex workers (FSWs) have tended to target the cognitive factors in changing their behaviors, yet little attention has been paid to the psychological factors that influence the behavior of women in sex work. This review aimed to explore the associations between the psychological health of FSWs and HIV risk. A total of eight studies published in English before July 2013 were identified and reviewed. FSWs had reported psychological issues, including depression, suicidal thoughts as well as lower quality of life, and the pooled prevalence of probable depression was as high as 62.4%. The majority of studies showed that higher scores in psychological health problems were associated with increased HIV risk behavior, in particular inconsistent condom use, or sexually transmitted infections. Among the five studies which measured symptoms of depression, four documented that higher depression scores were significantly associated with inconsistent condom use among FSWs with their clients and/or partners. Meta-analysis using a fixed-effects model was performed to examine the association between depression and inconsistent condom use and found that higher scores in depression were significantly associated with inconsistent condom use (odds ratio = 2.57,p < .001). This review contends that future HIV preventive interventions should take psychological health of FSWs into consideration.
Type: Peer Reviewed Journal Article
URI: http://hdl.handle.net/20.500.11861/6149
ISSN: 0954-0121
DOI: 10.1080/09540121.2016.1139038
Appears in Collections:Counselling and Psychology - Publication

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