Self-perceived stigma, depressive symptoms, and suicidal behaviors among female sex workers in China.
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abstract
Data regarding female sex workers' (FSWs) self-perceived stigma and their mental health are limited, particularly in developing countries. This study, using a cross-sectional survey among 310 FSWs in China, addresses this issue. Data indicate that most of these FSWs had medium to high levels of self-perceived stigma, 30% had elevated depressive symptoms, 18% had suicidal ideation, and 9% had suicidal attempt in the past 6 months. After controlling for potential confounders, FSWs' high-level self-perceived stigma was significantly associated with their poor mental health. The authors call for culturally appropriate approaches to reduce stigma and promote psychological well-being among this marginalized and vulnerable population.