Comparing Mental and Physical Health of Full-Service Sex Workers in the United States to the Health of the General Population in ۲۰۱۹-۲۰۲۰

Introduction: Full-service sex workers (FSSWs) are relatively prevalent in the U.S. and are known to face criminalization, stigma, and other factors relating to poor health. The main aim of this study was compare the mental and physical health of full-service sex workers in the United States in ۲۰۱۹-۲۰۲۰ Methods: In this prospective cohort study, participants were recruited through national community samples from U.S.-based FSSW advocacy and community organizations. Data were collected from November ۲۰۱۹ to February ۲۰۲۰. The study sample (n=۸۳) included mostly of the white (۸۱.۹%), cisgender females (۶۶.۳%), who were relatively young (۲۸.۰۱ [۴.۲۵]), and identified as a sexual minority (۵۷.۸%). Participants completed an online survey on mental (e.g., depression, anxiety) and physical (e.g., sleep, fatigue) health, using the patient-reported outcomes measurement information system (PROMIS-۲۹). Mean (SD) and Frequency (%) were used for description and for data analysis z-tests in SPSS version ۲۷ with ۵% significant level were used. Results: The sample of FSSWs reported significantly poorer health in all health domains compared to the U.S. general population reference indices. FSSWs showed higher levels of depression (p <.۰۰۱), anxiety (p <.۰۰۱), fatigue (p <.۰۰۱), sleep difficulties (p <.۰۰۱), lower levels of physical functioning (p <.۰۰۱) and the ability to participate in social activities (p =.۰۳) compared with the U.S. reference indices. Conclusions: FSSWs experience significant mental and physical health disparities compared to general population.  the need for further investigation of the social-ecological determinants of health for members of this marginalized community, many of whom are known to face health inequities.  

کلیدواژه ها:

Full-Service Sex Work ، Sex Work ، Health Disparities ، Mental Health ، Physical Health