Suicidal behavior among female sex workers in Goa, India: the silent epidemic.
Date
2009Author
Shahmanesh, M
Wayal, S
Cowan, F
Mabey, 0
Copas, A
Patel, V
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
CHANGES CLINICAL PRACTICE - I recommend that health care interventions should also include psychosocial counselling in order to
support sex workers' coping mechanisms.
Given that sex work is stigmatized in more countries than not, it is likely to cause stress and increase suicidal behaviour. This is significant and
therefore the interventions should also include psychosocial counselling in order to support the sex workers' coping mechanisms.
The findings of this study show that socio-economic empowerment reduces HIV risks in female sex workers who are from a low socio-economic
class.
My experience too has shown that an empathetic attitude from care providers increases the sex-workers' self-worth and therefore the ability to
cope.
Studies have shown that female sex work in Africa, part of Asia and some inner cities of developed countries is poverty-driven. The majority of
women are really practising survival as they also have children to feed. clothe and send to school. •
My experience in Kenya is that the interaction between poverty and stigma increases stress and therefore suicidal tendency.
The added problem is when the female sex worker would also turn out to be HIV-infected. Holistic and responsive interventions are recommended
for quality mental health in female sex workers.
A major question that still remains is how can poverty-driven sex work be effectively reduced.
A limitation of the study is that the study population size was not sufficiently large to allow generalization.
For further reading please see ref {1}. on which I am an author. whose results give female sex workers power to reduce dependency on sex
income or exit
URI
http://flOOO.com/prime/contributor/evaluate/article/l1611 07http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/44229
Citation
Am J Public Health 2009 Jul; 99(7):1239-46Publisher
Center for HIV Prevention and Research, University of Nairobi