Posttraumatic stress disorder among female street-based sex workers in the greater Sydney area, Australia
Open Access
- 24 May 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Psychiatry
- Vol. 6 (1), 24
- https://doi.org/10.1186/1471-244x-6-24
Abstract
Background This paper examines rates of exposure to work-related violence and other trauma, and the prevalence of lifetime and current posttraumatic stress disorder (PTSD) among female street-based sex workers. It also investigates associations between current PTSD symptoms and: demographic characteristics, psychiatric comorbidity, injecting and sex risk behaviours, and trauma history. Methods Cross sectional data collected from 72 women via face to face structured interviews. The interview included structured diagnostic assessment of DSM-IV PTSD; drug dependence; depression; experience of childhood trauma; and an assessment of sex working history. Results All but one of the women interviewed reported experiencing trauma, with the majority reporting multiple traumas that typically began in early childhood. Child sexual abuse, adult sexual assault and work related violence were commonly reported. Just under half of the women met DSM-IV criteria for PTSD and approximately one-third reported current PTSD symptoms. Adult sexual assault was associated with current PTSD symptoms. Depression and drug dependence were also highly prevalent; cocaine dependence in particular was associated with elevated rates of injecting risk and sexual risk behaviours. Conclusion These women reported complex trauma histories and despite ongoing opportunities for clinical intervention, they continued to experience problems, suggesting that current models of treatment may not be appropriate. More targeted interventions, and integrated mental health and drug treatment services are needed to address the problems these women are experiencing. Outreach services to these women remain a priority. Education strategies to reduce risky injecting and sexual behaviours among sex workers should also remain a priority.This publication has 48 references indexed in Scilit:
- Factors associated with sex-trade involvement among female injection drug users in a Canadian settingAddiction Research & Theory, 2005
- Trauma exposure and post‐traumatic stress disorder in the general populationActa Psychiatrica Scandinavica, 2005
- A health needs assessment of street-based prostitutes: cross-sectional surveyPublished by Oxford University Press (OUP) ,2004
- Intravenous Drug Use Among Street-Based Sex WorkersSexually Transmitted Diseases, 2004
- Women brothel workers and occupational health risksJournal of Epidemiology and Community Health, 2003
- A Hazardous Profession: War, Journalists, and PsychopathologyAmerican Journal of Psychiatry, 2002
- Family and Past History of Mental Illness as Predisposing Factors in Post-Traumatic Stress DisorderPsychotherapy and Psychosomatics, 2001
- Prostitution, Violence, and Posttraumatic Stress DisorderWomen & Health, 1998
- Female prostitutes in south London: Use of heroin, cocaine and alcohol, and their relationship to health risk behavioursAIDS Care, 1995
- Sex Differences in Patterns of Drug Taking BehaviourThe British Journal of Psychiatry, 1994