title: Prevalence and characteristics of abuse experiences and depression symptoms among injection drug-using female sex workers in Mexico.
abstract: This mixed methods study examined the prevalence and characteristics of physical and sexual abuse and depression symptoms among 624 injection drug-using female sex workers (FSW-IDUs) in Tijuana and Ciudad Juarez, Mexico; a subset of 47 from Tijuana also underwent qualitative interviews. Linear regressions identified correlates of current depression symptoms. In the interviews, FSW-IDUs identified drug use as a method of coping with the trauma they experienced from abuse that occurred before and after age 18 and during the course of sex work. In a multivariate linear regression model, two factors-ever experiencing forced sex and forced sex in the context of sex work-were significantly associated with higher levels of depression symptoms. Our findings suggest the need for integrated mental health and drug abuse services for FSW-IDUs addressing history of trauma as well as for further research on violence revictimization in the context of sex work in Mexico.
authors.affiliation: Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0849, USA.
authors.forename: Monica D
authors.initials: MD
authors.lastname: Ulibarri
authors.forename: Sarah P
authors.initials: SP
authors.lastname: Hiller
authors.forename: Remedios
authors.initials: R
authors.lastname: Lozada
authors.forename: M Gudelia
authors.initials: MG
authors.lastname: Rangel
authors.forename: Jamila K
authors.initials: JK
authors.lastname: Stockman
authors.forename: Jay G
authors.initials: JG
authors.lastname: Silverman
authors.forename: Victoria D
authors.initials: VD
authors.lastname: Ojeda
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000706:statistics & numerical data; D002947:Cities; D003625:Data Collection; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D055030:Drug Users; D005260:Female; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012742:Sex Offenses / Q000706:statistics & numerical data; D060386:Sex Workers; D013179:Spouse Abuse / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult