title: Stigma, sex work, and substance use: a comparative analysis.
abstract: Stigma is a widely used concept in social science research and an extensive literature claims that stigmatisation contributes to numerous negative health outcomes. However, few studies compare groups that vary in the extent to which they are stigmatised and even fewer studies examine stigma's independent and mediating effects. This article addresses these gaps in a comparative study of perceived stigma and drug use among three low-income feminised service occupations: sex work, food and alcoholic beverage serving, and barbering and hairstyling. An analysis of longitudinal data shows positive associations between sex work, perceived stigma, and socially less acceptable drug use (for example, heroin and cocaine), and that stigma mediates part of the link between sex work and the use of these drugs. Our overall findings suggest that perceived stigma is pronounced among those who work in the sex industry and negatively affects health independently of sex work involvement.
authors: Centre for Addictions Research of BC, Department of Sociology, University of Victoria, BC, Canada.
authors: Cecilia
authors: C
authors: Benoit
authors: Bill
authors: B
authors: McCarthy
authors: Mikael
authors: M
authors: Jansson
mesh_terms: D000328:Adult; D000368:Aged; D001461:Barbering; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009790:Occupations; D012147:Restaurants; D011477:Sex Work / Q000523:psychology*; D057545:Social Stigma; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology*; D055815:Young Adult
keywords: discrimination; feminised service occupations; longitudinal analysis; perceived stigma; sex work; substance use