title: Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study.
abstract: Background.Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China.Method.We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets in Guangdong, China, in 2014. Information on demographic characteristics, HIV testing history, and sexual behaviors was collected using a questionnaire. A blood sample was collected to test for HIV, syphilis, and HCV. A participant was defined as being depressed if she obtained 6 points or above using the 12-item General Health Questionnaire.Results.Among the 653 participants, 41.7% were 21-30 years old and 43.6% married. Overall, 52.4% were found to be depressed. FSWs who had correct syphilis related knowledge [aOR = 1.45; 95% CI: 1.04-2.03] and had primary sex partner (1.63, 1.14-2.33) were more likely to be depressed. FSWs who did not use a condom during their last sex with the primary sex partner were less likely to be depressed (0.47, 0.31-0.71).Conclusion.Our study observed high level of depression and HIV risk behaviors among Chinese FSWs. Future interventions should integrate mental health services in comprehensive interventions to prevent depression among Chinese FSWs.
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Hongcheng
authors.identifier: 0000-0001-9559-9412
authors.initials: H
authors.lastname: Shen
authors.affiliation: School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510085, China; Kirby Institute, The University of New South Wales, Sydney, NSW 2052, Australia.
authors.forename: Huachun
authors.identifier: 0000-0002-8161-7576
authors.initials: H
authors.lastname: Zou
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Shujie
authors.initials: S
authors.lastname: Huang
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Fengying
authors.initials: F
authors.lastname: Liu
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Peizhen
authors.initials: P
authors.lastname: Zhao
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Chen
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Guangdong Pharmaceutical University, Guangzhou, Guangdong 511430, China.
authors.forename: Xiaomin
authors.initials: X
authors.lastname: Luo
authors.affiliation: University of North Carolina Project-China, Guangzhou, Guangdong, 510091, China.
authors.forename: Weiming
authors.initials: W
authors.lastname: Tang
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Heping
authors.identifier: 0000-0002-9846-975X
authors.initials: H
authors.lastname: Zheng
authors.affiliation: Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China.
authors.forename: Bin
authors.identifier: 0000-0002-7155-6079
authors.initials: B
authors.lastname: Yang
mesh_terms: D000328:Adult; D002681:China; D017280:Condoms; D003430:Cross-Sectional Studies; D003863:Depression; D005260:Female; D006678:HIV / Q000472:pathogenicity; D015658:HIV Infections / Q000097:blood / Q000453:epidemiology* / Q000523:psychology* / Q000821:virology; D006801:Humans; D012307:Risk Factors; D060386:Sex Workers / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires; D013587:Syphilis / Q000097:blood / Q000453:epidemiology