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History of Sex Work Is Associated with Increased Risk of Adverse Mental Health and Substance Use Outcomes in Transgender Adults

Bibliographic Data

ID15492292
AuthorsAjay Pandey (0000-0001-9356-0418, Augusta University, corresponding author), Ajay Keshav Pandey (Department of Biological Sciences, Augusta University, Augusta, GA 30912, USA), Kristie L Seelman (0000-0002-4064-2927, Georgia State University)
Year2022
Volume19
Issue23
Pages15908-15908
Publication date2022-11-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192315908
PMID36497981
OpenAlexW4310480223
LanguageEN
Citations received7
References cited51

Understanding factors influencing mental health and substance use in transgender and gender diverse people is critical to reducing disparities in this population. We sought to investigate whether a history of sex work was associated with increased prevalence of poor mental health, substance use, and a negative experience within drug and alcohol treatment facilities. We conducted a secondary analysis of the data of 25,204 transgender respondents of the 2015 United States Transgender Survey. We estimated multiple logistic regressions to assess the association between a history of sex work and adverse mental health and substance use outcomes. We then estimated mean prevalence of adverse outcomes by type of sex work. Finally, we performed chi-square analysis to explore differences in mistreatment at drug and alcohol treatment facilities. Respondents with a history of sex work were significantly more likely to have poorer psychological health, suicidality, and substance use after adjusting for covariates. Among those who visited drug and alcohol treatment facilities, those with a history of sex work were significantly more likely to report adverse experiences (26.34% vs. 11.63%). Our findings highlight the increased risk of adverse outcomes in transgender sex workers and emphasize the need for interventions targeting this subgroup of transgender people

Environmental health · Family medicine · Logistic regression · Mental health · Population · Psychiatry · Psychological intervention · Sex work · Transgender · Clinical Psychology · Demography · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sex work and related issues · Sexuality, Behavior, and Technology · Gerontology · Internal Medicine

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Unique citing works7
Citations per year3.5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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