Stigma as a Barrier to Mental Health Service Use Among Female Sex Workers in Switzerland

Frontiers in Psychiatry
Mara ZehnderNicolas Rüsch

Abstract

Background: Many sex workers suffer from mental health problems, but do not seek help. Aim: To examine stigma-related and non stigma-related barriers to care and perceived need for treatment among female sex workers in Switzerland. Methods: Mental health service use, barriers to care, perceived need and presence of illness, symptoms, and psychiatric diagnoses were assessed among 60 female sex workers in Zürich, Switzerland. Outcomes: Mental health service use was defined as use of psychiatric medication, psychotherapy, or substance use services for at least 1 month during the past 6 months. Results: Adjusting for symptom levels, mental health service use was predicted by lower stigma-related, not by structural, barriers as well as by more perceived need for treatment and higher age. Clinical Implications: Sex workers with mental health problems would benefit from non-stigmatizing mental health care as well as from interventions to reduce public and self-stigma associated with mental illness and sex work. Strengths and Limitations: Limitations are the cross-sectional data, limited sample size, and recruitment from an information center for sex workers. Conclusion: Interventions that aim to increase mental health service use amon...Continue Reading

References

Dec 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Nicolas RüschKaren Batia
Jan 29, 2010·Acta Psychiatrica Scandinavica·W RösslerK Landolt
Sep 8, 2011·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·H U WittchenH-C Steinhausen
Oct 21, 2016·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Cecilia BenoitMikael Jansson
Mar 27, 2018·Global Social Welfare : Research, Policy & Practice·Catherine E CarlsonToivgoo Aira

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Citations

May 30, 2020·The International Journal of Social Psychiatry·Adalberto Campo-AriasEdwin Herazo

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Methods Mentioned

BETA
psychopharmacotherapy

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