@article{ref1,
title="Associations among experienced and internalized stigma, social support, and depression among male and female sex workers in Kenya",
journal="International journal of public health",
year="2020",
author="Stockton, Melissa A. and Pence, Brian W. and Mbote, David and Oga, Emmanuel A. and Kraemer, John and Kimani, Joshua and Njuguna, Stella and Maselko, Joanna and Nyblade, Laura",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: This study (1) estimated the association between experienced sex work-related stigma and moderate-to-severe depressive symptoms (hereafter depression), (2) examined independent associations between internalized stigma, experienced stigma, and depression among sex workers, and (3) investigated the potential modifying role of social support. <br><br>METHODS: A cross-sectional survey was conducted among 729 male and female sex workers in Kenya. <br><br>RESULTS: The prevalence of depression was 33.9%, and nearly all participants reported at least one of the experienced and internalized stigma items. Increasing levels of experienced stigma was associated with an increased predicted prevalence of depression [aPD 0.15 (95% CI 0.11-0.18)]. Increasing internalized stigma was independently associated with higher experienced stigma and depression and appeared to account for 25.5% of the shared variance between experienced stigma and depression after adjustment for confounders. Social support from same-sex sex workers did not appear to modify the association between experienced stigma and depression. <br><br>CONCLUSIONS: Addressing the high levels of stigma that sex workers face and their mental health needs should be a public health and human rights imperative.<p /> <p>Language: en</p>",
language="en",
issn="1661-8556",
doi="10.1007/s00038-020-01370-x",
url="http://dx.doi.org/10.1007/s00038-020-01370-x"
}