Maryam Shahmanesh|Sonali Wayal|Frances M. Cowan|David Mabey|Andrew Copas|Vikram Patel
Suicidal Behavior Among Female Sex Workers in Goa, India: The Silent Epidemic
University College London|University College London|University College London|University College London|University College London|University College London
sought study suicidal behavior prevalence association social gender disadvantage sex work health factors among female sex workers goa indiausing respondentdriven sampling recruited 326 sex workers goa intervieweradministered questionnaire regarding selfharming behaviors sociodemographics sex work gender disadvantage health participants tested sexually transmitted infections used multivariate analysis define suicide attempt determinantsnineteen percent sex workers sample reported attempted suicide past 3 months attempts independently associated intimate partner violence adjusted odds ratio aor 270 95 confidence interval ci 138 528 violence others aor 226 95 ci 115 445 entrapment aor 276 95 ci 111 683 regular customers aor 320 95 ci 161 635 worsening mental health aor 105 95 ci 101 111 lower suicide attempt likelihood associated kannad ethnicity hiv prevention services childsuicidal behaviors among sex workers common associated gender disadvantage poor mental health indias widespread hivprevention programs sex workers provide opportunity communitybased interventions genderbased violence mental health services delivery