Psychosocial Challenges as Predictors of Life Satisfaction and Coping Strategies Among Female Sex Workers: A Mixed Design Study

Authors

  • Fasil Asmamaw Tesfaw
  • Dipal Patel

Keywords:

Stigma-discrimination, risky sexual behaviours, stress, life satisfaction, coping strategies

Abstract

The purpose of the study was to examine the influence of psychosocial challenges on the life satisfaction and coping strategies among female commercial sex workers in Hawassa City Administration. Mixed approach with concurrent design was applied integrating quantitative data with the qualitative data simultaneously. Two hundred sixty five randomly selected and sixteen purposely selected participants involved in the study. Data was collected through questionnaires and Focus Group Discussion (FGD). Quantitative data was analysed through multiple regression, but the qualitative data was analysed through thematic content analysis. The findings demonstrated that there was main effect of  stigma-discrimination on the life satisfaction of FSW with 22% (R-Square= .22, F (1,264) = 74.43, Beta = -.47, p = .000.In addition to interaction effects were found between stigma-discrimination and  risk sexual behaviours, 31% (R-Square= .31, F (2,262) = 56.68, Beta = -.70; p = .000 as well as the interaction effect between stigma-discrimination, risky sexual behaviours and stress with 32% (R-Square= .32, F (3,261) = 40.42, Beta = -.71; p = .000. Concerning the impacts of psychosocial challenges on coping strategies, risky sexual behaviour had main effect 18 %( R -Square= .18, F = (1,264) =57.88 Beta =-.43, P = .000; the combination of risky sexual behaviours and stigma-discrimination was 22% (R-Square= .22, F (2,262) = 35.94, Beta = -.57; p = .000; and the interaction effect of risky sexual behaviours, stigma-discrimination and stress had 24% (R-Square= .24, F (3,261) = 26.86, Beta = -.66; p = .000. Additionally, the findings derived from the qualitative approaches supported the findings obtained from the quantitative data. Implications are discussed to mitigate psychosocial challenges among FSW to ensure their life satisfaction and coping strategies.

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References

Addisalem, A. A. (2020). Risks and Resilience among Sexually Abused Female Street Children in Addis Ababa , Ethiopia : An Interpretative Phenomenological Analysis of their Lived Experiences.

Adhikari, H. (2016). Social Stigma- A Hindrance of Social Health and Social Rehabilitation of Female Sex Workers. European Journal of Sociology and Anthropology, 1(2), 1–8. https://doi.org/10.20897/ejsa.201603

Aldwin, C. M., & Yancura, L. A. (2004). Coping. Encyclopedia of Applied Psychology, Three-Volume Set, 1, 507–510. https://doi.org/10.1016/B0-12-657410-3/00126-4

American College of Obstetricians and Gynecologists(ACOG). (2018). Acog c ommittee opinion. Wolters Kluwer Health, 130(3), 150–152.

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.).

Amogne, M. D., Balcha, T. T., & Agardh, A. (2019). Prevalence and correlates of physical violence and rape among female sex workers in Ethiopia: A cross-sectional study with respondent-driven sampling from 11 major towns. BMJ Open, 9(7). https://doi.org/10.1136/bmjopen-2018-028247

Baker, L. M., Wilson, F. L., & Winebarger, A. L. (2004). An exploratory study of the health problems, stigmatization, life satisfaction, and literacy skills of urban, street-level sex workers. Women and Health, 39(2), 83–96. https://doi.org/10.1300/J013v39n02_06

Beattie, T. S., Smilenova, B., Krishnaratne, S., & Mazzuca, A. (2020). Mental health problems among female sex workers in low- And middle-income countries: A systematic review and meta-analysis. In PLoS Medicine (Vol. 17, Issue 9). https://doi.org/10.1371/journal.pmed.1003297

Beehr, T. A., & Newman, J. E. (1978). Job Stress, Employee Health and Organizational Effectiveness: A Facet Analysis, Model and Literature Review. Personnel Psychology, 31(November), 66–669. https://doi.org/.http://dx.doi.org/10.1111/j.1744-6570.1978.tb02118.x

Belay, D. G., & Alemu, G. (2018). Socio-economic and Psychological risks of unemployed youth in developing countries:Evidence from Hawassa City, Ethiopia. International Journal of Risk and Contingency Management, 7(2), 67–82. http://search.ebscohost.com/login.aspx?direct=true&db=sph&AN=119374333&site=ehost-live&scope=site%0Ahttps://doi.org/10.1016/j.neuron.2018.07.032%0Ahttp://dx.doi.org/10.1016/j.tics.2017.03.010%0Ahttps://doi.org/10.1016/j.neuron.2018.08.006

Bellhouse, C., Crebbin, S., Fairley, C. K., & Bilardi, J. E. (2015). The impact of sex work on women’s personal romantic relationships and the mental separation of their work and personal lives: A mixed-methods study. PLoS ONE, 10(10), 1–20. https://doi.org/10.1371/journal.pone.0141575

Carr, D., & Pudrovska, T. (2007). Conceptual Issues: Defining Crises. 1991, 175–185. https://doi.org/10.1016/B0-12-370870-2/00126-8

Chen, C., Baral, S., Comins, C. A., Mcingana, M., Wang, L., Phetlhu, D. R., Mulumba, N., Guddera, V., Young, K., Mishra, S., Hausler, H., & Schwartz, S. R. (2022). HIV- and sex work-related stigmas and quality of life of female sex workers living with HIV in South Africa: a cross-sectional study. BMC Infectious Diseases, 22(1), 1–11. https://doi.org/10.1186/s12879-022-07892-4

Coetzee, J., Buckley, J., Otwombe, K., Milovanovic, M., Gray, G. E., & Jewkes, R. (2018). Depression and post traumatic stress amongst female sex workers in soweto, South Africa: A cross sectional, respondent driven sample. PLoS ONE, 13(7), 1–16. https://doi.org/10.1371/journal.pone.0196759

Cox, K. (2012). Happiness and Unhappiness in the Developing World: Life Satisfaction Among Sex Workers, Dump-Dwellers, Urban Poor, and Rural Peasants in Nicaragua. Journal of Happiness Studies, 13(1), 103–128. https://doi.org/10.1007/s10902-011-9253-y

Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297–334. https://doi.org/10.1007/BF02310555

Diener, E., Oishi, S., & Lucas, R. E. (2012). Subjective Well-Being: The Science of Happiness and Life Satisfaction. The Oxford Handbook of Positive Psychology, (2 Ed.), February 2019, 1–16. https://doi.org/10.1093/oxfordhb/9780195187243.013.0017

Disability Rights California. (2016). Definitions of Stigma and Discrimination. California Mental Health Services Authority, 4–6. http://www.disabilityrightsca.org/pubs/CM0401.pdf

Endler, N. S., & Parker, J. D. (1990). Multidimensional assessment of coping: A critical evaluation. Journal of Personality and Social Psychology, 58(5), 844–854. https://doi.org/10.1037//0022-3514.58.5.844

Fanda, R. B. (2019). Policy Brief Policy Brief. Pancanaka, 1(01), 14. https://kebijakankesehatanindonesia.net/images/2019/policy_brief_wujudkan_keadilan_sosial_dalam_jkn.pdf

Floyd, L. J., Hedden, S., Lawson, A., Salama, C., Moleko, A. G., & Latimer, W. (2010). The Association Between Poly-Substance Use, Coping, and Sex Trade Among Black South African Substance Users. Substance Use Misuse, 45(12), 1971–1987. https://doi.org/10.3109/10826081003767635

Frantz, A., & Holmgren, K. (2019). The Work Stress Questionnaire (WSQ) - Reliability and face validity among male workers. BMC Public Health, 19(1), 1–8. https://doi.org/10.1186/s12889-019-7940-5

Fugl-Meyer, A. R., Bränholm, I. B., & Fugl-Meyer, K. S. (1991). Happiness and domain-specific life satisfaction in adult northern Swedes. Clinical Rehabilitation, 5(1), 25–33. https://doi.org/10.1177/026921559100500105

Getnet, M. K., & Damen, H. M. (2012). Level of stigma among female sex workers: Comparison of two surveys of HIV behavioral data, Ethiopia. African Health Sciences, 11(4), 543–549.

Goffman, E. (1963). Stigma. Notes on the Management of Spoiled Identity. Penguin Books.

Green, S. B., & Ross, M. E. (1996). Teachers : The Problems in Teaching Scale. Teacher and Teaching Education, 12(3), 1–11.

Haque, D. T. A. (2020). Working Pattern and Mental Stress of Female Sex Worker. Journal of Medical Science And Clinical Research, 08(05), 135–140. https://doi.org/10.18535/jmscr/v8i5.25

Hulland, E. N., Brown, J. L., Swartzendruber, A. L., Sales, J. M., Rose, E. S., & Diclemente, R. J. (2015). The association between stress, coping, and sexual risk behaviors over 24 months among African-American female adolescents. Psychology, Health and Medicine, 20(4), 443–456. https://doi.org/10.1080/13548506.2014.951369

International Initiative for Impact Evaluation. (2016). HIVST Among FSW; Uganda and Zambia 3ie studies – baseline questionnaire Participant Study Forms Version 1.0 (22 May 2016) (Vol. 0, Issue May).

Isamail, M. M., Abou, E. A., & Ali, I. A. (2018). Stress Management Training On Former Commercial Sex Workers At PSKW Mulya Jaya. International Journal of Research Publications, 5(2), 14.

Jewkes, R., Otwombe, K., Dunkle, K., Milovanovic, M., Hlongwane, K., Jaffer, M., Matuludi, M., Mbowane, V., Hopkins, K. L., Hill, N., Gray, G., & Coetzee, J. (2021). Sexual IPV and non-partner rape of female sex workers: Findings of a cross-sectional community-centric national study in South Africa. SSM - Mental Health, 1. https://doi.org/10.1016/j.ssmmh.2021.100012

Joba, N. M. (2022). Protection of Women Workers from Sexual Violence in Ethiopian Industrial Parks: A Case Study in Hawassa Industrial Park (Issue June). Addis Ababa University.

Kandeger, A., Guler, H. A., Egilmez, U., & Guler, O. (2018). Major depressive disorder comorbid severe hydrocephalus caused by Arnold – Chiari malformation Does exposure to a seclusion and restraint event during clerkship influence medical student ’ s attitudes toward psychiatry ? Indian Journal of Psychiatry, 59(4), 2017–2018. https://doi.org/10.4103/psychiatry.IndianJPsychiatry

Kassa, A. F. (2012). Unemployment in urban Ethiopia: determinants and impact on household welfare. Unemployment in Urban Ethiopia, 21(2), 127–157.

Kassa, Z. Y., Hadra, N., & Hailu, D. (2023). The hidden gender-based violence and associated factors among marginalised women in Southern Ethiopia. Journal of Migration and Health, 7(December 2021), 100154. https://doi.org/10.1016/j.jmh.2023.100154

Kaur, A. (2022). A General Overview of Theoretical Approaches on Sex Work : Heating Debates among Various Strands. 2(4), 347–351.

Kellie, D. J., Blake, K. R., & Brooks, R. C. (2021). Prejudice towards sex workers depends on the sexual activity and autonomy of their work, hobbies and daily activities. Collabra: Psychology, 7(1), 1–18. https://doi.org/10.1525/collabra.24386

Kluczewska, K. (2023). Securitization and Coping Strategies of Women Sex Workers in Tajikistan. Problems of Post-Communism, 70(3), 329–340. https://doi.org/10.1080/10758216.2022.2062002

Laisuklang, M. ., & Ali, A. (2017). Psychiatric morbidity among female commercial sex workers. Indian Journal of Psychiatry, 59(4), 465–470. https://doi.org/doi: 10.4103/psychiatry.IndianJPsychiatry_147_16

Lakshmana, G., & Dhanasekara, P. (2012). Well Being of Female Sex Workers. The Hong Kong Journal of Social Work, 46(01n02), 31–42. https://doi.org/10.1142/s0219246212000058

López‐Gómez, I., Chaves, C., & Vázquez, C. (2023). Life satisfaction. Dictionary of Ecological Economics: Terms for the New Millennium, December 2020, 325–326. https://doi.org/10.4337/9781788974912.L.25

Ma, H., & Loke, A. Y. (2019). A qualitative study into female sex workers’ experience of stigma in the health care setting in Hong Kong. International Journal for Equity in Health, 18(1). https://doi.org/10.1186/s12939-019-1084-1

Marboh, I. G., & Ali, A. (2021). Psychological distress and life satisfaction among female commercial sex workers. 8(4), 406–411.

Martín-Romo, L., Sanmartín, F. J., & Velasco, J. (2023a). Invisible and stigmatized: A systematic review of mental health and risk factors among sex workers. Acta Psychiatrica Scandinavica, 148(3), 255–264. https://doi.org/10.1111/acps.13559

Martín-Romo, L., Sanmartín, F. J., & Velasco, J. (2023b). Invisible and stigmatized: A systematic review of mental health and risk factors among sex workers. Acta Psychiatrica Scandinavica, February, 255–264. https://doi.org/10.1111/acps.13559

Mazeingia, Y. T., & Negesse, A. (2020). Intention, barriers and opportunities to exit from commercial sex work among female sex workers in Ethiopia: Qualitative study. International Journal of Occupational Safety and Health, 10(1), 64–72. https://doi.org/10.3126/ijosh.v10i1.29885

Mehret, M., Khodak.vich, L., Shanko, B., & Belete, F. (2017). Sexual Behaviours and Some Social Features of Female Sex Workers in the City of Addis Ababa. Ethiopian Journal of Health Development, 4(2), 1–6.

Methasaari, S., Krisnatuati, D., & Sciences, C. (2018). Coping Strategy , Religiosity , and Chronic Elderly. 03(02), 42–54.

Millan-Alanis, J. M., Carranza-Navarro, F., & de León-Gutiérrez, H. (2021). Prevalence of suicidality, depression, post-traumatic stress disorder, and anxiety among female sex workers: a systematic review and meta-analysis. Archives of Women’s Mental Health Volume, 24, 867–879. https://doi.org/https://doi.org/10.1007/s00737-021-01144-1

Monk-Turner, E. (2013). Quality of life among thai sex workers: How important are work, educational and personal characteristics in shaping subjective well-being? Journal of International Women’s Studies, 14(3), 1–13.

Morhason-Bello, I. O., Kabakama, S., Baisley, K., Francis, S. C., & Watson-Jones, D. (2019). Reported oral and anal sex among adolescents and adults reporting heterosexual sex in sub-Saharan Africa: A systematic review. Reproductive Health, 16(1). https://doi.org/10.1186/s12978-019-0722-9

Mutola, S., Pemunta, N. V., Ngo, N. V., Otang, O. I., & Tabenyang, tabi C. J. (2022). The Plight of Female Cameroonian Migrant Sex Workers in N’Djamena, Chad: A Case of Intersectionality. Journal of Immigrant and Minority Health, 24(2), 430–436. https://doi.org/10.1007/s10903-021-01216-5

Nathan, M. A., & Fratkin, E. (2018). The lives of street women and children in Hawassa, Ethiopia. African Studies Review, 61(1), 158–184. https://doi.org/10.1017/asr.2017.135

Okafor, U. O., Crutzen, R., Ifeanyi, O., Adebajo, S., & Van Den Borne, H. (2017). HIV prevalence and high-risk behaviour of young brothel and non-brothel based female sex workers in Nigeria. BMC Research Notes, 10(1), 1–6. https://doi.org/10.1186/s13104-017-2712-8

Owen, B. N., M-Giroux, M., Matse, S., Mnisi, Z., Baral, S., Ketende, S. C., Baggaley, R. F., & Boily, M. C. (2020). Prevalence and correlates of anal intercourse among female sex workers in eSwatini. PLoS ONE, 15(2), 32045444. https://doi.org/10.1371/journal.pone.0228849

Panneh, M., Gafos, M., Nyariki, E., Liku, J., Shah, P., Wanjiru, R., Wanjiru, M., Beksinska, A., Pollock, J., Gwala, D., Oside, D., Kamene, R., Watata, A., Atieno, A., Njau, F., Njeri, E., Orobi, E., Lwingi, I., Jama, Z., … Beattie, T. (2022). Mental health challenges and perceived risks among female sex Workers in Nairobi, Kenya. BMC Public Health, 22(1), 1–14. https://doi.org/10.1186/s12889-022-14527-5

Parvez, F., Katyal, M., Alper, H., Leibowitz, R., & Venters, H. (2013). Female sex workers incarcerated in New York City jails: Prevalence of sexually transmitted infections and associated risk behaviors. Sexually Transmitted Infections, 89(4), 280–284. https://doi.org/10.1136/sextrans-2012-050977

Priddy, F. H., Wakasiaka, S., Hoang, T. D., Smith, D. J., Farah, B., Del Rio, C., & Ndinya-Achola, J. (2011). Anal sex, vaginal practices, and HIV incidence in female sex workers in Urban Kenya: Implications for the development of intravaginal HIV prevention methods. AIDS Research and Human Retroviruses, 27(10), 1067–1072. https://doi.org/10.1089/aid.2010.0362

Puente-Martínez, A., Ubillos-Landa, S., García-Zabala, M., & Páez-Rovira, D. (2019). “Mouth Wide Shut”: Strategies of Female Sex Workers for Coping With Intimate Partner Violence. Journal of Interpersonal Violence, 34(16), 3414–3437. https://doi.org/10.1177/0886260516670180

Ramanathan, S., Nagarajan, K., Ramakrishnan, L., Mainkar, M. K., Goswami, P., Yadav, D., Sen, S., George, B., Rachakulla, H., Subramanian, T., & Paranjape, R. S. (2014). Inconsistent condom use by male clients during anal intercourse with occasional and regular female sex workers (FSWs): Survey findings from southern states of India. BMJ Open, 4(11), 1–8. https://doi.org/10.1136/bmjopen-2014-005166

Rayson, J., & Alba, B. (2019). Experiences of stigma and discrimination as predictors of mental health help-seeking among sex workers. Sexual and Relationship Therapy, 34(3), 277–289. https://doi.org/10.1080/14681994.2019.1628488

Regassa, B., & Regassa, N. (2015). Housing and poverty in Southern Ethiopia: Examining affordability of condominium houses in Hawassa city. Economics and Sociology, 8(3), 155–169. https://doi.org/10.14254/2071-789X.2015/8-3/12

Robinson, J., & Yeh, E. (2012). Risk-coping through sexual networks: Evidence from client transfers in Kenya. Journal of Human Resources, 47(1), 107–145. https://doi.org/10.3368/jhr.47.1.107

Rondón Bernard, J. E. (2018). Depression: A Review of its Definition. MOJ Addiction Medicine & Therapy, 5(1), 5–7. https://doi.org/10.15406/mojamt.2018.05.00082

Ross, I., Scott, R., Blackett, I., & Hawkins, P. (2016). Tools and guidelines: fecal sludge management: diagnostics for service delivery in urban areas. April, 66. http://documents.worldbank.org/curated/en/461321468338637425/Fecal-sludge-management-diagnostics-for-service-delivery-in-urban-areas-tools-and-guidelines

Ruegsegger, L. M., Stockton, M., Go, V. F., Piscalko, H., Davis, D., Hoffman, I. F., Hosseinipour, M. C., Zalira, E., Lungu, T., Bula, A., & Lancaster, K. E. (2021). Stigma, social support, and sexual behavior among female sex workers at risk for HIV in Malawi. AIDS Education and Prevention, 33(4), 290–302. https://doi.org/10.1521/aeap.2021.33.4.290

Ryff, C. D. (1989). Happiness Is Everything, or Is It? Explorations on the Meaning of Psychological Well-Being. AJournal of Personality and Social Psychology, 57(6), 1069–1081.

Ryff, C. D., & Singer, B. H. (2006). Best news yet on the six-factor model of well-being. Social Science Research, 35(4), 1103–1119. https://doi.org/10.1016/j.ssresearch.2006.01.002

Salazar, L. F., Head., S., Crosby., R. A., DiClemente., R. J., Sales., J. M., Gina M. Wingood, S. D., & Rose, E. (2011). Original Articles. JOURNAL OF WOMEN’S HEALTH, 20(2), 557–560. https://doi.org/10.1080/1036114032000134056

Sekaran, U., & Bougie, R. (2016). Research Methods for Business: A Skill-Building Approach. In Leadership & Organization Development Journal (7th ed.). John Wiley & Sons Ltd. https://doi.org/10.1108/lodj-06-2013-0079

Senn, C. Y. (2021). Women ’ s Experiences of Self-Objectification and Sexualization and Their Impact on Attitudes Towards Online Sex Work Women ’ s Experiences of Self -Objectification and Sexualization and Their Impact on Attitudes Towards Online Sex Work By A Thesis Submit (Issue September). https://doi.org/10.13140/RG.2.2.23482.88001

Senn, T. (2013). Sexual Risk Behavior. In J. . Gellman, M.D., Turner (Ed.), Encyclopedia of Behavioral Medicine (Vol. 369, Issue 1, pp. 1689–1699). Springer. https://doi.org/https://doi.org/10.1007/978-1-4419-1005-9_670

Shahsavarani, A. M., Azad, E., Abadi, M., & Kalkhoran, M. H. (2015). Stress : Facts and Theories through Literature Review. 2(2).

Smith, M. M., Saklofske, D. H., Keefer, K. V., & Tremblay, P. F. (2016). Coping strategies and psychological outcomes: The moderating effects of personal resiliency. Journal of Psychology: Interdisciplinary and Applied, 150(3), 318–332. https://doi.org/10.1080/00223980.2015.1036828

Sousa, L., & Lyubomirsky, S. (2001). Life Satisfaction In J. Worell (Ed.), Encylopedia of women and gender: Sex similarities and differences and the impact of society on gender. San Diego, CA: Academic Press, Vol. 2, 667–676.

Stephenson, E., & DeLongis, A. (2020). Much of current theory and research on coping stems from a transactional model. 2.

Stilinski, D., & Oluwaseyi, J. (2024). Unveiling the Impact of Stigma and Discrimination on the Health of Female Sex Workers in Bangladesh : A Psychological and Social Perspective. April 2023.

Stockton, M. A., Pence, B. W., Mbote, D., Oga, E. A., Kraemer, J., Kimani, J., Njuguna, S., Maselko, J., & Nyblade, L. (2020). Associations among experienced and internalized stigma, social support, and depression among male and female sex workers in Kenya. International Journal of Public Health, 65(6), 791–799. https://doi.org/10.1007/s00038-020-01370-x

Susan, S. L., Sam, R. M., & Asir, D. (2014). A Study On Life Satisfaction Among Female Sex Workers. 2001, 22–24.

Taber, K. S. (2018). The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education. Research in Science Education, 48(6), 1273–1296. https://doi.org/10.1007/s11165-016-9602-2

Tadele, A., Hussen, S., & Shimelis, T. (2019). Prevalence and associated factors of Chlamydia trachomatis and Neisseria gonorrhoeae among female commercial sex workers in Hawassa City, Southern Ethiopia. BMC Infectious Diseases, 19(1), 1–8. https://doi.org/10.1186/s12879-019-3698-8

Tadesse, T., Kebede, a Z., & Tamirayehu, T. (2016). Assessment of substance abuse and risky sexual behaviour among female sex workers in Addis-ketema sub city, Addis-Ababa, Ethiopia. Journal of Public Health and Epidemiology, 8(9), 158–168. https://doi.org/10.5897/JPHE2015.0773

Tam, C. C., Zhou, Y., Qiao, S., Li, X., & Shen, Z. (2022). Mindfulness, psychological distress, and somatic symptoms among women engaged in sex work in China. Applied Psychology: Health and Well-Being, 14(3), 967–986. https://doi.org/10.1111/aphw.12362

Tavakol, M., & Dennick, R. (2011). Making sense of Cronbach’s alpha. International Journal of Medical Education, 2, 53–55. https://doi.org/10.5116/ijme.4dfb.8dfd

van Veen, M.G., Götz, H.M., van Leeuwen, P. A. et al. (2010). HIV and Sexual Risk Behavior among Commercial Sex Workers in the Netherlands. Arch Sex Behav, 39(14), 714–723. https://doi.org/https://doi.org/10.1007/s10508-008-9396-z

Vennila, S., & Sethuramalingam, V. (2020). Resilience and Life Satisfaction among Single Women Commercial Sex Workers in Chennai City. 21(2), 123–130.

Wariso, F. B., Ayalew, J., Barba, A., Bedassa, B. B., Ebo, G. G., Tura, J. B., Rameto, M., Belihu, W. B., Asfaw, D., Amogne, M. D., Negeri, L., Lulseged, S., & Abrahim, S. A. (2023). Determinants of sexually transmitted infections among female sex workers in Ethiopia: a count regression model approach. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1190085

Wondie, Y., Yigzaw, T., & Koester, L. (2019). Post-traumatic stress disorder, depression and substance abuse among female street-based sex workers in Addis Ababa. Ethiopian Renaissance Journal of Social Sciences and the Humanities, 6(1), 14–32.

Wong, M. L., & Chan, R. K. W. (1999). A prospective study of pharyngeal gonorrhoea and inconsistent condom use for oral sex among female brothel-based sex workers in Singapore. International Journal of STD and AIDS, 10(9), 595–599. https://doi.org/10.1258/0956462991914726

Worke, M. D., Koricha, Z. B., & Debelew, G. T. (2020). Prevalence of sexual violence in Ethiopian workplaces: systematic review and meta-analysis. Reproductive Health, 17(1), 1–15. https://doi.org/10.1186/s12978-020-01050-2

Wu, Y., Yu, W., Wu, X., Wan, H., Wang, Y., Lu, G., & Chen, C. (2020). The Role of Resilience and Coping Styles in Subjective Well-Being Among Chinese University Students. Asia-Pacific Education Researcher, 25(1), 1–11. https://doi.org/10.1186/s40359-020-00444-y

Yesuf, Y. M., Mekonnen, D., Teklu, H., & Kebede, S. A. (2023). Prevalence and correlates of anxiety and depression among female sex workers in Dire Dawa city Administration , Eastern Ethiopia Yassin Mohammed Yesuf ( PhD ) 1 * , Dawit Mekonnen ( PhD ) 2 , Hareg Teklu 3 , Sebsibew Atikaw Kebede ( PhD ) 4. 1–36. https://doi.org/: https://doi.org/10.1101/2023.02.03.23285415

Yuen, W. W. Y., Wong, W. C. W., Holroyd, E., & Tang, C. S. K. (2014a). Resilience in work-related stress among female sex workers in Hong Kong. Qualitative Health Research, 24(9), 1232–1241. https://doi.org/10.1177/1049732314544968

Yuen, W. W. Y., Wong, W. C. W., Holroyd, E., & Tang, C. S. K. (2014b). Resilience in work-related stress among female sex workers in Hong Kong. Qualitative Health Research, 24(9), 1232–1241. https://doi.org/10.1177/1049732314544968

Zehnder, M., Mutschler, J., Rössler, W., Rufer, M., & Rüsch, N. (2019). Stigma as a barrier to mental health service use among female sex workers in Switzerland. Frontiers in Psychiatry, 10(FEB), 7–9. https://doi.org/10.3389/fpsyt.2019.00032

Zhang, C., Hong, Y., Li, X., Qiao, S., Zhou, Y., & Su, S. (2015). Psychological Stressors in the Context of Commercial Sex Among Female Sex Workers in China. Health Care Women International, 36(7), 753–767. https://doi.org/10.1080/07399332.2013.838247

Zhou, X., Ma, Q., Pan, X., Chen, L., Wang, H., & Jiang, T. (2020). The prevalence and correlates of oral sex among low-tier female sex workers in Zhejiang province, China. PLoS ONE, 15(9 September), 1–14. https://doi.org/10.1371/journal.pone.0238822

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2025-06-06

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Tesfaw FA, Patel D. Psychosocial Challenges as Predictors of Life Satisfaction and Coping Strategies Among Female Sex Workers: A Mixed Design Study. J Neonatal Surg [Internet]. 2025Jun.6 [cited 2025Jun.20];14(31S):397-419. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7146