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Threats during sex work and association with mental health among young female sex workers in Hong Kong

机译：香港年轻女性性交工中性能与心理健康联系的威胁

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Young female sex workers (YFSWs) are confronted with significant threats during sex work. The present cross-sectional study examined different levels of threats (i.e., threats to life and health, threats to humanity, threats to control of work and financial security, and the threats to future) experienced by 87 YFSWs (age 16-25) in Hong Kong, and identified their association with mental health (i.e., psychological well-being) together with other factors, including childhood trauma, self-efficacy, hope, and social support. Results showed that the participants encountered a significant number of threats. More than half reported that they had a condom removed by clients during sex (51.7%); or have been humililated by clients (51.7%). Because of sex work, about a quarter (25.3%) have had sexually transmitted disease, and respectively 10.3% and 12.6% have had abortion and unplanned pregnancy. The majority have had friends found out that they engaged in sex work (72.4%). They also showed a high level of worry about the various threats. Multiple linear regression analysis showed that childhood trauma (=-.26) and worry about threats during sex work (=-.22) were significantly negative predictors, while self-efficacy (=.20) and hope (=.27) were significantly positive predictors of mental health. Future services should improve YFSWs' skills to minimize potential threats during female sex work, address the structural correlates and relieve their worries, and empower them with more hope and self-efficacy in choosing clients.
机译：年轻的女性性工作者（YFSWS）面对性工作中的重大威胁。目前的横截面研究检测了不同水平的威胁（即，对生命和健康的威胁，对人类的威胁，控制工作和财务安全的威胁，以及87 YFSWS（16-25岁）所经历的对未来的威胁香港，并将其与心理健康（即心理福祉）与其他因素一起确定，包括儿童创伤，自我效能，希望和社会支持。结果表明，参与者遇到了大量威胁。超过一半报告说，他们在性交期间拆除了避孕套（51.7％）;或者被客户羞辱（51.7％）。由于性工作，大约四分之一（25.3％）已经发生了性传播疾病，分别为10.3％和12.6％患有流产和计划生意外的怀孕。大多数人都有朋友发现他们从事性工作（72.4％）。他们还表现出对各种威胁的高度担忧。多元线性回归分析显示儿童创伤（= - 。26）并担心性工作期间的威胁（= - .22）是显着的消极预测因子，而自我效能（= .20）和希望（= .27）显着心理健康的积极预测因素。未来的服务应该提高YFSWS的技能，以尽量减少女性性工作期间的潜在威胁，解决结构性相关性并减轻其担忧，并在选择客户时更有希望和自我效能。

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