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首页> 外文期刊>Journal of sex research >Confirmatory Factor Analysis and Construct Validity of the Internalized Sex Work Stigma Scale among a Cohort of Cisgender Female Sex Workers in Baltimore, Maryland, United States
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Confirmatory Factor Analysis and Construct Validity of the Internalized Sex Work Stigma Scale among a Cohort of Cisgender Female Sex Workers in Baltimore, Maryland, United States

机译：在美国马里兰州巴尔的海的Cisgender女性性工作者队列中内化性工作耻辱级的确认因素分析与构建有效性

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摘要

Internalized sex work stigma among cisgender female sex workers (FSW) is produced within contexts of social marginalization and associated with a range of ill-effects, including psychological distress, and lower rates of healthcare-seeking. This study seeks to uncover latent domains of the new Internalized Sex Work Stigma Scale (ISWSS) using data from 367 FSW in Baltimore, Maryland, USA. The sample was 56% white with high substance use (82% smoked crack cocaine, 58% injected any drug). The average ISWSS score was 34.8 (s.d. = 5.8, possible range: 12-48) and internal consistency was high (0.82). Confirmatory factor analysis revealed four subscales: worthlessness, guilt and shame, stigma acceptance, and sex work illegitimacy. Internal consistency of subscales was high (0.69-0.90); the scale also demonstrated construct validity with depression and agency. In bivariate logistic regressions, higher ISWSS, worthlessness, shame and guilt, and acceptance scores predicted higher odds of rushing client negotiations due to police. In unadjusted multinomial regressions, feeling respected by police predicted lower ISWSS, worthlessness, guilt and shame, acceptance, and illegitimacy scores. Identified factors are congruent with existing literature about how FSW manage sex work-specific stigma. Understanding the unique dimensions and impacts of internalized sex work stigma can inform interventions and policy to reduce morbidities experienced by FSW.
机译：女性性工作者（FSW）中的内化性工作污名是在社会边缘化的背景下产生的，并与一系列不良影响有关，包括心理困扰和寻求医疗保健的比率较低。这项研究试图利用美国马里兰州巴尔的摩367名性工作者的数据，揭示新的内化性工作污名量表（ISWSS）的潜在领域。样本中56%是白人，物质使用率高（82%吸食快克可卡因，58%注射任何药物）。ISWSS平均得分为34.8（标准差=5.8，可能范围：12-48），内部一致性较高（0.82）。验证性因素分析揭示了四个分量表：无价值、内疚和羞耻、污名接受和性工作非法性。各分量表的内部一致性较高（0.69-0.90）；该量表还显示了抑郁和代理的结构效度。在双变量逻辑回归中，ISWSS、无价值、羞耻感和内疚感以及接受度得分越高，预测因警察而匆忙与客户谈判的几率越高。在未经调整的多项式回归中，被警察尊重的感觉预测ISWSS、无价值、内疚和羞耻、接受和非法性得分较低。确定的因素与FSW如何管理性工作特定污名的现有文献一致。了解内化性工作污名的独特维度和影响，可以为干预措施和政策提供信息，以减少FSW的发病率。

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  • 来源
    《Journal of sex research》 |2021年第6期|共11页
  • 作者

    Tomko Catherine; Nestadt Danielle Friedman; Rouhani Saba; Silberzahn Bradley E.; Haney Katherine; Park Ju Nyeong; Galai Noya; Logie Carmen H.; Sherman Susan G.;

  • 作者单位

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

    Johns Hopkins Bloomberg Sch Publ Hlth Epidemiol Baltimore MD 21205 USA;

    Univ Toronto Factor Inwentash Fac Social Work Toronto ON Canada;

    Johns Hopkins Bloomberg Sch Publ Hlth Hlth Behav &

    Soc 624 N Broadway St Hampton House 180;

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  • 正文语种 eng
  • 中图分类 性卫生;
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