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• W2000653108 abstract "Female injection drug users who are also sex workers (FSW-IDUs) occupy a pivotal population in HIV transmission, whereas their mental health problems are largely overlooked. We aimed to investigate prevalence and associated socio-ecological factors of depression, suicidal ideation and suicidal attempts among FSW-IDUs in China. Using snowball sampling methods, 200 FSW-IDUs were recruited from communities in Liuzhou, China. Anonymous face-to-face interviews were administered by trained doctors. Thirty-nine percent of participants had severe or extremely severe depression, 44.7% had suicidal ideation in the last six months and 26.8% had suicidal attempts in the last six months. After adjusting for background variables, self-stigma was significantly associated with severe or extremely severe depression (OR = 1.18, 95% CI: 1.07–1.31). Self-stigma (OR = 1.08, 95% CI: 1.01–1.15), depression (OR = 1.11, 95% CI: 1.05–1.18), having completely broken up with family (OR = 2.60, 95% CI: 1.35–5.02) and having been abused by clients or gatekeepers (OR = 2.15, 95% CI: 1.32–3.50) were associated with suicidal ideation in the last six months, while self-stigma (OR = 1.03, 95% CI: 1.10–1.16), depression (OR = 1.12, 95% CI: 1.04–1.20) and being abused by clients or gatekeepers (OR = 2.15, 95% CI: 1.09–4.24) were associated with suicidal attempt in the last six months. In mediation analyses, the associations between self-stigma and the two suicidal outcomes were fully mediated by depression. There are unmet mental health needs of FSW-IDUs. Screening of mental health problems should be integrated into current HIV-related services. Psychological intervention efforts should include components such as self-stigma, family support and abuse." @default.
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• W2000653108 date "2014-11-01" @default.
• W2000653108 modified "2023-10-18" @default.
• W2000653108 title "Socio-ecological factors associated with depression, suicidal ideation and suicidal attempt among female injection drug users who are sex workers in China" @default.
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• W2000653108 doi "https://doi.org/10.1016/j.drugalcdep.2014.08.011" @default.
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