Sex Work and Mental Health: A Study of Women in the Netherlands
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This study examined how characteristics of prostitution and quality-of-life factors related to symptoms of depression and post-traumatic stress among 88 women engaged in prostitution in the Netherlands. Numerous factors were associated with elevated mental health concerns, including the experience of violence in prostitution, engaging in street prostitution, being motivated to engage in prostitution for financial reasons, having less confidence in one’s ability to find alternative work, desiring to leave prostitution, and sense of self-transcendence. In contrast, focusing on achievement, having a sense of fair treatment from others and society, and self-acceptance were associated with better mental health outcomes. Finally, mediation analyses indicated that post-traumatic stress associated with engaging in prostitution against one’s deeper desire to exit prostitution was, in part, the result of a lack of self-acceptance. The analyses controlled for relevant demographic factors, including age and level of education. The effect sizes for each of the findings ranged from medium to large. Implications for mental health care and public policy are included.
KeywordsProstitution Depression Post-traumatic stress Mental health Quality of life
- Barry, K. (1995). The prostitution of sexuality. New York: New York University Press.Google Scholar
- Beekman, A. T. F., van Limbeek, J., Deeg, D. J. H., Wouters, L., & van Tilburg, W. (1994). Een screeningsinstrument voor depressive bij ouderen in de algemene bevolking: De bruikbaarheid van de Center for Epidemiologic Studies Depression Scale (CES-D). Tijdschrift voor Gerontologie en Geriatrie, 25, 95–103.PubMedGoogle Scholar
- Burnette, M. L., Lucas, E., Ilgen, M., Frayne, S. M., Mayo, J., & Weitlauf, J. C. (2008). Prevalence and health correlates of prostitution among patients entering treatment for substance use disorders. Archives of General Psychiatry, 65, 337–344. doi: 10.1001/archpsyc.65.3.337.CrossRefPubMedGoogle Scholar
- Dutch Ministry of Foreign Affairs. (2012). Dutch Policy on Prostitution (AVT12/BZ106006). The Hague: Dutch Ministry of Foreign Affairs.Google Scholar
- El-Bassel, N., Schilling, R. F., Irwin, K. L., Faruque, S., Gilbert, L., Von Bargen, J., … Edlin, B. R. (1997). Sex trading and psychological distress among women recruited from the streets of Harlem. American Journal of Public Health, 87, 66––70. doi: 10.2105/AJPH.87.1.66.
- Farley, M. (2006). Prostitution, trafficking, and cultural amnesia: What we must not know in order to keep the business of sexual exploitation running smoothly. Yale Journal of Law and Feminism, 18, 101–136.Google Scholar
- Farley, M., Cotton, A., Lynne, J., Zumbeck, S., Spiwak, F., Reyes, M. E., … Sezgin, U. (2003). Prostitution and trafficking in nine countries: An update on violence and posttraumatic stress disorder. Journal of Trauma Practice, 2, 33–74.Google Scholar
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford.Google Scholar
- Krumrei, E. J., & Fitzgerald, K. (2013, August). The psychological correlates of engaging in prostitution. Poster presented at the meeting of the American Psychological Association, Honolulu, HI.Google Scholar
- McDonald, M. J., Wong, P. T. P., & Gingras, D. T. (2012). Meaning-in-life measures and development of a brief version of the personal meaning profile. In P. T. P. Wong (Ed.), The human quest for meaning: Theories, research, and applications (Vol. 2, pp. 357–382). New York: Routledge.Google Scholar
- Prostitution: A personal choice. (2014, August 9). The Economist, 412, 9.Google Scholar
- Prostitution and the internet: More bang for your buck. (2014, August 9). The Economist, 412, 16.Google Scholar
- Simmons, M. (1998). Theorizing prostitution: The question of agency. Sexuality and Culture, 2, 125–148.Google Scholar
- Ulibarri, M. D., Semple, S. J., Rao, S., Strathdee, S. A., Fraga-Vallejo, M. A., Bucardo, J., … Patterson, T. L. (2009). History of abuse and psychological distress symptoms among female sex workers in two Mexico–U.S. border cities. Violence and Victims, 24, 399–413. doi: 10.1891/0886-6708.24.3.399.
- Vanwesenbeeck, I., de Graaf, R., van Zessen, G., Straver, C. J., & Visser, J. H. (1993). Risky life, risky business? Aidsrisico van prostitutes in het light van geweldervaringen en welzijn. Gedrag & Gezondheid: Tijdschrift voor Psychologie en Gezondheid, 21, 219–226.Google Scholar
- Weiss, D. S. (2004). The Impact of Event Scale-Revised. In J. P. Wilson, T. M. Keane, J. P. Wilson, & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (2nd ed., pp. 168–189). New York: Guilford Press.Google Scholar
- Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD: A practitioner’s handbook (pp. 399–411). New York: Guilford Press.Google Scholar