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The Unanticipated Benefits of Behavioral Assessments and Interviews on Anxiety, Self-Esteem and Depression Among Women Engaging in Transactional Sex

Community Mental Health Journal volume 52, pages 1064–1069 (2016)Cite this article

Abstract

Women engaging in transactional sex have disproportional mental health co-morbidity and face substantial barriers to accessing social services. We hypothesized that participation in a longitudinal research study, with no overt intervention, would lead to short-term mental health improvements. For 4-weeks, 24 women disclosed information about their lives via twice daily cell-phone diaries and weekly interviews. We used t tests to compare self-esteem, anxiety, and depression at baseline and exit. Tests were repeated for hypothesized effect modifiers (e.g., substance abuse severity; age of sex work debut). For particularly vulnerable women (e.g., less educated, histories of abuse, younger initiation of sex work) participation in research conferred unanticipated mental health benefits. Positive interactions with researchers, as well as discussing lived experiences, may explain these effects. Additional studies are needed to confirm findings and identify mechanisms of change. This work contributes to the growing body of literature documenting that study participation improves mental health.

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Acknowledgments

The authors would like to thank the Bethlehem House, Indianapolis Community Court, Marion County Public Health Department’s Bell Flower Clinic, and Step Up Inc. for their invaluable support in conducting this study. Funding was provided by the Indiana University Purdue University Indianapolis Center for Urban Health and NIDA training grant (T32 DA 023356).

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Authors and Affiliations

  1. Mel and Enid Zuckerman College of Public Health, Epidemiology and Biostatistics Division, University of Arizona, Tucson, AZ, USA

    Jayleen K. L. Gunn

  2. Department of Community Health and Prevention, Drexel School of Public Health, 3215 Market Street, Room 435, Philadelphia, PA, 19104, USA

    Alexis M. Roth

  3. Department of Obstetrics and Gynecology, University of Arizona College of Medicine, Tucson, AZ, USA

    Katherine E. Center

  4. Division of Children’s Health Services Research, Indiana University School of Medicine, Indianapolis, IN, USA

    Sarah E. Wiehe

Authors
  1. Jayleen K. L. Gunn
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  2. Alexis M. Roth
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  3. Katherine E. Center
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  4. Sarah E. Wiehe
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Correspondence to Alexis M. Roth.

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Gunn, J.K.L., Roth, A.M., Center, K.E. et al. The Unanticipated Benefits of Behavioral Assessments and Interviews on Anxiety, Self-Esteem and Depression Among Women Engaging in Transactional Sex. Community Ment Health J 52, 1064–1069 (2016). https://doi.org/10.1007/s10597-015-9844-x

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  • DOI: https://doi.org/10.1007/s10597-015-9844-x

Keywords

  • Sex worker
  • Cell phones
  • Depression
  • Self-esteem
  • Anxiety