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Health Care for Women International Volume 36, 2015 - Issue 7
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Articles

Psychological Stressors in the Context of Commercial Sex Among Female Sex Workers in China

Chen ZhangInstitute of Global Health, Vanderbilt University, Nashville, Tennessee, USACorrespondence[email protected]
,
Yan HongDepartment of Social and Behavioral Health; and School of Rural Public Health, Texas A&M Health Science Center, College Station, Texas, USA
,
Xiaoming LiCarman and Ann Adams Department of Pediatrics; and Prevention Research Center, Wayne State University School of Medicine, Detroit, Michigan, USA
,
Shan QiaoCarman and Ann Adams Department of Pediatrics; and Prevention Research Center, Wayne State University School of Medicine, Detroit, Michigan, USA
,
Yuejiao ZhouGuangxi Center for Disease Control and Prevention, Nanning, China
&
Shaobing SuCarman and Ann Adams Department of Pediatrics; and Prevention Research Center, Wayne State University School of Medicine, Detroit, Michigan, USA
Pages 753-767 | Received 06 Feb 2013, Accepted 30 Jul 2013, Published online: 01 Nov 2013
 
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Abstract

Because of the illegality and stigma associated with female sex workers (FSWs) in China, data were limited regarding their psychological stressors examined through the lens of occupational health. Analyzing qualitative data from 16 gatekeepers and 38 FSWs, we explored these stressors in the context of commercial sex in China. We found that FSWs faced a continuum of stressors that resulted from poverty, limited employment, lack of social protection, violence perpetrated by clients, and limited social support from peers and stable partners. We call for empowerment and a structural approach to address the needs of FSWs to improve their psychological well-being.

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