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BioMed Research International
Volume 2016, Article ID 6986173, 8 pages
Research Article

Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study

1Guangdong Provincial Center for Skin Disease and STI Control, Guangzhou, Guangdong 510091, China
2School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510085, China
3Kirby Institute, The University of New South Wales, Sydney, NSW 2052, Australia
4Guangdong Pharmaceutical University, Guangzhou, Guangdong 511430, China
5University of North Carolina Project-China, Guangzhou, Guangdong, 510091, China

Received 10 August 2016; Accepted 26 October 2016

Academic Editor: Abdulbari Bener

Copyright © 2016 Hongcheng Shen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China. Method. We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets in Guangdong, China, in 2014. Information on demographic characteristics, HIV testing history, and sexual behaviors was collected using a questionnaire. A blood sample was collected to test for HIV, syphilis, and HCV. A participant was defined as being depressed if she obtained 6 points or above using the 12-item General Health Questionnaire. Results. Among the 653 participants, 41.7% were 21–30 years old and 43.6% married. Overall, 52.4% were found to be depressed. FSWs who had correct syphilis related knowledge [aOR = 1.45; 95% CI: 1.04–2.03] and had primary sex partner (1.63, 1.14–2.33) were more likely to be depressed. FSWs who did not use a condom during their last sex with the primary sex partner were less likely to be depressed (0.47, 0.31–0.71). Conclusion. Our study observed high level of depression and HIV risk behaviors among Chinese FSWs. Future interventions should integrate mental health services in comprehensive interventions to prevent depression among Chinese FSWs.