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Table 2 Bivariate and multivariable analyses of factors correlated with mental health diagnoses among sex workers in Vancouver, Canada, 2010–2013 (n=692)

From: Burden and correlates of mental health diagnoses among sex workers in an urban setting

Characteristic

Unadjusted Odds Ratio (95% CI)

p-value

Adjusted Odds Ratio (95% CI)

p-value

Individual Biological and Behavioural Factors

 Indigenous ancestry

2.11 (1.54 – 2.89)

<0.001

  

 Sexual/gender minoritya

3.79 (2.61 – 5.51)

<0.001

2.56 (1.72 – 3.81)

<0.001

 High school attainment or greater

0.61 (0.45 – 0.82)

0.001

  

 Non-injection drug useb

4.86 (3.37 – 7.01)

<0.001

1.85 (1.12 – 3.08)

0.017

 Injection drug useb

2.52 (1.84 – 3.45)

<0.001

  

Partner/Interpersonal Risks

 Inconsistent condom useb

2.84 (1.87 – 4.30)

<0.001

  

 Having sex while highb

3.51 (2.54 – 4.86)

<0.001

  

 Exchanging sex for drugsb

2.21 (1.58 – 3.09)

<0.001

  

 Physical/sexual violence by intimate partnerb

1.89 (1.30 – 2.74)

0.001

  

 Physical/sexual violence by clientb

2.70 (1.87 – 3.92)

<0.001

  

Structural Determinants

 Recent homelessnessb

1.93 (1.39 – 2.68)

<0.001

  

 Childhood traumav

5.20 (3.56 – 7.61)

<0.001

2.90 (1.89 – 4.45)

<0.001

 Police harassmentb

1.78 (1.31 – 2.42)

<0.001

  

 Primary place of serviceb

  Formal indoor establishment/brothel (Reference)

    

  Informal indoor establishment

5.36 (3.44 – 8.34)

<0.001

1.94 (1.11 – 3.40)

0.021

  Outdoor/public space

4.70 (3.16 – 6.97)

<0.001

1.76 (1.03 – 2.99)

0.038

  1. aDefined as ‘yes’ to any of ‘gay’, ‘lesbian’, ‘bisexual’, ‘transgender’, ‘transsexual’, ‘two-spirited’, ‘other’
  2. bIn the last six months
  3. cPhysical or sexual assault before age 18
  4. MH – mental health; p-value reported for bivariate correlation between MH yes and variable, p<0.05 for inclusion in multivariate model