Skip to main content

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