Skip to main content

Table 2 Prevalence of social and structural correlates and associations with depression among female sex workers living with HIV in Durban, South Africa (n = 1,384)

From: Prevalence of depression, syndemic factors and their impact on viral suppression among female sex workers living with HIV in eThekwini, South Africa

 

Overall proportion with exposure (n = 1,384)

Crude PR for Depression (95% Cl)

p-value

 

n (%)

  

HIV / AIDS

Years since HIV diagnosis **

 1 year or less

204 (14.8)

REF

 

 1 to 5 years

531 (38.4)

0.85 (0.68, 1.06)

0.15

 Greater than 5 years

649 (46.8)

0.97 (0.78, 1.20)

0.77

Violence

Physical Violence#

 Never or not in the last 6 months

638 (46.4)

REF

 

 1–5 times in the last 6 months

638 (46.4)

1.36 (1.16, 1.60)

 < 0.01

 More than 5 times in the last 6 months

97 (7.2)

1.84 (1.44, 2.33)

 < 0.01

 Ever experienced sexual violence (rape)

520 (37.6)

1.64 (1.41, 1.90)

 < 0.01

Negative Psychological and Social Factors

 Homeless##

412 (29.9)

1.11 (0.95, 1.31)

0.18

 Low Social Support vs High/medium social support

480 (34.7)

1.01 (0.86, 1.18)

0.92

 Illicit drug use within the last month+

866 (63.6)

1.27 (1.08, 1.49)

 < 0.01

AUDIT-C Risk Category¥

 Low Risk

399 (40.1)

REF

 

 Moderate to high risk

261 (26.3)

1.06 (0.86, 1.30)

0.59

 Severe Risk

334 (33.6)

1.22 (1.02, 1.46)

0.03

Years involved in sex work

 5 years or less

585 (42.3)

REF

 

 More than 5 years

799 (57.7)

0.97 (0.83, 1.13)

0.73

Median [IQR]

Stigma‡

 Anticipated Stigma

1 [0,1]

1.05 (1.00, 1.11)

0.05

 Perceived Stigma

1 [0,1]

1.01 (0.96, 1.07)

0.70

 Enacted Stigma

1 [0,1]

1.02 (0.96, 1.10)

0.43

 Internalized Stigma

1 [0,2]

1.13 (1.04, 1.19)

0.01

  1. PR = Prevalence ratio; estimated from modified robust Poisson regression models; Depression is defined as a PHQ score ≥ 10
  2. **missing for n = 21; # missing for n = 11; ## missing for n = 2; + missing for n = 23; ¥ Missing full Audit-C for n = 390 participants due to randomly administered survey error; ‡Stigma was measured as a continuous score. Anticipated stigma was comprised of 6 items, perceived stigma 9 items, enacted stigma 13 items, and internalized stigma 3 items (Table A1)