DEPRESSION, ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) AND RISKY SEXUAL BEHAVIOUR AS PREDICTORS OF SUBSTANCE USE AMONG WOMEN IN SEX WORK (WSW)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 16
Abstract
BACKGROUND There is a substantial burden of substance use among WSW. Substance use in WSW leads to higher risky sexual behaviours and risk of sexually transmitted infections. This risk also is seen with comorbid depression and ADHD in this population. Thus, this study was conducted to study the factors predicting substance use among WSW with depression, ADHD and risky sexual behaviour. MATERIALS AND METHODS 246 consenting participants took part in the study after informed consent and Ethical Committee approval. They were administered a sociodemographic questionnaire, audit for alcohol use severity, ASRS for ADHD assessment and HIV Risk Behaviour Scale for risky sexual behaviour. Statistical analysis was done using SPSS V 19. RESULTS Those with substance use had higher income level, lower years of education than those without substance use (p= 0.03 and 0.05). Those with substance use had higher risky sexual behaviours than those without substance use (p= 0.03). They had inconsistent condom use, more than 5 partners in a single day, group sex which was more than those without substance use. Those with substance use had higher prevalence of risky sexual behaviour, ADHD and depression (p= 0.001). When logistic regression was used, we found that there were statistically significant odds (OR= 1.26 and 2.45) of predicting substance use using depression and risky sexual behaviour scores, but not ADHD. CONCLUSION Substance use is highly prevalent among WSM which is associated with depression, risky sexual behaviours and ADHD. Those with depression had higher odds of having substance use. Thus, it is important to screen for these comorbidities and design interventions for the same which would reduce medical and psychological morbidity in this population.
Authors and Affiliations
Kasthuri Pandiyan, Shankar Kumar
Keywords
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- EP ID EP414625
- DOI 10.14260/jemds/2018/442
- Views 108
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