RISK OF DEPRESSION AND ANXIETY AMONG FEMALE SEX WORKERS (FSWS) LIVING WITH HIV AND UNDERGOING HIV TREATMENT AT WM MEDIKA CLINIC, KERTI PRAJA FOUNDATION

Abstract

Background: Human Immunodeficiency Virus (HIV) attacks the immune system, and over 39 million people worldwide are currently living with HIV. Female Sex Workers (FSWs) are a key population highly vulnerable not only to HIV infection but also to psychosocial stressors stemming from their occupation and health status. These factors increase the risk of depressive and anxiety disorders. This study aims to identify the risks of depression and anxiety disorders and to describe the demographic and social characteristics of FSWs living with HIV.

Methods: This study employed a descriptive cross-sectional design involving 50 respondents selected through consecutive sampling. Inclusion criteria included FSWs living with HIV, aged ≥18 years, and diagnosed with HIV for at least six months. Depression risk was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D), and anxiety risk was measured with the Generalized Anxiety Disorder 7-item (GAD-7) scale. Sociodemographic characteristics were collected via questionnaire and analyzed using univariate and bivariate methods.

Results: A total of 92% of respondents were at high risk of clinical depression, and 50% experienced moderate to severe anxiety. The highest risks were found among those aged 18–24 years, divorced, with higher education, working as FSWs for less than five years, and having histories of violence, social stigma, and low social support.

Conclusions: FSWs living with HIV are highly vulnerable to psychological disorders. Comprehensive psychosocial interventions are needed to improve their mental health outcomes.