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Table 2 Multivariable logistic regression – associations with depression and/or anxiety

From: Prevalence and correlates of common mental health problems and recent suicidal thoughts and behaviours among female sex workers in Nairobi, Kenya

 

Crude OR (95% CI)

Adjusted OR (95% CI)

P-value

Model 1a

Adverse family/household experienceb

2.54 (1.45–4.48)

1.86 (1.03–3.36)

0.04

Experience of war/community violence

2.74 (1.48–5.09)

1.89 (0.99–3.60)

0.05

Experienced sexual or physical violence in childhood

3.06 (1.95–4.80)

2.06 (1.25–3.38)

0.004

Experienced emotional abuse in childhood

2.35 (1.66–3.32)

1.53 (1.05–2.22)

0.03

Street homeless as a child

1.73 (1.16–2.58)

1.45 (0.95–2.22)

0.08

Number of ACEs

≤4

1.0

1.0

 
 

5–8

2.29 (1.52–3.44)

2.22 (1.47–3.34)

 
 

9–12

7.09 (4.46–11.3)

7.00 (4.36–11.25)

< 0.001

Age

< 25

1.0

1.0

 
 

25–34

1.43 (0.94–2.18)

1.54 (0.97–2.46)

 
 

35+

1.76 (1.18–2.63)

2.08 (1.31–3.30)

0.007

Model 2

Additional income to sex work

1.49 (1.12–1.98)

1.76 (1.25–2.49)

0.001

Hunger (skipped a meal in the last 7 days)

2.70 (2.01–3.62)

1.63 (1.13–2.36)

0.009

Social support (someone to talk to about current problems)

0.66 (0.48–0.89)

0.59 (0.41–0.85)

0.005

Reports death of a child

1.78 (1.21–2.68)

1.62 (1.00–2.62)

0.05

Non-consensual first sex

2.29 (1.71–3.07)

1.90 (1.35–2.67)

< 0.001

Perceived sex work stigma

4.13 (2.25–7.58)

3.44 (1.77–6.66)

< 0.001

Model 3a

Recent sexual and/or physical violence non IP

2.24 (1.65–3.03)

1.46 (1.00–2.15)

0.05

Model 3b

Alcohol use problem

4.04 (2.98–5.48)

2.67 (1.83–3.88)

< 0.001

Other substance use problem

2.53 (1.89–3.40)

1.91 (1.29–2.81)

0.001

  1. aModel 1 adjusted for level 1 variables (age, literacy, religion, socio-economic status) and clinic
  2. Model 2 adjusted for all level 1 (cumulative ACEs, literacy, religion, SES) and level 2 variables (including marital status, no. of children, condom use at last sex with client, reported anal sex, place of selling sex, HIV status, any STIs, previous abortion/stillbirth).
  3. Model 3a adjusted for level 1, 2 and 3a variables (including violence from IPs and arrest).
  4. Model 3b adjusted for level 1, 2 and 3b variables.
  5. bat least one of: household member or guardian depressed/suicidal, household member/guardian arrested, household member/guardian had an alcohol use problem, parental death, parental divorce/separation.