HEALTH OF HOME-BASED SEX WORKERS AND THEIR CHILDREN IN RURAL ANDHRA PRADESH, INDIA

This study uses secondary data from 2006 to assess the physical and mental health of rural, home-based sex workers and their young children in rural Andhra Pradesh state of India. The analyses of survey and clinical data show a high level of morbidity amongst sex worker women and their children. Women show high levels of nutritional deficiencies, anaemia, weight loss and hospitalisation. Women's mental health is particularly serious, with 92 per cent being depressed and 57 per cent having attempted suicide. The majority have experienced domestic and work-related violence, including rape. Clinical assessments of sex workers’ children show that most have received vaccinations, but almost half have parasites, dental problems and nutritional deficiencies. Both the physical and mental health of sex worker mothers are associated with the health of their children. Therefore, health interventions focusing on sex worker mothers have the potential to improve the health of their children.

[1]  Mark J. Ommerborn,et al.  Children of female sex workers and drug users: a review of vulnerability, resilience and family-centred models of care , 2010, Journal of the International AIDS Society.

[2]  M. Laga,et al.  The importance of sex-worker interventions: the case of Avahan in India , 2010, Sexually Transmitted Infections.

[3]  S. Moses,et al.  Determinants of HIV prevalence among female sex workers in four south Indian states: analysis of cross-sectional surveys in twenty-three districts , 2008, AIDS.

[4]  D. Shaw,et al.  Social determinants of health, 2nd edn , 2008 .

[5]  G. Pardeshi,et al.  Child rearing practices amongst brothel based commercial sex workers. , 2006, Indian Journal of Medical Sciences.

[6]  L. Dandona,et al.  Demography and sex work characteristics of female sex workers in India , 2006, BMC International Health and Human Rights.

[7]  K. Bletzer Sex workers in agricultural areas: Their drugs, their children , 2005, Culture, health & sexuality.

[8]  L. Dandona,et al.  High risk of HIV in non-brothel based female sex workers in India , 2005, BMC public health.

[9]  S. Moses,et al.  Understanding the social and cultural contexts of female sex workers in Karnataka, India: implications for prevention of HIV infection. , 2005, The Journal of infectious diseases.

[10]  S. Moses,et al.  Dhandha, dharma and disease: traditional sex work and HIV/AIDS in rural India. , 2004, Social science & medicine.

[11]  G. Harper,et al.  When Street Sex Workers Are Mothers , 2004, Archives of sexual behavior.

[12]  D. Swendeman,et al.  HIV Prevention Among Sex Workers in India , 2004, Journal of acquired immune deficiency syndromes.

[13]  W. Wong,et al.  The health of female sex workers in Hong Kong: do we care? , 2003, Hong Kong medical journal = Xianggang yi xue za zhi.

[14]  E. Kabiru,et al.  Childcare practices of commercial sex workers. , 2002, East African medical journal.