{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:47:54Z","timestamp":1785844074786,"version":"3.56.0"},"reference-count":0,"publisher":"African Journal of Reproductive Health (AJRH)","issue":"14","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJRH"],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:p>Female sex workers (FSW) have increased likelihood of depressive symptoms, alcohol and drug dependence.  Analysis of cross-sectional baseline data from 407 women in a trial of menstrual cups was done to assess depressive symptoms (PHQ-9), alcohol (AUDIT) and drug dependence (DAST). Multinomial logistic regression identified factors associated with having 2 or 3 elevated scores, relative to having no elevated score. Median age was 27.3 years; 60% of the FSWs had less than secondary education, 41% had other jobs besides sex work, and over half (52.9%) reported experiencing sexual abuse during childhood. The prevalence of depressive symptoms was 20% (15% mild, 5% moderate or higher). One quarter (25%) of participants had some classification for alcohol dependence, and 15% were classified as having potentially hazardous drug dependence. Multiple problems were identified in 14.4% of participants. The results highlight the interconnectedness of mental health, drugs and alcohol use among FSWs in western Kenya.<\/jats:p>","DOI":"10.29063\/ajrh2026\/v30i14.9","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:35:03Z","timestamp":1785843303000},"page":"75-85","source":"Crossref","is-referenced-by-count":0,"title":["Depressive symptoms, alcohol, and drug dependence among female sex workers in Kisumu, Kenya: A cross-sectional study"],"prefix":"10.29063","volume":"30","author":[{"given":"Edyth A.","family":"Osire","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shehu S.","family":"Awandu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fredrick O.","family":"Otieno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garazi","family":"Zulaika","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Akinyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penelope A.","family":"Phillips-Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supriya D.","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11599","published-online":{"date-parts":[[2026,7,31]]},"container-title":["African Journal of Reproductive Health"],"original-title":[],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:35:07Z","timestamp":1785843307000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajrh.org\/index.php\/ajrh\/article\/view\/7189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":0,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2026,7,31]]},"published-print":{"date-parts":[[2026,7,31]]}},"URL":"https:\/\/doi.org\/10.29063\/ajrh2026\/v30i14.9","relation":{},"ISSN":["1118-4841","1118-4841"],"issn-type":[{"value":"1118-4841","type":"print"},{"value":"1118-4841","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}