Objectives: The objective of this study was to compare the mental and physi
cal health, adult abuse experiences and social networks of female sex worke
rs with data previously collected from two large community samples of age-m
atched women.
Method: A convenience sample of sex workers were interviewed and completed
two well-established questionnaires, the General Health Questionnaire (GHQ-
28) and the Intimate Bond Measure (IBM). Sex workers were invited to reflec
t on their experiences of their work.
Results: There were no differences in mental health on the GHQ-28 or in sel
f-esteem (measured by an item on the Present State Examination) between the
two groups. Neither were there any differences in their assessment of thei
r physical health or the quality of their social networks. Sex workers were
less likely to be married and had been exposed to more adult physical and
sexual abuse than the comparison group. They were more likely to smoke and
to drink heavily when they drank. One-third said that their general practit
ioner was not aware of their work. A subgroup not working with regular clie
nts or in a massage parlour had higher GHQ-28 scores and may be an at-risk
group. Narrative information about the work, particularly its intermittent
nature, is presented.
Conclusions: No evidence was found that sex work and increased adult psychi
atric morbidity are inevitably associated, although there may be subgroups
of workers with particular problems. The illegal and stigmatized nature of
sex work are likely to make usual public health strategies more difficult t
o apply, considerations which should give concern from a preventive health
standpoint.