ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Resilience among Cisgender and Transgender Women in Street-Based Sex Work in Baltimore, Maryland.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Global Prevalence of Sexual Violence Among Cisgender Female Sex Workers: A Comprehensive Systematic Review and Meta-Analysis.Archives of sexual behavior · 2026Pooled it
- Structural Vulnerability and Police Interaction among Women Who Use Drugs amid De Facto Decriminalization in Baltimore, Maryland.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Age-disparate experiences and incidence of gender-based violence victimization of transgender women: findings from a cohort study in eastern and southern United States.Lancet regional health. Americas · 2026Article
- Characterizing the Prevalence and Perpetrators of Documented Fatal Violence Against Black Transgender Women in the United States (2013-2021).Violence against women · 2025Article
- Exploring Perceptions and Experiences of Health Needs Among Women Who Sell Sex.Archives of sexual behavior · 2025Article
- Examining the association between psychological resilience and chronic versus discrete stressors among individuals who use opioids in Baltimore, Maryland.Drug and alcohol review · 2025Article
- Intersecting Sexual Behavior and Gender Identity Stigmas Among Transgender Women in the United States: Burden and Associations with Sexual Health.AIDS and behavior · 2023Article
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- History of Sex Work Is Associated with Increased Risk of Adverse Mental Health and Substance Use Outcomes in Transgender Adults.International journal of environmental research and public health · 2022Article
- External resilience in the context of drug use and socio-structural vulnerabilities: a qualitative exploration among women who use drugs and sell sex in Baltimore, Maryland.Harm reduction journal · 2022Article
- The transgender-specific intimate partner violence scale for research and practice: Validation in a sample of transgender women.Social science & medicine (1982) · 2021Article
- Examining biopsychosocial predictors of risk for cognitive impairment among a racially diverse sample of men who have sex with men living with HIV.Therapeutic advances in infectious diseaseArticle
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Authors and funding
8 authors at 3 institutions in 1 country.
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Abstract
introductionResilience represents adaptability and empowerment and can buffer against the consequences of traumatic events. Cisgender and transgender women in street-based sex work are at high risk for trauma, yet data on their resilience are sparse. A clearer understanding of resilience and its correlates is useful for informing sex worker-centered interventions.
methodsUsing the Connor-Davidson 10-item Resilience Scale (range, 0-40), we describe resilience among 165 cisgender and 42 transgender street-based women sex workers in Baltimore, Maryland. Longitudinal cohort data were used to examine correlates of resilience in each population. Analyses are conducted using multiple linear regression.
resultsThe mean resilience score was 24.2 (95% confidence interval, 23.6-24.8) among cisgender women sex workers and 32.2 among transgender women sex workers (95% confidence interval, 30.8-32.7). Among cisgender participants, positive correlates of resilience were being Black, Hispanic, or other race (ß = 2.7; p = .004), having housing (ß = 1.9; p = .034), social cohesion score (ß = 0.18; p = .047), and daily drug injection (ß = 3.7; p < .001); negative correlates of resilience were sexual violence (ß = -4.8; p = .006) and exposure to egregious police acts (ß = -0.6; p = .015). Among transgender participants, higher education level (ß = 8.8; p < .001), food security (ß = 3.5; p = .005), and housing stability (ß = 2.0; p < .001) were associated with increased resilience, and daily noninjection drug use (excluding marijuana; ß = -3.3; p < .001) and physical violence (ß = -2.9; p < .001) were associated with reduced resilience.
conclusionsThis study is the first to characterize factors that may influence resilience among cisgender and transgender women sex workers. Results highlight tangible intervention targets for promoting mental health and safety among a uniquely vulnerable population of women.
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