ArticleJournal of affective disorders2026
Depression and quality of life among Thai and migrant sex workers in Thailand: a cross-sectional study.
Article in Journal of affective disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSex workers often face discrimination and mental health challenges including depression and quality of life particularly in Thailand. This study aims to assess the prevalence of depression, evaluate quality of life, and associated factors among Thai and migrant sex workers.
methodsA cross-sectional study was conducted in Chiang Mai, Thailand, from March and October 2022. Data were collected using a structured, computer-based questionnaire administered by trained interviewer. Depression was assessed using the Thai Patient health questionnaire (PHQ-9), and quality of life was measured with WHOQOL-BREF-Thai. Participants included Thai and migrant adult sex workers.
resultsAmong 200 participants, 72.5 % (n = 145) were Thai and 27.5 % (n = 55) were migrants. Depression was reported by 11.0 % (n = 16) of Thai sex workers, while there were no reported cases migrant sex workers. Additionally, 72.4 % (n = 105) of Thai and 78.2 % (n = 43) of migrant sex workers reported overall poor quality of life, with no significant differences between the two groups. Key factors independently associated with overall poor quality of life included insufficient monthly income (aOR = 3.69, 95 % CI = 1.50-9.12, p = 0.005) while using foreign worker health insurance (aOR = 0.06, 95 % CI 0.01-0.59, p = 0.016) lower the risk. Insufficient monthly income (aOR = 2.96, 95 % CI = 1.09-8.04, p = 0.034) and a history of sexually transmitted infections (aOR = 2.26, 95 % CI 1.12-4.60, p = 0.024) were associated with higher risk of depression.
conclusionsMajority of Thai and migrant sex workers reported poor quality of life, whereas a minority of Thai experienced depression. Insufficient income increased the risk of both. Tailored social support and socioeconomic interventions are essential to improving their well-being.
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