Feelings of entrapment and defeat mediate the association between self-esteem and depression among transgender women sex workers in China
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AbstractBackground: Transgender women sex workers have a high prevalence of depression. Low self-esteem and subsequent involuntary subordination (characterized by feelings of defeat and entrapment) are well-documented risk factors for depression. The object of the present study was to investigate the mediating effect of feelings of entrapment and defeat on the relationship between self-esteem and depression among transgender women sex workers in China.

Methods: A cross-sectional study was conducted in Shenyang and Guangzhou in 2017. Participants were 198 transgender women sex workers who completed a structured questionnaire assessing background characteristics, self-esteem, feelings of entrapment and defeat, and depression. Linear regression was used to test the mediation hypotheses.

Results: Of participants, 25.25% exhibited high levels of depression. Self-esteem scores were negatively correlated with depression scores (r = −0.54, p < 0.05, R2adj = 0.23), defeat scores (r = −1.68, p < 0.05, R2adj = 0.31), and entrapment scores (r = −1.67, p < 0.05, R2adj = 0.25). In the mediation hypothesis model, entrapment (r = 0.21, p < 0.05) and defeat (r = 0.08, p < 0.05) had a complete mediating effect on the relationship between self-esteem (Spearman’s r = −0.06, p = 0.36) and depression (R2adj = 0.61).

Conclusion: Feelings of entrapment and defeat mediated the association between self-esteem and depression. More focus is needed on monitoring feelings of defeat and entrapment among transgender women sex workers to mitigate the risk of depression.
All Author(s) ListRuijie Chang, Huwen Wang, Rui She, Shuxian Zhang, Lhakpa Tsamlag, Qiuming Shen, Yue Shi, Zixin Wang, Joseph T. F. Lau, Ying Wang, Yong Cai
Journal nameFrontiers in Psychology
Year2019
Month10
Day4
Volume Number10
Article number2241
ISSN1664-1078
LanguagesEnglish-United Kingdom

Last updated on 2020-21-03 at 23:31