English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background  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,  R  2  adj  = 0.23), defeat scores ( r  = −1.68,  p  < 0.05,  R  2  adj  = 0.31), and entrapment scores ( r  = −1.67,  p  < 0.05,  R  2  adj  = 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 ( R  2  adj  = 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.

Feelings of Entrapment and Defeat Mediate the Association Between Self-Esteem and Depression Among Transgender Women Sex Workers in China