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eISSN: 1643-3750

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Mental Health and Sexual Identity in a Sample of Male Sex Workers in the Czech Republic

Michael Bar-Johnson, Petr Weiss

(First Medical Faculty, Charles University, Prague, Czech Republic)

Med Sci Monit 2014; 20:1682-1686

DOI: 10.12659/MSM.891092


Background: Previous qualitative research has examined male sex workers in the Czech Republic, but this mapping study is the first to investigate male sex work in a quantitative research design and focus on the mental health of these sex workers. This study also examines male sex workers’ mental health problems in relation to their sexual identity or orientation.
Material and Methods: A sample of Czech male sex workers (N=40) were examined on a range of sexual and psychological variables using a quantitative survey administered face-to-face. The study employed locally validated versions of Beck’s Depression Inventory and Zung’s Self-Report Anxiety Scale.
Results: The results indicate that for homosexuals, working as a male sex worker is not related to any serious mental health problems. However, those identifying as heterosexual and bisexual more frequently reported symptoms of depression and bisexuals showed significantly more anxiety.
Conclusions: These findings suggest sexual identity is an important issue to consider when addressing the mental health needs of this population.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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