Resilience among Cisgender and Transgender Women in Street-Based Sex Work in Baltimore, Maryland

• Published in: Women's health issues 2021-03, Vol.31 (2), p.148-156
• Main Authors: Rouhani, Saba, Decker, Michele R., Tomko, Catherine, Silberzahn, Bradley, Allen, Sean T., Park, Ju Nyeong, Footer, Katherine H.A., Sherman, Susan G.
• Format: Article
• Language: English
• Subjects: Baltimore - epidemiology; Female; Humans; Sex Work; Sex Workers; Transgender Persons; Transsexualism
• ISSN: 1049-3867; 1878-4321
• DOI: 10.1016/j.whi.2020.11.002

Resilience 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. Using 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. The 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