RT info:eu-repo/semantics/article T1 Surviving the violence, humiliation, and loneliness means getting high: Violence, loneliness, and health of female sex workers A1 Pinedo González, Ruth A1 Palacios Picos, Andrés A1 Iglesia Gutiérrez, Myriam de la K1 Public Health K1 Prostitution K1 Alcohol and drugs K1 Mental health and violence K1 Prostitution K1 Alcohol y drogas K1 Salud mental y violencia K1 Prostitución K1 6114 Psicología Social K1 3212 Salud Publica AB Sex workers are particularly vulnerable to violence, isolation, and stigmatization. This study uses the theory of loneliness to explore the relations among violence, self-esteem, loneliness, health, and drug use. Specifically, this study tested a model in which loneliness mediates the relationship between situational (violence) and characterological (self-esteem) loneliness factors and physical and psychological health and drug abuse. The study sample consisted of 146 sex workers from one region of Spain, recruited through the purposive sampling method. Partial least squares (PLS) path modeling has been employed to test the hypothesis. The findings of this study suggest that two kinds of violence (physical and psychological) have a direct and positive influence on loneliness, so that higher levels of violence increase loneliness, while self-esteem has a protector role on loneliness. Loneliness has a direct and negative impact on psychological and physical health, and determines an increase in drug use, which, in turn, decreases both physical and psychological health. The results support, among other points, that policy makers and sex worker service programs need to be aware of how loneliness plays a role in the health and risk behavior of sex workers. Society has an important role to improve sex workers’ health and minimize their risk behavior. PB Sage Journals SN 0886-2605 YR 2018 FD 2018 LK https://uvadoc.uva.es/handle/10324/65912 UL https://uvadoc.uva.es/handle/10324/65912 LA eng NO Journal of Interpersonal Violence, vol. 36, n. 9–10, 4593–4614 NO Producción Científica DS UVaDOC RD 23-nov-2024