The impact of self-stigmatization on the mental health of female sex workers (FSWs)

Findings support the "Paradox of Self-Stigma" model: FSWs cognitively reject negative stereotypes yet exhibit strong emotional and behavioral responses that heighten psychological distress. <i>Righteous anger</i> and concealment may reflect unresolved trauma rather than resilience. Interventions should address emotional stigma responses, promote safer work environments, and support disclosure in trusted relationships. This study highlights the need for context-sensitive, multidimensional strategies to reduce stigma-related mental health burdens among sex workers in legalized systems.