Estigma interiorizado y calidad de vida de las trabajadoras sexuales de la asociación unidas por nuestro derechos visión para el futuro del Centro Histórico de Quito, de enero a junio del 2025

Abstract

This study analyzes the relationship between internalized stigma and quality of life among sex workers belonging to the Association United for Our Rights Vision for the Future, located in the Historic Center of Quito, during the period January–June 2025. The overall objective was to analyze internalized stigma and its relationship with quality of life, while the specific objectives focused on identifying the most affected dimensions of stigma, exploring experiences of discrimination and exclusion, and recognizing support networks and resilience within the association. The research was conducted using a mixed-method approach with a sequential explanatory design. In the first phase, the Internalized Stigma of Mental Illness (ISMI) scale was applied to 52 sex workers, and in the second phase, narrative productions were carried out with those who presented the highest levels of stigma. The results show moderate levels of stigma, with discrimination and alienation being the most affected dimensions. The narratives show that sex work is a means of livelihood and economic survival, marked by symbolic violence and “whorephobia.” It is concluded that internalized stigma significantly influences quality of life, without completely determining the identity or dignity of sex workers. Support networks and collective organization emerge as strategies for resilience and the assertion of rights.