Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study
Purpose. To assess the prevalence and associated factors of unprotected sex with injecting drug users (IDUs) among a sample of female sex workers (FSWs) in Iran. Methods. This cross-sectional study included 144 FSWs who were interviewed as a part of Unhide HIV Risk Study, a national behavioral surve...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2012/651070 |
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| _version_ | 1832564683242995712 |
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| author | Khodabakhsh Ahmadi Majid Rezazade Mohammad Nafarie Babak Moazen Mosaieb Yarmohmmadi Vasel Shervin Assari |
| author_facet | Khodabakhsh Ahmadi Majid Rezazade Mohammad Nafarie Babak Moazen Mosaieb Yarmohmmadi Vasel Shervin Assari |
| author_sort | Khodabakhsh Ahmadi |
| collection | DOAJ |
| description | Purpose. To assess the prevalence and associated factors of unprotected sex with injecting drug users (IDUs) among a sample of female sex workers (FSWs) in Iran. Methods. This cross-sectional study included 144 FSWs who were interviewed as a part of Unhide HIV Risk Study, a national behavioral survey focusing on various high-risk populations, including IDUs, FSWs, and Men who have Sex with Men (MSMs) in 2009. The survey was conducted in eight provinces in Iran using respondent-driven sampling. Participants’ sociodemographic status, HIV knowledge, and HIV attitude were analyzed via logistic regression to determine the predictors of unprotected sex with IDU(s) during the past month. Results. Nineteen percent of FSWs reported at least one occasion of unprotected sex with IDU(s) in the month preceding the study. Higher educational level (OR=−0.653, 95%CI=-1.192 to −0.115), perceived HIV risk (OR=−1.047, 95%CI=-2.076 to −0.019), and perceived family intimacy during childhood (OR=−1.104, 95%CI=-1.957 to −0.251) were all independently associated with lower odds of having unprotected sex with IDU(s) in the month preceding the study. Age, marital status, living condition, HIV knowledge, and perceived behavioral control did not affect the odds of FSWs having sex with IDUs. Conclusion. Perceived HIV risk, which is a modifiable factor, seems to be a promising target for harm reduction interventions amongst Iranian female sex workers. Data presented here may aid in reducing or eliminating the role of sex workers as a bridge for HIV transmission from IDUs to the general population in Iran. |
| format | Article |
| id | doaj-art-548847ae05f0489f93b586720cc1eb7e |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-548847ae05f0489f93b586720cc1eb7e2025-02-03T01:10:24ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/651070651070Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk StudyKhodabakhsh Ahmadi0Majid Rezazade1Mohammad Nafarie2Babak Moazen3Mosaieb Yarmohmmadi Vasel4Shervin Assari5Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran 14548, IranAIDS Prevention and Control Committee, Welfare Organization State, Tehran, IranWelfare Organization State, Tehran, IranDepartment of Health Behavior, Medicine and Health Promotion Institute, Tehran, IranDepartment of Psychology, Bu-Ali Sina University, Hamedan, IranDepartment of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USAPurpose. To assess the prevalence and associated factors of unprotected sex with injecting drug users (IDUs) among a sample of female sex workers (FSWs) in Iran. Methods. This cross-sectional study included 144 FSWs who were interviewed as a part of Unhide HIV Risk Study, a national behavioral survey focusing on various high-risk populations, including IDUs, FSWs, and Men who have Sex with Men (MSMs) in 2009. The survey was conducted in eight provinces in Iran using respondent-driven sampling. Participants’ sociodemographic status, HIV knowledge, and HIV attitude were analyzed via logistic regression to determine the predictors of unprotected sex with IDU(s) during the past month. Results. Nineteen percent of FSWs reported at least one occasion of unprotected sex with IDU(s) in the month preceding the study. Higher educational level (OR=−0.653, 95%CI=-1.192 to −0.115), perceived HIV risk (OR=−1.047, 95%CI=-2.076 to −0.019), and perceived family intimacy during childhood (OR=−1.104, 95%CI=-1.957 to −0.251) were all independently associated with lower odds of having unprotected sex with IDU(s) in the month preceding the study. Age, marital status, living condition, HIV knowledge, and perceived behavioral control did not affect the odds of FSWs having sex with IDUs. Conclusion. Perceived HIV risk, which is a modifiable factor, seems to be a promising target for harm reduction interventions amongst Iranian female sex workers. Data presented here may aid in reducing or eliminating the role of sex workers as a bridge for HIV transmission from IDUs to the general population in Iran.http://dx.doi.org/10.1155/2012/651070 |
| spellingShingle | Khodabakhsh Ahmadi Majid Rezazade Mohammad Nafarie Babak Moazen Mosaieb Yarmohmmadi Vasel Shervin Assari Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study AIDS Research and Treatment |
| title | Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study |
| title_full | Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study |
| title_fullStr | Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study |
| title_full_unstemmed | Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study |
| title_short | Unprotected Sex with Injecting Drug Users among Iranian Female Sex Workers: Unhide HIV Risk Study |
| title_sort | unprotected sex with injecting drug users among iranian female sex workers unhide hiv risk study |
| url | http://dx.doi.org/10.1155/2012/651070 |
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