We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Lifetime and past-month substance use and injection among street-based female sex workers in Iran.
- Authors
Roshanfekr, Payam; Khezri, Mehrdad; Karimi, Salah Eddin; Vameghi, Meroe; Ali, Delaram; Ahmadi, Sina; Ahounbar, Elahe; Mahzari, Kambiz; Roshanpajouh, Mohsen; Noroozi, Mehdi; Shokoohi, Mostafa; Mirzazadeh, Ali
- Abstract
Background: Street-based female sex workers (FSWs) are highly at risk of HIV and other harms associated with sex work. We assessed the prevalence of non-injection and injection drug use and their associated factors among street-based FSWs in Iran. Methods: We recruited 898 FSWs from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Correlates of lifetime and past-month non-injection and injection drug use were assessed through multivariable logistic regression models. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were reported. Results: Lifetime and past-month non-injection drug use were reported by 60.3% (95% CI 51, 84) and 47.2% (95% CI 38, 67) of FSWs, respectively. The prevalence of lifetime and past-month injection drug use were 8.6% (95% CI 6.9, 10.7) and 3.7% (95% CI 2.6, 5.2), respectively. Recent non-injection drug use was associated with divorced marital status (AOR 2.00, 95% CI 1.07, 3.74), temporary marriage (AOR 4.31 [1.79, 10.40]), had > 30 clients per month (AOR 2.76 [1.29, 5.90]), ever alcohol use (AOR 3.03 [1.92, 6.79]), and history of incarceration (AOR 7.65 [3.89, 15.30]). Similarly, lifetime injection drug use was associated with ever alcohol use (AOR 2.74 [1.20–6.20]), ever incarceration (AOR 5.06 [2.48–10.28]), and ever group sex (AOR 2.44 [1.21–4.92]). Conclusions: Non-injection and injection drug use are prevalent among street-based FSWs in Iran. Further prevention programs are needed to address and reduce harms associated with drug use among this vulnerable population in Iran.
- Subjects
IRAN; SUBSTANCE abuse; INJECTIONS; DRUG utilization; SEX workers; ALCOHOL drinking
- Publication
Harm Reduction Journal, 2021, Vol 18, Issue 1, p1
- ISSN
1477-7517
- Publication type
Article
- DOI
10.1186/s12954-021-00477-5