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Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)

INTRODUCTION: Drug use is highly prevalent among female sex workers (FSWs). Some forms of drug use, such as injecting drug users (IDU), put them at greater risks for HIV and blood born disease (BBD). In this study, the pattern of drug use and its related factors among Iranian FSWs were investigated....

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Autores principales: Zareie, Bushra, Rasouli, Mohammad Aziz, Gouya, Mohammad Mehdi, Akbarpour, Samaneh, Hadavandsiri, Fatemeh, Rezaei, Elham, Moradi, Yousef, Soltani, Ali, Moradi, Ghobad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311839/
https://www.ncbi.nlm.nih.gov/pubmed/37391840
http://dx.doi.org/10.1186/s13690-023-01143-x
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author Zareie, Bushra
Rasouli, Mohammad Aziz
Gouya, Mohammad Mehdi
Akbarpour, Samaneh
Hadavandsiri, Fatemeh
Rezaei, Elham
Moradi, Yousef
Soltani, Ali
Moradi, Ghobad
author_facet Zareie, Bushra
Rasouli, Mohammad Aziz
Gouya, Mohammad Mehdi
Akbarpour, Samaneh
Hadavandsiri, Fatemeh
Rezaei, Elham
Moradi, Yousef
Soltani, Ali
Moradi, Ghobad
author_sort Zareie, Bushra
collection PubMed
description INTRODUCTION: Drug use is highly prevalent among female sex workers (FSWs). Some forms of drug use, such as injecting drug users (IDU), put them at greater risks for HIV and blood born disease (BBD). In this study, the pattern of drug use and its related factors among Iranian FSWs were investigated. MATERIALS AND METHODS: This cross-sectional study was performed based on the data of the integrated bio-behavioral surveillance-III (IBBS-III) on FSWs in 8 cities of Iran using the respondent-driven sampling (RDS) method conducting in 2019–2020. Of the 1515 FSWs participating in the IBBS-III study, 1,480 answered questions about drug use. To calculate the prevalence of drug use lifetime and in the past month, weighted analysis was used. Univariate and multivariate logistic regression was used to investigate the factors related to drug use. RESULTS: The prevalence of lifetime drug use and the prevalence of current drug use (single and poly drug use) among FSWs were estimated to be 29.3% and 18.86%, respectively. According to multivariate regression analysis, the odds ratio (odds) of lifetime drug use showed a statistically significant association with lower education (AOR = 1.18; 95% CI: 1.07–1.3), being a direct sex worker (AOR = 1.77; 95% CI: 1.21–2.61), working in team houses or hangouts (AOR = 1.51; 95% CI: 1.10–2.06), a history of intentional abortion (AOR = 1.41; 95% CI: 1.07–1.87), condom use in the last sex (AOR = 1.61; 95% CI: 1.19–2.17), a history of imprisonment (AOR = 3.05; 95% CI: 2.25–4.14), HIV positive tests (AOR = 8.24; 95% CI: 1.66–40.9), alcohol use (AOR = 1.69; 95% CI: 1.29–2.29), and finding sexual clients in places such as parties, shopping malls, streets, and hotels, or by friends (AOR = 1.46; 95% CI: 1.01–2.12). CONCLUSION: Given that drug use among FSWs is about 14 times higher than that of the Iranian general population, it is imperative that drug reduction programs be integrated into service packages. Specifically, prevention programs should be prioritized for occasional drug users within this population as they are at a greater risk of developing drug use issues compared to the general population.
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spelling pubmed-103118392023-07-01 Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III) Zareie, Bushra Rasouli, Mohammad Aziz Gouya, Mohammad Mehdi Akbarpour, Samaneh Hadavandsiri, Fatemeh Rezaei, Elham Moradi, Yousef Soltani, Ali Moradi, Ghobad Arch Public Health Research INTRODUCTION: Drug use is highly prevalent among female sex workers (FSWs). Some forms of drug use, such as injecting drug users (IDU), put them at greater risks for HIV and blood born disease (BBD). In this study, the pattern of drug use and its related factors among Iranian FSWs were investigated. MATERIALS AND METHODS: This cross-sectional study was performed based on the data of the integrated bio-behavioral surveillance-III (IBBS-III) on FSWs in 8 cities of Iran using the respondent-driven sampling (RDS) method conducting in 2019–2020. Of the 1515 FSWs participating in the IBBS-III study, 1,480 answered questions about drug use. To calculate the prevalence of drug use lifetime and in the past month, weighted analysis was used. Univariate and multivariate logistic regression was used to investigate the factors related to drug use. RESULTS: The prevalence of lifetime drug use and the prevalence of current drug use (single and poly drug use) among FSWs were estimated to be 29.3% and 18.86%, respectively. According to multivariate regression analysis, the odds ratio (odds) of lifetime drug use showed a statistically significant association with lower education (AOR = 1.18; 95% CI: 1.07–1.3), being a direct sex worker (AOR = 1.77; 95% CI: 1.21–2.61), working in team houses or hangouts (AOR = 1.51; 95% CI: 1.10–2.06), a history of intentional abortion (AOR = 1.41; 95% CI: 1.07–1.87), condom use in the last sex (AOR = 1.61; 95% CI: 1.19–2.17), a history of imprisonment (AOR = 3.05; 95% CI: 2.25–4.14), HIV positive tests (AOR = 8.24; 95% CI: 1.66–40.9), alcohol use (AOR = 1.69; 95% CI: 1.29–2.29), and finding sexual clients in places such as parties, shopping malls, streets, and hotels, or by friends (AOR = 1.46; 95% CI: 1.01–2.12). CONCLUSION: Given that drug use among FSWs is about 14 times higher than that of the Iranian general population, it is imperative that drug reduction programs be integrated into service packages. Specifically, prevention programs should be prioritized for occasional drug users within this population as they are at a greater risk of developing drug use issues compared to the general population. BioMed Central 2023-06-30 /pmc/articles/PMC10311839/ /pubmed/37391840 http://dx.doi.org/10.1186/s13690-023-01143-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Zareie, Bushra
Rasouli, Mohammad Aziz
Gouya, Mohammad Mehdi
Akbarpour, Samaneh
Hadavandsiri, Fatemeh
Rezaei, Elham
Moradi, Yousef
Soltani, Ali
Moradi, Ghobad
Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)
title Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)
title_full Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)
title_fullStr Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)
title_full_unstemmed Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)
title_short Drug use patterns and related factors among female sex workers in Iran in 2019–2020: results from Integrated Bio-Behavioral Surveillance-III (IBBS-III)
title_sort drug use patterns and related factors among female sex workers in iran in 2019–2020: results from integrated bio-behavioral surveillance-iii (ibbs-iii)
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311839/
https://www.ncbi.nlm.nih.gov/pubmed/37391840
http://dx.doi.org/10.1186/s13690-023-01143-x
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