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Early sex work initiation and its association with condomless sex and sexually transmitted infections among female sex workers in Iran.
Int J STD AIDS. 2020 Jun; 31(7):671-679.IJ

Abstract

Early sex work initiation among female sex workers (FSWs) increases their vulnerabilities to high-risk sexual practices and sexually transmitted infections (STIs). We examined the association of early sex work with condomless sex indicators, HIV, and other STIs, including human papillomavirus, chlamydia, trichomoniasis, syphilis, and gonorrhea, among FSWs in Iran. We recruited 1347 FSWs from 13 cities in 2015, with 1296 participants (94.2%) reporting information about their age of sex work initiation. Early sex work was defined as the initiation of selling sex before 18 years of age. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were reported using multivariable logistic regression. Overall, 10.1% of FSWs reported early sex work initiation. FSWs who initiated sex work earlier were more likely to report last-month inconsistent condom use (aOR = 3.31, 95% CI: 1.82, 6.02) and condomless sex with last client (aOR = 1.72, 95% CI: 1.15, 2.56). There was no statistically significant association between early sex work and HIV (aOR = 1.40, 95% CI: 0.43, 4.53) and any other STIs (aOR = 1.01, 95% CI: 0.69, 1.48), except for chlamydia (aOR = 2.09, 95% CI: 1.08, 4.04). These findings suggest that FSWs with early sexual debut would benefit from differentiated interventions including screening for STIs and enhanced counseling for condom use.

Authors+Show Affiliations

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Division of Social and Behavioural Health Sciences, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Department of Epidemiology and Biostatistics, Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. Faculty of Medicine, School of Population and Public Health, University of British Columbia, Vancouver, Canada.HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.Department of Epidemiology, Key Populations Program, Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32538329

Citation

Khezri, Mehrdad, et al. "Early Sex Work Initiation and Its Association With Condomless Sex and Sexually Transmitted Infections Among Female Sex Workers in Iran." International Journal of STD & AIDS, vol. 31, no. 7, 2020, pp. 671-679.
Khezri M, Shokoohi M, Mirzazadeh A, et al. Early sex work initiation and its association with condomless sex and sexually transmitted infections among female sex workers in Iran. Int J STD AIDS. 2020;31(7):671-679.
Khezri, M., Shokoohi, M., Mirzazadeh, A., Karamouzian, M., Sharifi, H., Haghdoost, A., & Baral, S. D. (2020). Early sex work initiation and its association with condomless sex and sexually transmitted infections among female sex workers in Iran. International Journal of STD & AIDS, 31(7), 671-679. https://doi.org/10.1177/0956462420913431
Khezri M, et al. Early Sex Work Initiation and Its Association With Condomless Sex and Sexually Transmitted Infections Among Female Sex Workers in Iran. Int J STD AIDS. 2020;31(7):671-679. PubMed PMID: 32538329.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early sex work initiation and its association with condomless sex and sexually transmitted infections among female sex workers in Iran. AU - Khezri,Mehrdad, AU - Shokoohi,Mostafa, AU - Mirzazadeh,Ali, AU - Karamouzian,Mohammad, AU - Sharifi,Hamid, AU - Haghdoost,AliAkbar, AU - Baral,Stefan D, PY - 2020/6/16/entrez KW - HIV KW - Iran KW - Women KW - high-risk sexual behaviors KW - sex workers KW - sexually transmitted infections SP - 671 EP - 679 JF - International journal of STD & AIDS JO - Int J STD AIDS VL - 31 IS - 7 N2 - Early sex work initiation among female sex workers (FSWs) increases their vulnerabilities to high-risk sexual practices and sexually transmitted infections (STIs). We examined the association of early sex work with condomless sex indicators, HIV, and other STIs, including human papillomavirus, chlamydia, trichomoniasis, syphilis, and gonorrhea, among FSWs in Iran. We recruited 1347 FSWs from 13 cities in 2015, with 1296 participants (94.2%) reporting information about their age of sex work initiation. Early sex work was defined as the initiation of selling sex before 18 years of age. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were reported using multivariable logistic regression. Overall, 10.1% of FSWs reported early sex work initiation. FSWs who initiated sex work earlier were more likely to report last-month inconsistent condom use (aOR = 3.31, 95% CI: 1.82, 6.02) and condomless sex with last client (aOR = 1.72, 95% CI: 1.15, 2.56). There was no statistically significant association between early sex work and HIV (aOR = 1.40, 95% CI: 0.43, 4.53) and any other STIs (aOR = 1.01, 95% CI: 0.69, 1.48), except for chlamydia (aOR = 2.09, 95% CI: 1.08, 4.04). These findings suggest that FSWs with early sexual debut would benefit from differentiated interventions including screening for STIs and enhanced counseling for condom use. SN - 1758-1052 UR - https://www.unboundmedicine.com/medline/citation/32538329/Early_sex_work_initiation_and_its_association_with_condomless_sex_and_sexually_transmitted_infections_among_female_sex_workers_in_Iran L2 - https://journals.sagepub.com/doi/10.1177/0956462420913431?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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