Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1397
11
1
gregorian
2019
2
1
33
1
online
1
fulltext
en
HIV risk perception and sexual behaviors among female sex workers in Tehran, Iran
Health
Health
Original Research
Original Research
<strong> </strong><strong> Background: </strong>An adequate perception of the degree to which one is at risk of having or contracting HIV is necessary for behavioural change and the adoption of safe behaviours. There are limited data regarding HIV risk perceptions among female sex workers in Iran. This study aimed to determine the HIV risk perception status and its association with sexual behaviours among female sex workers in Tehran.<br>
<strong>Methods:</strong> A cross sectional study was conducted among 170 female sex workers in Tehran. Participants were recruited using a combination of snowball, purposeful, and convenience sampling methods. Multiple logistic regression was used to identify adjusted associations between background factors, sexual behaviours, and HIV risk perception. The analysis was conducted by the “logistf” package in the R statistical system. P-value less than .05 was considered as statistically significant.<br>
<strong> Results:</strong> Among the participants, 122 (77%) reported high HIV risk perception. Most female sex workers with high HIV risk perception reported that they did not consistently use condoms (n=120, 98%. Female sex workers with a higher frequency of sex work (AOR=1.18, 95% CI: 1.08, 1.31), inconsistent condom use (AOR=0.15, 95% CI: 0.02, 0.66), a history of HIV testing (AOR=5.1, 95% CI: 1.2, 26.0), and low HIV knowledge (AOR=0.97, 95% CI=0.95, 0.996) were more likely to report high HIV risk perception. <br>
<strong>Conclusion:</strong> Most female sex workers with risky sexual behaviours had a high HIV risk perception. Effective educational programs are suggested to enable female sex workers to correctly assess their own HIV risk and change risk behaviors based on self-assessment of actual risk.<br>
HIV risk perception, Sexual behaviours, HIV/AIDS, Female sex workers
608
614
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4407-1&slc_lang=en&sid=1
Zahra
Jorjoran Shushtari
jorjoran.z@gmail.com
200319475328460062425
200319475328460062425
No
Social Determinants of Health Research Center & Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Seyed Ali
Hosseini
seyedalihosseini1@outlook.com
200319475328460062426
200319475328460062426
Yes
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Homeira
Sajjadi
safaneh_s@yahoo.com
200319475328460062427
200319475328460062427
No
Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Yahya
Salimi
Salimiyahya@yahoo.com
200319475328460062428
200319475328460062428
No
Social Development and Health Promotion Research Center, Health institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
Armita
Shahesmaeili
a.shahesmaeili@gmail.com
200319475328460062429
200319475328460062429
No
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
Tom A.B.
Snijders
tom.snijders@nuffield.ox.ac.uk
200319475328460062430
200319475328460062430
No
Department of Sociology, University of Groningen, 9712 TG Groningen, Netherlands & Nuffield College, University of Oxford, OX1 1NF Oxford, United Kingdom