Medical Journal of The Islamic Republic of Iran (MJIRI)

  Background: Smoking has physical, psychological, and social impacts on women’s health and subsequently the community’s health. Therefore, it is important to have an estimation of smoking among Iranian women.

  Since comprehensive data are not available in this respect, the authors performed a systematic review and metaanalyzed all high-quality studies in this field.

  Methods: All available electronic papers were searched by certain keywords and were included in this study according to the inclusion criteria regardless of the publication year. Furthermore, non-electronic resources including the final report of research projects, dissertations, unpublished papers (grey literature) and books published by the Iranian ministry of health were also evaluated in the study. The materials were assessed for their quality and meeting the inclusion and exclusion criteria. Considering the high degree of variability in many selected

  studies, we used random effect method for meta-analysis.

  Results: The highest and lowest rates of cigarette smoking among women were 10.5% and 0.04%, respectively. The prevalence rates of smoking were different in various subgroups ranging from 0 to 0.4% in students, 1.1 to 3.1% in adults, and 1.4 to 8.7% in all subgroups. According to the meta-analyses performed for the subgroups, the mean age of participants, performing the study in urban or rural areas, and the year of paper publication were major sources of heterogeneity.

  Conclusion: The studies were highly different with regard to their findings, and it seems that there is an age and time trend for the findings. Furthermore, the prevalence of smoking was different in various regions of the country.

  Background: Intimate partner violence (IPV) and risky sexual behaviors are serious and overlapping public health problems that disproportionately affect drug-involved women. Despite the fact that drug-using women experience extensive IPV, to date, no studies have investigated the association of IPV and risky sexual behaviors among drug-using women in Iran.

  Methods : Drug-using women (N =120) were recruited from a rehabilitation center in Tehran from March to October, 2009. The Revised Conflict Tactics Scale (CTS2), a standardized questionnaire, was used to collect data regarding violence. We used t-test and logistic regression models to explore the relationship between IPV domains and specific sexual risk behavior outcomes using SPSS 21.

  Results : The means (sd) for CTS2 domains were as follows: negotiation 4.29 (1.55), psychological violence 2.55 (1.51), sexual violence 0.37 (1.00), physical abuse 1.17 (1.49), injury 2.18 (1.97), and the mean total score was 1.69 (0.96). We found significantly higher injury scores, but lower sexual abuse scores among women with sexually-transmitted infection (STI) compared to women without STI (p-values 0.030 and <0.0001, respectively). In addition, we found that psychological abuse was positively associated with STI (p-value 0.03) and increased condom use (p = 0.010), possibly mediated through an increased likelihood of having multiple partners.

  Conclusion : The findings revealed that in Iran drug-involved women experience high rates of IPV and that IPV is associated with increased risky sexual behavior. Implication: Preventive interventions for violence that are integrated within drug treatment programs, as well as harm reduction programs are highly recommended.