scholarly journals Lifetime and past-month substance use and injection among street-based female sex workers in Iran

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Payam Roshanfekr ◽  
Mehrdad Khezri ◽  
Salah Eddin Karimi ◽  
Meroe Vameghi ◽  
Delaram Ali ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Drug Use ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Logistic Regression Models ◽  
Female Sex ◽  
History Of ◽  
Group Sex

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.

scholarly journals Factors associated with pathways toward concurrent sex work and injection drug use among female sex workers who inject drugs in northern Mexico

Addiction ◽  
2012 ◽  
Vol 108 (1) ◽  
pp. 161-170 ◽  
Author(s):  
Meghan D. Morris ◽  
Hector Lemus ◽  
Karla D. Wagner ◽  
Gustavo Martinez ◽  
Remedios Lozada ◽  
...  
Keyword(s):  
Drug Use ◽  
Sex Work ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Factors Associated ◽  
Northern Mexico ◽  
Female Sex

scholarly journals Correlates of injection drug use among female sex workers in two Mexico–U.S. border cities

2008 ◽  
Vol 92 (1-3) ◽  
pp. 132-140 ◽  
Author(s):  
Steffanie A. Strathdee ◽  
Morgan M. Philbin ◽  
Shirley J. Semple ◽  
Minya Pu ◽  
Prisci Orozovich ◽  
...  
Keyword(s):  
Drug Use ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Female Sex

scholarly journals Injection Drug Use as a Mediator Between Client-perpetrated Abuse and HIV Status Among Female Sex Workers in Two Mexico-US Border Cities

2009 ◽  
Vol 15 (1) ◽  
pp. 179-185 ◽  
Author(s):  
Monica D. Ulibarri ◽  
Steffanie A. Strathdee ◽  
Emilio C. Ulloa ◽  
Remedios Lozada ◽  
Miguel A. Fraga ◽  
...  
Keyword(s):  
Drug Use ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Hiv Status ◽  
Female Sex

Injection and non-injection drug use among female sex workers in Iran: A systematic review and meta-analysis

2021 ◽  
Vol 221 ◽  
pp. 108655 ◽  
Author(s):  
Fatemeh Tavakoli ◽  
Mehrdad Khezri ◽  
Michelle Tam ◽  
Azam Bazrafshan ◽  
Hamid Sharifi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Drug Use ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Meta Analysis ◽  
Injection Drug ◽  
Female Sex

scholarly journals Injection drug use, sexual risk, violence and STI/HIV among Moscow female sex workers

2012 ◽  
Vol 88 (4) ◽  
pp. 278-283 ◽  
Author(s):  
Michele R Decker ◽  
Andrea L Wirtz ◽  
Stefan D Baral ◽  
Alena Peryshkina ◽  
Vladmir Mogilnyi ◽  
...  
Keyword(s):  
Drug Use ◽  
Sexual Risk ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Female Sex

scholarly journals High hepatitis C virus infection among female sex workers in Viet Nam: strong correlation with HIV and injection drug use

2019 ◽  
Vol 10 (3) ◽  
pp. 9-18
Author(s):  
Linh-Vi Le ◽  
Siobhan O’Connor ◽  
Tram Hong Tran ◽  
Lisa Maher ◽  
John Kaldor ◽  
...  
Keyword(s):  
Hepatitis C Virus ◽  
Hepatitis C ◽  
Drug Use ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Active Infection ◽  
High Prevalence ◽  
History Of

Objective: The World Health Organization’s guidelines on viral hepatitis testing and treatment recommend prioritizing high prevalence groups. Hepatitis C virus (HCV) infection disproportionately affects people who inject drugs and men who have sex with men, but data on female sex workers (FSW) are limited. The study aimed to determine active HCV infection and risk factors associated with HCV exposure among Vietnamese FSW. Methods: We surveyed 1886 women aged ≥ 18 years from Haiphong, Hanoi and Ho Chi Minh City who had sold sex in the last month. We tested for HCV antibody and HCV core antigen as markers for exposure to HCV and active infection, respectively. Results: Across these provinces, high prevalence of HCV exposure (8.8–30.4%) and active infection (3.6–22.1%) were observed. Significant associations with HCV exposure were HIV infection (aOR = 23.7; 95% CI: 14.8–37.9), injection drug use (aOR = 23.3; 95% CI: 13.1–41.4), history of compulsory detention (aOR = 2.5; 95% CI: 1.4–4.2) and having more than 10 sex clients in the last month (aOR = 1.9; 95% CI: 1.2–3.2). Among FSW who reported never injecting drugs, HIV infection (aOR = 24.2; 95% CI: 14.8–39.4), a history of non-injection drug use (aOR = 3.3, CI: 1.8–5.7), compulsory detention (aOR = 2.2; 95% CI: 1.2–4.0) and having over 10 sex clients in the last month (aOR = 2.2, 95% CI: 1.3–3.7) were independently associated with HCV exposure. Discussion: FSW have elevated HCV risks through sex- and drug-related pathways. These findings highlight the need to offer FSW-targeted HCV interventions and ensure their access to HIV prevention and treatment.

Correlates of HIV infection among female sex workers in Vietnam: Injection drug use remains a key risk factor

2015 ◽  
Vol 150 ◽  
pp. 46-53 ◽  
Author(s):  
Linh-Vi N. Le ◽  
Tuan A. Nguyen ◽  
Hoang V. Tran ◽  
Nisha Gupta ◽  
Thanh C. Duong ◽  
...  
Keyword(s):  
Risk Factor ◽  
Drug Use ◽  
Hiv Infection ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Female Sex

Injection drug use among female sex workers in Iran: Findings from a nationwide bio-behavioural survey

2017 ◽  
Vol 44 ◽  
pp. 86-91 ◽  
Author(s):  
Mohammad Karamouzian ◽  
Ali Mirzazadeh ◽  
Angeli Rawat ◽  
Mostafa Shokoohi ◽  
Ali A. Haghdoost ◽  
...  
Keyword(s):  
Drug Use ◽  
Injection Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injection Drug ◽  
Female Sex

scholarly journals Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study

2021 ◽  
Author(s):  
Jason J. Ong ◽  
Mingzhou Xiong ◽  
Joseph D. Tucker ◽  
Yajie Wang ◽  
M. Kumi Smith ◽  
...  
Keyword(s):  
Drug Use ◽  
Reproductive Health ◽  
Health Outcomes ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Sex ◽  
History Of

AbstractThere is a rich literature on sexualized drug use (i.e., drug use before or during sex) for men who have sex with men but less data from female sex workers (FSW), particularly from low- and middle-income countries. We describe the sexual and reproductive health outcomes in FSW reporting sexualized drug use. In 2019, we conducted a cross-sectional study in eight cities from seven provinces in China. We recruited FSW through community organizations working with sex workers and included those aged 18 years or above, exchanged sex at least once for money or goods in the past three months, and had traded sex for longer than a year. Multivariable logistic regression models were used. In total, 650 women participated: average age was 38.8 years (SD 10.2), 57.1% reported a monthly income over 5000 RMB ($USD 707), and 12.8% completed high school or above. Among participants, 65 (10.0%, 95% confidence interval (CI) 7.8–12.6) reported a history of sexualized drug use. Compared to FSW who never reported a history of sexualized drug use, FSW who reported a history of sexualized drug use had greater odds of working for a manager compared to being self-employed (adjusted odds ratio (AOR) 4.04, 95% CI 2.12–7.69), work in a sauna (AOR 2.43, 95% CI 1.09–5.41), charging a higher price for vaginal sex (AOR 2.15, 95% CI 1.14–4.06), and ever diagnosed with STIs (AOR 4.51, 95% CI 2.61–7.80). One in ten FSW reported sexualized drug use. Although they had similar risk profiles in terms of consistency of condom use and reproductive health outcomes, these women were more likely to report past STIs than those who reported no sexualized drug use. Health workers who work with substance users should devote attention to the sexual practices of their clients to make sure that they have safer sex.

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