Karamouzian Mohammad, Sadeghirad Behnam, Sharifi Hamid, Sedaghat Abbas, Haghdoost Ali Akbar, Mirzazadeh Ali
1 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.
2 School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
J Int Assoc Provid AIDS Care. 2017 Nov/Dec;16(6):572-578. doi: 10.1177/2325957417732834. Epub 2017 Oct 4.
Little is known about the dynamics of condom use among female sex workers (FSWs) in Iran. We investigated the correlates of consistent condom use (CCU) among FSWs, using data from a national biobehavioral surveillance survey in 2010.
A total of 872 FSWs were recruited using a facility-based sampling strategy from 21 sites in 13 cities in Iran. Data were collected through face-to-face interviews using a standardized questionnaire.
Overall, 33.6% and 17.3% of FSWs reported CCU with paying and nonpaying sex partners, respectively. Consistent condom use with paying partners was significantly associated with temporary marriage, accessing family planning services and history of working in brothels. Conversely, temporary marriage or married status, condom rupture/slippage, and HIV seropositivity remained independently significantly associated with CCU with nonpaying sex partners.
Our findings indicated the urgent need for scaling up condom promotion interventions catered toward FSWs and their sex partners to practice safe sex consistently.
对于伊朗女性性工作者（FSW）使用避孕套的动态情况了解甚少。我们利用2010年全国生物行为监测调查的数据，调查了女性性工作者中持续使用避孕套（CCU）的相关因素。
采用基于机构的抽样策略，从伊朗13个城市的21个地点招募了总共872名女性性工作者。通过使用标准化问卷进行面对面访谈收集数据。
总体而言，分别有33.6%和17.3%的女性性工作者报告称与付费和非付费性伴侣持续使用避孕套。与付费性伴侣持续使用避孕套与临时婚姻、获得计划生育服务以及在妓院工作的经历显著相关。相反，临时婚姻或已婚状况、避孕套破裂/滑落以及艾滋病毒血清阳性仍然与与非付费性伴侣持续使用避孕套独立显著相关。
我们的研究结果表明，迫切需要扩大针对女性性工作者及其性伴侣的避孕套推广干预措施，以促使他们始终如一地进行安全性行为。
