Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, 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.
Harm Reduct J. 2021 Mar 16;18(1):33. doi: 10.1186/s12954-021-00477-5.
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.
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.
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]).
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.
街头女性性工作者（FSW）感染艾滋病毒和其他与性工作相关的危害的风险极高。我们评估了伊朗街头 FSW 中终生和过去一个月非注射和注射吸毒的流行情况及其相关因素。
我们于 2016 年 10 月至 2017 年 3 月期间在伊朗 19 个主要城市的 414 个场所招募了 898 名 FSW。通过多变量逻辑回归模型评估了终生和过去一个月非注射和注射吸毒的相关因素。报告了调整后的优势比（AOR）和 95%置信区间（CI）。
分别有 60.3%（95%CI 51，84）和 47.2%（95%CI 38，67）的 FSW 报告了终生和过去一个月非注射药物的使用。终生和过去一个月注射毒品的使用率分别为 8.6%（95%CI 6.9，10.7）和 3.7%（95%CI 2.6，5.2）。最近非注射药物的使用与离婚的婚姻状况（AOR 2.00，95%CI 1.07，3.74）、临时婚姻（AOR 4.31[1.79，10.40]）、每月接待超过 30 名客户（AOR 2.76[1.29，5.90]）、曾经饮酒（AOR 3.03[1.92，6.79]）和有入狱史（AOR 7.65[3.89，15.30]）有关。同样，终生注射毒品的使用与曾经饮酒（AOR 2.74[1.20-6.20]）、曾经入狱（AOR 5.06[2.48-10.28]）和曾经集体性行为（AOR 2.44[1.21-4.92]）有关。
伊朗街头 FSW 中存在非注射和注射药物的使用。需要进一步开展预防计划，以解决和减少伊朗这一弱势群体与药物使用相关的危害。
