Zenouzi Azade, Rezaei Elham, Behboodi Moghadam Zahra, Montazeri Ali, Maani Sakineh, Vasegh Rahimparvar Seyedeh Fatemeh
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Islamic Azad University, Pishva Branch, Tehran, Iran.
SAGE Open Nurs. 2021 Aug 22;7:23779608211017779. doi: 10.1177/23779608211017779. eCollection 2021 Jan-Dec.
Expansion of reproductive health services and addressing its different aspects in national and international levels is an important step towards ensuring family and public health. Female sex workers are a vulnerable population that are exposed to high risk sexual behaviors and increased incidence of co-morbid health problems. This study aims to identify the concerns of women with high risk sexual behaviors. Clarifying different aspects of reproductive health and its problems in female sex workers can assist relevant authorities to plan and intervene on reproductive health and to provide more effective solutions on this issue.
A qualitative study was conducted using a conventional content analysis approach. Snowball sampling was performed in 20 volunteer women with high risk sexual behaviors through in-depth semi-structured interviews conducted in drop-in centers, triangle centers, etc. The data were analyzed through conventional content analysis using the MAXQDA software.
Five main categories and 13 subcategories emerged during the interviews. The main categories included violence, fear, and lack of knowledge, stigma, and psychological problems. Women with high risk sexual behaviors have several reproductive health concerns, including unwanted pregnancy, abortion, STIs Sexually transmitted infections HIV, etc. In addition, different types of violence and threats against women, intimidation, objectification, stigma, unresponsiveness of counselling centers, patriarchal culture, gender inequality, etc. were observed in these women.
The study revealed that women in this study experienced deep problems of reproductive health and little attention is paid to them by authorities. Proper planning and appropriate solutions should be provided to solve the problems of these women and the society.
在国家和国际层面扩大生殖健康服务并关注其不同方面，是确保家庭和公众健康的重要一步。女性性工作者是弱势群体，易遭受高风险性行为，且合并健康问题的发生率增加。本研究旨在确定有高风险性行为女性的担忧。阐明女性性工作者生殖健康的不同方面及其问题，有助于相关当局规划和干预生殖健康，并就该问题提供更有效的解决方案。
采用传统内容分析法进行定性研究。通过在救助中心、三角中心等地进行深入的半结构化访谈，对20名有高风险性行为的志愿者女性进行雪球抽样。使用MAXQDA软件通过传统内容分析法对数据进行分析。
访谈中出现了五个主要类别和13个子类别。主要类别包括暴力、恐惧、知识缺乏、耻辱感和心理问题。有高风险性行为的女性存在若干生殖健康问题，包括意外怀孕、堕胎、性传播感染、艾滋病毒等。此外，在这些女性中还观察到针对女性的不同类型的暴力和威胁、恐吓、物化、耻辱感、咨询中心反应迟钝、父权文化、性别不平等等等。
研究表明，本研究中的女性经历了严重的生殖健康问题，当局对她们的关注很少。应提供适当的规划和合适的解决方案，以解决这些女性和社会的问题。
