伊朗女性性工作者与伴侣和客户无保护性行为：系统评价和荟萃分析。
Condomless Sex With Partners and Clients Among Female Sex Workers in Iran: A Systematic Review and Meta-Analysis.
机构信息
Mehrdad Khezri, MSc, is a Research Assistant, 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. Fatemeh Tavakoli, MSc, is a Research Assistant, 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. Azam Bazrafshan, MSc, is a Research Assistant, 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. Hamid Sharifi, PhD, is a Professor, 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. Mostafa Shokoohi, PhD, is a Senior Methodologist, 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, and a Postdoctoral Fellow, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
出版信息
J Assoc Nurses AIDS Care. 2022;33(1):63-77. doi: 10.1097/JNC.0000000000000305.
Condomless sex is the most proximal risk for HIV acquisition among female sex workers (FSWs). We performed a systematic review and meta-analysis to summarize the evidence for the prevalence of condomless sex among FSWs in Iran. A random-effect meta-analysis model was used to pool the prevalence estimates and their 95% confidence intervals (CIs). The pooled prevalence of condomless sex at last sex with a paying client and a nonpaying partner was 34.23% (95% CI: 27.83-40.93) and 48.34 (95% CI: 38.43-58.32), respectively. Last-month inconsistent condom use was 49.01% (95% CI: 21.64-76.71) with paying clients and 60.21% (95% CI: 31.27-85.73) with nonpaying partners. The pooled prevalence of lifetime condom nonuse with any partners/clients was 15.26% (95% CI: 10.68-20.49). These findings indicate that a substantial proportion of FSWs engage in high-risk sexual practices. Community-led programs should be stimulated to improve consistent condom use among FSWs.
无保护性行为是性工作者（FSW）中艾滋病毒感染的最接近风险因素。我们进行了系统评价和荟萃分析，以总结伊朗 FSW 中无保护性行为的流行率证据。使用随机效应荟萃分析模型汇总流行率估计值及其 95%置信区间（CI）。与付费客户和非付费伴侣发生最后一次性行为时无保护性行为的合并流行率分别为 34.23%（95%CI：27.83-40.93）和 48.34%（95%CI：38.43-58.32）。与付费客户发生的上月不一致使用避孕套的比例为 49.01%（95%CI：21.64-76.71），与非付费伴侣发生的比例为 60.21%（95%CI：31.27-85.73）。与任何伴侣/客户发生的终身无保护性行为的合并流行率为 15.26%（95%CI：10.68-20.49）。这些发现表明，相当一部分 FSW 从事高风险的性行为。应该刺激以社区为基础的项目，以提高 FSW 中避孕套的持续使用。
Zotero 插件