Boroumandfar Zahra, Esmaeili Reza, Mohaghegh Negar
Reproductive Sciences and Sexual Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran, Iranz.
Cultural Administration Department, Education and Psychology Faculty, Islamic Azad University Khorasgan Branch, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2022 May 23;27(3):243-249. doi: 10.4103/ijnmr.IJNMR_387_20. eCollection 2022 May-Jun.
What has been less considered in the literature of the sex work research, especially in Iran, is to look at the causes of sex work from the perspective of women. The present study sought to understand the causes of the problem and the experience of female sex workers.
The present study was conducted by using qualitative method. Twenty-eight sex workers participated in the study voluntarily and with informed consent. The researcher conducted deep semistructured interviews. Purposive sampling continued until data saturation was reached. Conventional content analysis of the transcribed interviews and field notes were performed to identify key themes, first by each of researchers separately and then in joint discussions.
The main theme of the study, according to the participants, was the sense of "what pushed me into sex worker" which included the five main categories of "despair, psychic restlessness, getting drunk by alcohol and drug, incomplete families, not to be left behind by the sudden social changes."
Social and health consequences, especially reproductive health of female sex, workers are affected by several factors. However, to deal with this social and health problems, specific attention should be paid to social factors affecting health. Accordingly, each of the influential variables known in this study could be a target for the country's intervention programs, especially in public health centers and even charities related to the healthcare counseling of sex workers.
在性工作研究文献中，尤其是在伊朗，较少从女性视角审视性工作的成因。本研究旨在了解该问题的成因及女性性工作者的经历。
本研究采用定性方法。28名性工作者自愿且在知情同意的情况下参与研究。研究者进行了深入的半结构化访谈。目的抽样持续进行直至达到数据饱和。对转录的访谈内容和实地笔记进行常规内容分析以确定关键主题，首先由每位研究者分别进行，然后进行联合讨论。
根据参与者的说法，该研究的主要主题是“是什么促使我成为性工作者”，其中包括“绝望、精神不安、酗酒和吸毒、家庭不完整、不被突然的社会变革抛下”这五个主要类别。
社会和健康后果，尤其是女性性工作者的生殖健康，受到多种因素影响。然而，为应对这一社会和健康问题，应特别关注影响健康的社会因素。因此，本研究中已知的每个影响变量都可能成为该国干预项目的目标，尤其是在公共卫生中心以及甚至与性工作者医疗咨询相关的慈善机构。
