Khoei Effat Mergati, Rezaei Zahed, Mohraz Minoo, Bayat Alireza, Ghanbarpour Fatemeh, Killeen Therese, Korte Jeffrey E
Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran.
Brian and Spinal Cord Injury Research Center, Neuroscince Institution, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Public Health. 2023 Aug;52(8):1673-1681. doi: 10.18502/ijph.v52i8.13405.
Scant information exists on Iranian women's protective behaviors mainly constant condom use. Inconsistent condom use seems prevalent among women with substance use problems. We aimed to investigate risky sexual behaviors (RSBs) and condom use barriers in Iranian women with substance use disorders (SUDs).
In our cross-sectional study, we recruited 300 women who sought treatments for their SUDs from the active outpatient drug free (ODF) and Methadone Maintenance Therapy (MMT) centers in Tehran, Iran during 2017-2021. We used three batteries including demographic questionnaire, the Risky Sexual Behavior Questionnaire (RSBQ); and the Condom Barriers Scale (CBS). The statistical software R, analysis of variance post hoc and multivariate analysis of variance (MANOVA) logistic regression tests were used in data analysis.
The majority reported at least one lifetime experience of RSBs. Our results show that only 22% of the participants 'always' use condom in their sexual encounters. The lowest and highest subscale scores of the CBS were related to Sexual Experience (SE) (2.47 ± 0.86) and access/availability structure (3.52 ± 0.7), respectively. RSBs had negative significant association with Partner Barrier (PB) subscale scores (OR = 0.4; 95% CI: 0.22 to 0.73) and effect on SE subscale scores (OR= 0.54; 95% CI: 0.31 to 0.94).
RSBs was prevalent among our study population. RSBs and condom use barriers are significantly interwoven. The condom use barriers were highly associated with the types of sexual encounters such as group sex or casual sexual relations than specific mean of sexual performance (i.e. anal sex). Gender-specific RSBs, STIs/HIV/AIDS prevention program is recommended for women with SUDs.
关于伊朗女性的保护行为，尤其是持续使用避孕套的信息匮乏。在有物质使用问题的女性中，不规律使用避孕套似乎很普遍。我们旨在调查患有物质使用障碍（SUDs）的伊朗女性的危险性行为（RSBs）和避孕套使用障碍。
在我们的横断面研究中，2017年至2021年期间，我们从伊朗德黑兰的活跃门诊戒毒（ODF）和美沙酮维持治疗（MMT）中心招募了300名寻求SUDs治疗的女性。我们使用了三组问卷，包括人口统计学问卷、危险性行为问卷（RSBQ）和避孕套障碍量表（CBS）。数据分析使用统计软件R、方差分析事后检验和多变量方差分析（MANOVA）逻辑回归测试。
大多数人报告至少有过一次终生危险性行为经历。我们的结果表明，只有22%的参与者在性行为中“总是”使用避孕套。CBS的最低和最高子量表得分分别与性经验（SE）（2.47±0.86）和获取/可用性结构（3.52±0.7）相关。危险性行为与伴侣障碍（PB）子量表得分呈负显著相关（OR = 0.4；95% CI：0.22至0.73），并对SE子量表得分有影响（OR = 0.54；95% CI：0.31至0.94）。
危险性行为在我们的研究人群中很普遍。危险性行为和避孕套使用障碍显著交织在一起。避孕套使用障碍与性行为类型（如群交或随意性关系）的关联程度高于特定性行为方式（即肛交）。建议针对患有物质使用障碍的女性开展针对性别的危险性行为、性传播感染/艾滋病毒/艾滋病预防项目。
