Department of Epidemiology and Biostatistics, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Brain Behav. 2023 Dec;13(12):e3288. doi: 10.1002/brb3.3288. Epub 2023 Oct 23.
Alcohol use is more common among female sex workers (FSWs). This study assessed the prevalence of lifetime and past-month alcohol use and related factors among FSWs in Iran.
We conducted a cross-sectional survey among 1464 women from 8 major cities in Iran. Behavioral data were collected by trained interviewers and conducted face-to-face in a private room. Weighted analysis was used to determine the lifetime and past-month alcohol use prevalence. Univariate and multivariate logistic regression was used to investigate the association between alcohol use and independent variables.
The most alcohol used in lifetime and past-month (weekly, less than once a week, and daily) in FSWs was 52.7% (12.25%, 12.94%, and 1.83%), respectively. In the final model, factors that were independently associated with alcohol use included the 31-40 years (AOR = 2.41, 95% CI: 1.13-5.15), education level of diploma (AOR = 2.43, 95% CI: 1.31-4.51), history of lifetime drug use (AOR = 2.79, 95% CI: 2.01-3.89), history of lifetime group sex (AOR = 2.07, 95% CI: 1.41-3.03), history of intentional abortion (AOR = 1.42, 95% CI: 1.06-1.92), six or more sexual clients in the last month (AOR = 3.25, 95% CI: 1.80-5.87), history of lifetime anal sex (AOR = 2.47, 95% CI: 1.82-3.35), and FSWs the married, temporarily married, and living with partner were positively associated with lifetime alcohol use.
Alcohol use is prevalent among FSWs in Iran. Further prevention programs are needed to address and reduce harms associated with alcohol use among this vulnerable population in Iran. Designing intervention programs, it is suggested to consider other variables affecting alcohol use in FSWs.
在女性性工作者（FSWs）中，饮酒更为常见。本研究评估了伊朗 FSWs 中终生和过去一个月饮酒的流行情况及其相关因素。
我们对来自伊朗 8 个主要城市的 1464 名女性进行了横断面调查。行为数据由经过培训的访谈者收集，并在私人房间中进行面对面访谈。采用加权分析来确定终生和过去一个月饮酒的流行率。采用单变量和多变量逻辑回归来研究饮酒与独立变量之间的关系。
在 FSWs 中，终生和过去一个月（每周、不到一周一次和每天）饮酒最多的是 52.7%（12.25%、12.94%和 1.83%）。在最终模型中，与饮酒相关的独立因素包括 31-40 岁（AOR=2.41，95%CI：1.13-5.15）、中专学历（AOR=2.43，95%CI：1.31-4.51）、终生吸毒史（AOR=2.79，95%CI：2.01-3.89）、终生群交史（AOR=2.07，95%CI：1.41-3.03）、故意堕胎史（AOR=1.42，95%CI：1.06-1.92）、过去一个月有 6 个或更多性伴侣（AOR=3.25，95%CI：1.80-5.87）、终生肛交史（AOR=2.47，95%CI：1.82-3.35）。已婚、暂时已婚和与伴侣同居的 FSWs 与终生饮酒呈正相关。
在伊朗，FSWs 中饮酒较为普遍。需要进一步制定预防计划，以解决和减少伊朗这一脆弱人群与饮酒相关的危害。在设计干预计划时，建议考虑影响 FSWs 饮酒的其他变量。
