Condomless Sex With Partners and Clients Among Female Sex Workers in Iran: A Systematic Review and Meta-Analysis

被引：6
|
作者：
Khezri, Mehrdad [1 ,2 ]
Tavakoli, Fatemeh [1 ,2 ]
Bazrafshan, Azam [1 ,2 ]
Sharifi, Hamid [1 ,2 ]
Shokoohi, Mostafa [1 ,2 ,3 ]
机构：
[1] Kerman Univ Med Sci, HIV STI Surveillance Res Ctr, Kerman, Iran
[2] Kerman Univ Med Sci, WHO Collaborating Ctr HIV Surveillance, Inst Futures Studies Hlth, Kerman, Iran
[3] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada
来源：
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2022年 / 33卷 / 01期
关键词：
condomless sex; female sex workers; harm reduction; HIV; Iran; meta-analysis; SEXUALLY-TRANSMITTED INFECTIONS; SYPHILIS PREVALENCE; RISK BEHAVIORS; HIV; INTERVENTION; KERMAN; INCOME; WOMEN; SOUTH; EAST;
D O I：
10.1097/JNC.0000000000000305
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
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.
引用
收藏
页码：63 / 77
页数：15
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