SOCIAL DETERMINANTS ASSOCIATED WITH RISKY SEXUAL BEHAVIORS AMONG WOMEN SEX WORKER IN TEHRAN

Background and Aim : Limited studies exist on risky sexual behaviors and socio- demographic variables among women sex worker. Understanding the social determinants of risky sexual behaviors is important for designing appropriate HIV/AIDS interventions. Therefore, to illuminate this uncharted area, we aimed to investigate the social determinants of risky sexual behaviors among women sex worker in Tehran, IranMethods : Cross-sectional data were analyzed from the HIV Behavioral Surveillance among women sex worker, conducted in 2017 Tehran, Iran. Additional data were collected by holding interviews to acquire information on socio-demographic characteristics (i.e., age, educational, history of substance use, sexual behaviors including consistent condom use (yes/no), and type of sexual partners (main, casual, exchange). We analyzed variables individually through bivariate analysis and subsequently ran significant variables (P < 0.2) in a multivariate regression model. P<0.05 was considered statistically significant. Descriptive statistics and logistic regression were conducted in Stata 11.Results : Participants were between the age of 20 and 60 years. Compared to women sex worker who reported no sexual risky behavior, participants that were more likely to partake in sexual risk behaviors were those of low (adjusted odds ratio [AOR] = 3.2, P < 0.05) or moderate (AOR = 2.2, P < 0.05) socioeconomic status and methamphetamine use (AOR = 2.8, P < 0.05).Conclusion : A key finding of this study is that women sex worker who reported having multiple sex partners with inconsistent condom use were more likely to experience poly-drug use, methamphetamine use, being of low socioeconomic and education level, and refuse to attend harm reduction programs

کلیدواژه ها:

Social determinants ، sexual behaviors ، inject drugs ، drug use