Condomless Sex With Partners and Clients Among Female Sex Workers in Iran: A Systematic Review and Meta-Analysis. (January 2022)

• Record Type: Journal Article
• Authors: Khezri, Mehrdad; Tavakoli, Fatemeh; Bazrafshan, Azam; Sharifi, Hamid; Shokoohi, Mostafa
• Is Part Of: Journal of the Association of Nurses in AIDS Care. Volume 33:Number 1(2022)
• Page Start: 63
• Page End: 77
• Publication Date: 2022-01
• Subjects: condomless sex -- female sex workers -- harm reduction -- HIV -- Iran -- meta-analysis; AIDS (Disease) -- Nursing -- Periodicals; AIDS (Disease) -- Treatment -- Periodicals; AIDS (Disease) -- Periodicals; HIV infections -- Nursing -- Periodicals; HIV infections -- Treatment -- Periodicals; HIV infections -- Periodicals; 616.97920231
• DOI: 10.1097/JNC.0000000000000305
• Languages: English
• ISSNs: 1055-3290

Abstract

Abstract : Supplemental Digital Content is Available in the Text. Abstract: 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.