Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative Study

Mehran Asadi-AliAbadi; Jamileh Abolghasemi; Shahnaz Rimaz; Reza Majdzadeh; Fereshteh Rostami-Maskopaee; Effat Merghati-Khoei

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자료유형: 학술저널

저자정보: Mehran Asadi-AliAbadi Jamileh Abolghasemi Shahnaz Rimaz Reza Majdzadeh Fereshteh Rostami-Maskopaee Effat Merghati-Khoei

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제51권 제2호

발행연도: 2018.1

수록면: 64 - 70 (7page)

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Objectives: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.

참고문헌 (34)

참고문헌 신청

Joint United Nations Programme on HIV/AIDS (UNAIDS) / 0000 / Global report: UNAIDS report on the global AIDS epidemic 2013

Shokoohi M / 2016 / Correlates of HIV testing among female sex workers in Iran: findings of a national bio-behavioural surveillance survey / PLoS One 11(1):e0147587

Merghati-Khoei E / 2015 / Intimate partner violence and risky sexual behaviors among Iranian women with substance use disorders / Med J Islam Repub Iran 29:174

Haghdoost AA / 2011 / Modelling of HIV/AIDS in Iran up to 2014 / J AIDS HIV Res 3(12):231~239

Ministry of Health and Medical Education / Islamic Republic of Iran AIDS progress report

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