AIDS and Behavior

, Volume 18, Supplement 1, pp 19–24 | Cite as

HIV and Related Risk Behaviors Among Female Sex Workers in Iran: Bias-Adjusted Estimates from the 2010 National Bio-Behavoral Survey

  • Ali Mirzazadeh
  • Saharnaz Nedjat
  • Soodabeh Navadeh
  • AliAkbar Haghdoost
  • Mohammad-Ali Mansournia
  • Willi McFarland
  • Kazem Mohammad
Original Paper

Abstract

In a national, facility-based survey of female sex workers in 14 cities of Iran (N = 872), HIV prevalence was measured at 4.5 % (95 % CI, 2.4–8.3) overall and at 11.2 % (95 % CI, 3.4–18.9) for FSW with a history of injection drug use. Using methods to correct for biases in reporting sensitive information, the estimate of unprotected sex in last act was 35.8 %, ever injecting drugs was 37.6 %, sexually transmitted disease symptoms was 82.1 %, and not testing for HIV in the last year was 64.0 %. The amount of bias correction ranged from <1 to >30 %, in parallel with the level of stigma associated with each behavior. Considering the current upward trajectory of HIV infection in the Middle East and North Africa region, as well as the ongoing high level of risky behaviors and considerable underreporting of many such behaviors in surveys, bias corrections may be needed, especially in the context of Iran, to obtain more accurate information to guide prevention and care responses to stop the growing HIV epidemic in this vulnerable group of women.

Keywords

Female sex workers Behaviors HIV Iran Bias Middle East 

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Copyright information

© Springer Science+Business Media New York (outside the USA)  2013

Authors and Affiliations

  • Ali Mirzazadeh
    • 1
    • 2
    • 3
    • 6
  • Saharnaz Nedjat
    • 4
  • Soodabeh Navadeh
    • 2
    • 1
  • AliAkbar Haghdoost
    • 5
    • 1
  • Mohammad-Ali Mansournia
    • 2
  • Willi McFarland
    • 6
  • Kazem Mohammad
    • 2
  1. 1.Regional Knowledge Hub, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in HealthKerman University of Medical SciencesKermanIran
  2. 2.Department of Epidemiology and Biostatistics, School of Public HealthTehran University of Medical SciencesTehranIran
  3. 3.Philip R. Lee Institute for Health Policy StudiesUniversity of CaliforniaSan FranciscoUSA
  4. 4.Department of Epidemiology and Biostatistics, School of Public Health, Knowledge Utilization Research CenterTehran University of Medical SciencesTehranIran
  5. 5.Research Center for Modeling in Health, Institute for Futures Studies in HealthKerman University of Medical SciencesKermanIran
  6. 6.Global Health SciencesUniversity of CaliforniaSan FranciscoUSA

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