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EDITORIAL

Prevalence and predictor factor of lifetime abortion in female sex workers in Iran: results of the national rapid assessment and response in 2017

Payam Roshanfekr https://orcid.org/0000-0002-2119-9093 A , Leila Moftakhar https://orcid.org/0000-0003-2457-1775 B * , Sakineh Narouee https://orcid.org/0000-0003-2908-3965 C D , Delaram Ali https://orcid.org/0000-0002-6469-2208 A and Meroe Vameghi https://orcid.org/0000-0001-8146-4752 A
+ Author Affiliations
- Author Affiliations

A Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

B Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

C Epidemiology and Biostatistic Group, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran.

D Department of Health, Iranshahr University of Medical Sciences, Sistan and Baluchestan, Iran.

* Correspondence to: Moftakhar_p@yahoo.com

Handling Editor: Christopher Fairley

Sexual Health 20(4) 366-369 https://doi.org/10.1071/SH22169
Submitted: 7 October 2022  Accepted: 31 March 2023   Published: 24 April 2023

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing

Abstract

Female sex workers are at a high risk of abortion. This cross-sectional study included 855 female sex workers to determine the prevalence of lifetime abortion and its related factors. Logistic regression models were used to identify the factors related to lifetime abortion. The prevalence of lifetime abortion was reported at 40.8%. The chance of having a lifetime abortion was 7.8 times higher in women aged >35 years and 2.4 times higher in financially dependent women. The high prevalence of lifetime abortion indicates that these women’s health and fertility needs are not met.

Keywords: cross sectional, FSWs, Iran, lifetime abortion, predictor, pregnancy, prevalence, risk factor.


References

[1]  Ampt FH, Willenberg L, Agius PA, Chersich M, Luchters S, Lim MS. Incidence of unintended pregnancy among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Open 2018; 8 e021779
Incidence of unintended pregnancy among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar |

[2]  Phrasisombath K, Faxelid E, Sychareun V, Thomsen S. Risks, benefits and survival strategies-views from female sex workers in Savannakhet, Laos. BMC Public Health 2012; 12 1004
Risks, benefits and survival strategies-views from female sex workers in Savannakhet, Laos.Crossref | GoogleScholarGoogle Scholar |

[3]  Wahed T, Alam A, Sultana S, Alam N, Somrongthong R. Sexual and reproductive health behaviors of female sex workers in Dhaka, Bangladesh. PLoS One 2017; 12 e0174540
Sexual and reproductive health behaviors of female sex workers in Dhaka, Bangladesh.Crossref | GoogleScholarGoogle Scholar |

[4]  Hakim AJ, Callahan T, Benech I, Patel M, Adler M, Modi S, et al. Addressing vulnerable population needs in the last mile to the elimination of mother to child transmission of HIV: (Re) Claiming the HIV response for female sex workers and their children. BMC Public Health 2020; 20 1015
Addressing vulnerable population needs in the last mile to the elimination of mother to child transmission of HIV: (Re) Claiming the HIV response for female sex workers and their children.Crossref | GoogleScholarGoogle Scholar |

[5]  Rolon ML, Syvertsen JL, Robertson AM, Rangel MG, Martinez G, Ulibarri MD, et al. The influence of having children on HIV-related risk behaviors of female sex workers and their intimate male partners in two Mexico–US border cities. J Trop Pediatr 2013; 59 214–9.
The influence of having children on HIV-related risk behaviors of female sex workers and their intimate male partners in two Mexico–US border cities.Crossref | GoogleScholarGoogle Scholar |

[6]  Martin CE, Wirtz AL, Mogilniy V, Peryshkina A, Beyrer C, Decker MR. Contraceptive use among female sex workers in three Russian cities. Int J Gynaecol Obstet 2015; 131 156–60.
Contraceptive use among female sex workers in three Russian cities.Crossref | GoogleScholarGoogle Scholar |

[7]  Jalali R, Mohammadi M, Vaisi-Raygani A, Ghobadi A, Salari N. Prevalence of unwanted pregnancy in Iranian women: a systematic review and meta-analysis. Reprod Health 2019; 16 133
Prevalence of unwanted pregnancy in Iranian women: a systematic review and meta-analysis.Crossref | GoogleScholarGoogle Scholar |

[8]  Karamouzian M, Mirzazadeh A, Shokoohi M, Khajehkazemi R, Sedaghat A, Haghdoost AA, et al. Lifetime abortion of female sex workers in Iran: findings of a national bio-behavioural survey in 2010. PLoS One 2016; 11 e0166042
Lifetime abortion of female sex workers in Iran: findings of a national bio-behavioural survey in 2010.Crossref | GoogleScholarGoogle Scholar |

[9]  Moradinazar M, Najafi F, Nazar ZM, Hamzeh B, Pasdar Y, Shakiba E. Lifetime prevalence of abortion and risk factors in women: evidence from a cohort study. J Pregnancy 2020; 2020 4871494
Lifetime prevalence of abortion and risk factors in women: evidence from a cohort study.Crossref | GoogleScholarGoogle Scholar |

[10]  Asadi-Aliabadi M, Abolghasemi J, Rimaz S, Majdzadeh R, Rostami-Maskopaee F, Merghati-Khoei E. Barriers to health service utilization among iranian female sex workers: a qualitative study. J Prev Med Public Health 2018; 51 64–70.
Barriers to health service utilization among iranian female sex workers: a qualitative study.Crossref | GoogleScholarGoogle Scholar |

[11]  Sullivan GP, Guédou FA, Batona G, Kintin F, Béhanzin L, Avery L, et al. Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin. BMC Womens Health 2020; 20 248
Overview and factors associated with pregnancies and abortions occurring in sex workers in Benin.Crossref | GoogleScholarGoogle Scholar |