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Intentional abortion and its associated factors among female sex workers in Iran: Results from national bio-behavioral surveillance-2020

Author

Listed:
  • Ghobad Moradi
  • Mohammad Mehdi Gouya
  • Elnaz Ezzati Amini
  • Sahar Sotoodeh Ghorbani
  • Samaneh Akbarpour
  • Bushra Zareie
  • Neda Izadi
  • Farzaneh Kashefi
  • Yousef Moradi

Abstract

Purpose: In addition to estimating the prevalence of intentional abortion in Iranian female sex workers (FSWs), this study identified related factors using the data of a national study. Methods: This cross-sectional study utilizes the third round of integrated bio-behavioral surveillance-III data in Iranian FSWs in December 2019 and August 2020, and 1515 Participants were selected in 8 geographically diverse cities in Iran. Logistic regression was performed using unweighted analysis to identify factors associated with intentional abortion. Stata software (version 14), respondent-driven sampling analyses, and R (version 4.1.2) was used for data analysis. Results: From 1390 participants with valid responses to the abortion question, 598 (37.3%; 95% CI: 32.43, 42.11%) reported intentional abortion during their life. According to the age groups, the highest prevalence of abortion was in the age group of 31 to 40 years (42.60%). In the multivariate logistic regression model, the marital status (divorced women (AOR = 2.05, 95% CI: 1.29, 3.27), concubines (AOR = 1.78, 95% CI: 1.02, 3.11)), work experience in brothels (AOR = 1.39, 95% CI: 1.04, 1.84), the type of sex (AOR = 2.75, 95% CI: 1.35, 5.58), the history of sexual violence (AOR = 1.54, 95% CI: 1.19, 2.01), and alcohol consumption (AOR = 1.53, 95% CI: 1.18, 2.01) were significantly associated with a history of intentional abortion. Conclusion: Intentional abortion’s prevalence among Iranian FSWs has been much higher than that of the general female population in Iran, which is an alarming issue in the public health of this group and needs more effective interventions. In addition, alcohol consumption, working in a brothel, and being divorced are essential factors in increasing abortions among sex workers.

Suggested Citation

  • Ghobad Moradi & Mohammad Mehdi Gouya & Elnaz Ezzati Amini & Sahar Sotoodeh Ghorbani & Samaneh Akbarpour & Bushra Zareie & Neda Izadi & Farzaneh Kashefi & Yousef Moradi, 2022. "Intentional abortion and its associated factors among female sex workers in Iran: Results from national bio-behavioral surveillance-2020," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-15, August.
    • Handle: RePEc:plo:pone00:0273732
    DOI: 10.1371/journal.pone.0273732
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    References listed on IDEAS

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    1. Tara S Beattie & Boryana Smilenova & Shari Krishnaratne & April Mazzuca, 2020. "Mental health problems among female sex workers in low- and middle-income countries: A systematic review and meta-analysis," PLOS Medicine, Public Library of Science, vol. 17(9), pages 1-38, September.
    2. Janet Ledesma, 2014. "Conceptual Frameworks and Research Models on Resilience in Leadership," SAGE Open, , vol. 4(3), pages 21582440145, August.
    3. Domingo Ojer Tsakiridu & Amalia Franco Vidal & Fernando Vázquez Valdés & Maria Luisa Junquera Llaneza & Jose Antonio Varela Uría & Mar Cuesta Rodríguez & Carmen López Sanchez & Margarita Busto Folgosa, 2008. "Factors Associated with Induced Abortion in Women Prostitutes in Asturias (Spain)," PLOS ONE, Public Library of Science, vol. 3(6), pages 1-7, June.
    4. repec:plo:pone00:0068855 is not listed on IDEAS
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