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Social Support Associated with Condom Use Behavior Among Female Sex Workers in Iran.
Zahra Jorjoran Shushtari1, Ali Mirzazadeh2,3, SeyedAhmad SeyedAlinaghi4
1Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
International Journal of Behavioral Medicine
|September 3, 2021
Summary
Social support from peer sex workers and family is linked to condom use in female sex workers (FSWs). Interventions should enhance social and familial support for HIV prevention among FSWs.
Area of Science:
- Public Health
- Social Epidemiology
- HIV Prevention
Background:
- Limited research exists on social support's impact on HIV risk behaviors, specifically condom use, among female sex workers (FSWs) in Iran.
- Understanding these associations is crucial for developing targeted public health interventions in vulnerable populations.
Purpose of the Study:
- To investigate the relationship between social support and the frequency of condom use among FSWs in Tehran, Iran.
- To identify specific sources of social support that influence condom use behaviors in this demographic.
Main Methods:
- A mixed sampling approach recruited 170 FSWs in Tehran, Iran, in 2017.
- Data on social support and condom use were collected via face-to-face interviews using standardized questionnaires.
- Linear regression analysis examined associations between socio-demographic factors, transactional sex characteristics, HIV knowledge, social network characteristics, and condom use.
Main Results:
- The study identified sexual partners (51%), peer sex workers (44%), and family (5%) as key components of FSWs' social networks.
- Perceived social support was moderate from sexual partners, low from peer sex workers, and very low from family.
- Adjusted analyses revealed significant associations between social support from peer sex workers (b=0.28) and family (b=1.12) and condom use.
Conclusions:
- Social support from peer sex workers and family is associated with increased condom use among FSWs.
- However, the influence of family support is limited by the low social connectivity of FSWs with their families.
- Public health interventions aimed at promoting condom use should incorporate strategies to bolster social and familial support systems for FSWs.
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