Crystal methamphetamine use and its correlates in women engaged in sex work in a developing country setting

Mostafa Shokoohi, Mohammad Karamouzian, Hamid Sharifi, Afarin Rahimi-Movaghar, Adam Carrico, Samira Hosseini Hooshyar, Ali Mirzazadeh

Research output: Contribution to journalArticle

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Abstract

Background: Worldwide, crystal methamphetamine (CM) use and associated high-risk sexual behaviors are a concern, but they are less studied among female sex workers (FSW) in developing countries. This study aimed to characterize the prevalence and individual, interpersonal, and structural correlates of self-reported past-month CM use among FSW in Iran. Methods: FSW aged ≥ 18 years who reported penetrative sex with more than one client in the last year were recruited (analytic sample: 1295). Data were collected in one-on-one interviews using a standardized behavioral questionnaire. Poisson regression model was used to assess the correlated of past-month self-reported CM use by crude and adjusted prevalence ratio (APR) and 95% confidence intervals (CI). Results: Non-injecting and injecting CM use was reported by 15.0% (95% CI: 8.7, 24.7) and 0.9% (95% CI: 0.4, 2.1) of participants. CM use was positively associated with concurrent use of opioids (APR from 2.08 to 3.84, P-value < 0.01), higher number of sexual partners (APR: 2.05, P-value: 0.018), housing instability (APR: 3.54, P-value: 0.001), and history of forced sex (APR: 1.47, P-value: 0.050). Conclusions: A considerable number of FSWs use CM along with opioids, have a higher number of sexual partners, forced sex, and housing instability. Both prevention strategies as well as strategies to reduce harm associated with CM need to be added to current programs that predominantly focus on opioid dependency and male drug injectors.

Original languageEnglish (US)
Pages (from-to)260-265
Number of pages6
JournalDrug and Alcohol Dependence
Volume185
DOIs
StatePublished - Apr 1 2018

Fingerprint

Sex Work
Methamphetamine
Developing countries
Developing Countries
Crystals
Sex Workers
Opioid Analgesics
Sexual Partners
Confidence Intervals
Risk-Taking
Iran
Sexual Behavior
Interviews

Keywords

  • Female sex worker
  • Harm reduction
  • Iran
  • Methamphetamine
  • Stimulants
  • Surveillance

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

Cite this

Shokoohi, M., Karamouzian, M., Sharifi, H., Rahimi-Movaghar, A., Carrico, A., Hosseini Hooshyar, S., & Mirzazadeh, A. (2018). Crystal methamphetamine use and its correlates in women engaged in sex work in a developing country setting. Drug and Alcohol Dependence, 185, 260-265. https://doi.org/10.1016/j.drugalcdep.2017.12.025

Crystal methamphetamine use and its correlates in women engaged in sex work in a developing country setting. / Shokoohi, Mostafa; Karamouzian, Mohammad; Sharifi, Hamid; Rahimi-Movaghar, Afarin; Carrico, Adam; Hosseini Hooshyar, Samira; Mirzazadeh, Ali.

In: Drug and Alcohol Dependence, Vol. 185, 01.04.2018, p. 260-265.

Research output: Contribution to journalArticle

Shokoohi, M, Karamouzian, M, Sharifi, H, Rahimi-Movaghar, A, Carrico, A, Hosseini Hooshyar, S & Mirzazadeh, A 2018, 'Crystal methamphetamine use and its correlates in women engaged in sex work in a developing country setting', Drug and Alcohol Dependence, vol. 185, pp. 260-265. https://doi.org/10.1016/j.drugalcdep.2017.12.025
Shokoohi, Mostafa ; Karamouzian, Mohammad ; Sharifi, Hamid ; Rahimi-Movaghar, Afarin ; Carrico, Adam ; Hosseini Hooshyar, Samira ; Mirzazadeh, Ali. / Crystal methamphetamine use and its correlates in women engaged in sex work in a developing country setting. In: Drug and Alcohol Dependence. 2018 ; Vol. 185. pp. 260-265.
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abstract = "Background: Worldwide, crystal methamphetamine (CM) use and associated high-risk sexual behaviors are a concern, but they are less studied among female sex workers (FSW) in developing countries. This study aimed to characterize the prevalence and individual, interpersonal, and structural correlates of self-reported past-month CM use among FSW in Iran. Methods: FSW aged ≥ 18 years who reported penetrative sex with more than one client in the last year were recruited (analytic sample: 1295). Data were collected in one-on-one interviews using a standardized behavioral questionnaire. Poisson regression model was used to assess the correlated of past-month self-reported CM use by crude and adjusted prevalence ratio (APR) and 95{\%} confidence intervals (CI). Results: Non-injecting and injecting CM use was reported by 15.0{\%} (95{\%} CI: 8.7, 24.7) and 0.9{\%} (95{\%} CI: 0.4, 2.1) of participants. CM use was positively associated with concurrent use of opioids (APR from 2.08 to 3.84, P-value < 0.01), higher number of sexual partners (APR: 2.05, P-value: 0.018), housing instability (APR: 3.54, P-value: 0.001), and history of forced sex (APR: 1.47, P-value: 0.050). Conclusions: A considerable number of FSWs use CM along with opioids, have a higher number of sexual partners, forced sex, and housing instability. Both prevention strategies as well as strategies to reduce harm associated with CM need to be added to current programs that predominantly focus on opioid dependency and male drug injectors.",
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AU - Shokoohi, Mostafa

AU - Karamouzian, Mohammad

AU - Sharifi, Hamid

AU - Rahimi-Movaghar, Afarin

AU - Carrico, Adam

AU - Hosseini Hooshyar, Samira

AU - Mirzazadeh, Ali

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N2 - Background: Worldwide, crystal methamphetamine (CM) use and associated high-risk sexual behaviors are a concern, but they are less studied among female sex workers (FSW) in developing countries. This study aimed to characterize the prevalence and individual, interpersonal, and structural correlates of self-reported past-month CM use among FSW in Iran. Methods: FSW aged ≥ 18 years who reported penetrative sex with more than one client in the last year were recruited (analytic sample: 1295). Data were collected in one-on-one interviews using a standardized behavioral questionnaire. Poisson regression model was used to assess the correlated of past-month self-reported CM use by crude and adjusted prevalence ratio (APR) and 95% confidence intervals (CI). Results: Non-injecting and injecting CM use was reported by 15.0% (95% CI: 8.7, 24.7) and 0.9% (95% CI: 0.4, 2.1) of participants. CM use was positively associated with concurrent use of opioids (APR from 2.08 to 3.84, P-value < 0.01), higher number of sexual partners (APR: 2.05, P-value: 0.018), housing instability (APR: 3.54, P-value: 0.001), and history of forced sex (APR: 1.47, P-value: 0.050). Conclusions: A considerable number of FSWs use CM along with opioids, have a higher number of sexual partners, forced sex, and housing instability. Both prevention strategies as well as strategies to reduce harm associated with CM need to be added to current programs that predominantly focus on opioid dependency and male drug injectors.

AB - Background: Worldwide, crystal methamphetamine (CM) use and associated high-risk sexual behaviors are a concern, but they are less studied among female sex workers (FSW) in developing countries. This study aimed to characterize the prevalence and individual, interpersonal, and structural correlates of self-reported past-month CM use among FSW in Iran. Methods: FSW aged ≥ 18 years who reported penetrative sex with more than one client in the last year were recruited (analytic sample: 1295). Data were collected in one-on-one interviews using a standardized behavioral questionnaire. Poisson regression model was used to assess the correlated of past-month self-reported CM use by crude and adjusted prevalence ratio (APR) and 95% confidence intervals (CI). Results: Non-injecting and injecting CM use was reported by 15.0% (95% CI: 8.7, 24.7) and 0.9% (95% CI: 0.4, 2.1) of participants. CM use was positively associated with concurrent use of opioids (APR from 2.08 to 3.84, P-value < 0.01), higher number of sexual partners (APR: 2.05, P-value: 0.018), housing instability (APR: 3.54, P-value: 0.001), and history of forced sex (APR: 1.47, P-value: 0.050). Conclusions: A considerable number of FSWs use CM along with opioids, have a higher number of sexual partners, forced sex, and housing instability. Both prevention strategies as well as strategies to reduce harm associated with CM need to be added to current programs that predominantly focus on opioid dependency and male drug injectors.

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KW - Stimulants

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