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Of those seeking routine services at each recruiting site, 30—45 eligible FSW were recruited using convenience sampling. Many of them are runaways from poor and broken homes. Given the local health department surveillance team inputs, we chose a maximum of two facilities per city for the study, according to the capacity of staff to consent, enrol and interview the participants. Among additional indicators included were engagement in temporary marriage Sighe , local venues that FSW use for either finding clients or having sex, history of being in prison and knowledge of available sites for HIV testing. Since we recruited FSW from the sites, we considered the sites as sampling units to take into account such clustering effects in our analysis. In , the media reported Kurdistan Regional Government officials were among the clients of these brothels. The aim of this first national biobehavioural surveillance survey among FSW was to assess the prevalence of HIV infection and related risky behaviours in this special subpopulation. We also asked about sexually transmitted infection syndromes and treatment seeking patterns. It means that if a woman marries a man in this way and has sex, she has to wait for a certain period of time before marrying again and therefore, a woman cannot marry more than a limited number of times in a year.
Our questionnaire on demographic characteristics, history of sex work, and related sex and drug use risks was based on previous questionnaires developed by Family Health International 3 with inclusion of other local and international indicators. Of eligible FSW that consented for the interview, Data were weighted and adjusted for the clustering effect of the sampling sites. To adjust for the differential sampling probabilities, we conducted a weighted analysis. The prevalence of HIV was 4. Of those seeking routine services at each recruiting site, 30—45 eligible FSW were recruited using convenience sampling. Some Iranian women, who seek employment to support their families in Iran, are vulnerable to sex trafficking. Afghan migrants and refugees, including children, are highly vulnerable to sex trafficking. The case notifications, however, indicated an increasing contribution of unsafe sex—up to Iranian girls between the ages of 13 and 17 are targeted by traffickers for sale abroad; younger girls may be forced into domestic service until their traffickers consider them old enough to be subjected to child sex trafficking. The percentage of FSW who reported high-risk injection ie, shared syringes or equipment at their last injection was A third test was performed for discordant results. Ever being married was reported by The mean age at first commercial sex was Since we recruited FSW from the sites, we considered the sites as sampling units to take into account such clustering effects in our analysis. We found 30 HIV-positive samples. However, prostitutes are visible on some street corners of the major cities. These efforts led to an increase in the number of identified HIV cases to 23 cases by , with the dominant mode of transmission still drug injection The mean ages for first drug use and first drug injection were Sigheh can last from 3days to 99 years although some Islamic scholars mujtahids , say that it is impossible to marry a person, as temporary marriage, for a period of time that is usually longer than the average life-time of a person ;  it expires automatically without divorce. A unique digit code linked each questionnaire and its corresponding DBS. Drug Misuse Introduction Iran's HIV epidemic has been characterised by the spread of infection among people who inject drugs PWID with dramatic outbreaks noted in prisons in the mid s. In , there was a reported increase in young Iranian women in prostitution in Dubai ; some of these women may be trafficking victims. Less than half of FSW Given the local health department surveillance team inputs, we chose a maximum of two facilities per city for the study, according to the capacity of staff to consent, enrol and interview the participants. We found that the prevalence of HIV infection was significantly associated with having a history of drug injection and having another source of income in addition to sex work. A total of
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