Barriers to health service utilization among iranian female sex workers: A qualitative study

Asadi-AliAbadi, M. and Abolghasemi, J. and Rimaz, S. and Majdzadeh, R. and Rostami-Maskopaee, F. and Merghati-Khoei, E. (2018) Barriers to health service utilization among iranian female sex workers: A qualitative study. Journal of Preventive Medicine and Public Health, 51 (2). pp. 64-70.


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Objectives: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. Methods: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. Results: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. Conclusions: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS. Copyright © 2018 The Korean Society for Preventive Medicine.

Item Type: Article
Additional Information: cited By 0
Subjects: WA Public Health
WP Gynecology
Depositing User: eprints admin
Date Deposited: 05 Aug 2018 04:47
Last Modified: 07 Sep 2019 08:24

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