Effects of adverse early-life experiences on sexually transmitted infections among homelesswomen

Fallahi, A. and Rahmani, A. and Azin, S.A. and Molavi, N. and Higgs, P. and Allahqoli, L. (2019) Effects of adverse early-life experiences on sexually transmitted infections among homelesswomen. International Journal of High Risk Behaviors and Addiction, 8 (3).

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Abstract

Background: Homeless women are at high risk of sexually transmitted infections (STIs) due to their adverse early-life experiences. Objectives: This study aimed to examine the association between adverse early-life experiences and the risk of acquiring STIsamong homeless women in Tehran. Patients and Methods: A descriptive-analytical cross-sectional study was carried out in 2014. The study recruited 241 homeless women through quota sampling from the drop in centers and shelters affiliated to a local welfare organization in Tehran, Iran. Data were obtained using questionnaires on demographics and adverse early-life experiences. Blood and urine samples were tested for human immunodeficiency virus (HIV), herpes simplex virus 2 (HSV-2), syphilis, Chlamydia trachomatis, and Neisseria gonorrhea. Descriptive statistics including frequency were calculated for all variables. To analyze the data at a significance level of 0.05, binary logistic regression was used. Results: The prevalence rates of HIV/AIDS, HSV-2, syphilis, Chlamydia trachomatis, and Neisseria gonorrhea were 8.29, 23.65, 14.93, 11.61, and 6.63, respectively. The results of logistic regression showed that the risk of acquiring STIs increases by factors such as sexual abuse (OR = 4.06; 95 CI = 1.21 -13.6, P = 0.02), running away from home (OR = 4.46; 95 CI = 1.67 -12.89, P = 0.03), drug use (OR = 3.93; 95 CI = 1.13 -13.58, P = 0.03), alcohol use (OR = 4.12; 95 CI = 1.38 -12.24, P = 0.01), imprisonment and criminal records (OR = 2.72; 95 CI = 1.01 -7.52, P = 0.04), premarital sexual activity (OR = 4.71; 95 CI = 1.06 -13.84, P = 0.05), divorce (OR = 3.47; 95 CI = 1.06 -11.32, P = 0.03), Nikah mut'ah (OR = 4.33; 95 CI = 1.39 -13.49, P = 0.01), having multiple sex partners (OR = 5.2; 95 CI = 1.81 -14.96, P = 0.02), and having unprotected sexual relationships (OR = 3.69; 95 CI = 1.00 -13.62, P = 0.05). Conclusions: Homeless women had high rates of adverse early-life experiences and overall 41.49 of them were affected at least by one STI. Future interventions should focus on the reduction of adverse early-life experiences, especially during adolescence, including the promotion of adolescent empowerment, promotion of condom use, and improvement of awareness of STIs. © 2019, Author(s).

Item Type: Article
Additional Information: cited By 0
Subjects: Health Professions
Midwifery
Divisions: Faculty of Health > Department of Public health
Depositing User: ART . editor
Date Deposited: 28 Dec 2019 15:40
Last Modified: 28 Dec 2019 15:40
URI: http://eprints.kaums.ac.ir/id/eprint/4790

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