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The symptom check listrevised SCLR is a psychometric scale used to measure Prostitutes Fasa distress This item Prostitutes Fasa Prostitutes Fasa screens for a broad range of psychological problems, and responses are recorded on a 5-point Likert scale of distress, ranging from Prostitutes Fasa not at all to 4 extremely.

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The scores are combined for 9 Prostitutes Fasa symptom dimensions: somatization, obsessive-compulsiveness, interpersonal sensitivity, depression, anxiety, anger-hostility, phobic anxiety, paranoid ideation, and psychoticism. Prostitutes Fasa Higher scores reflect Prostitutes Fasa severe psychopathology. The scale also provides three global indexes, including global severity index GSI score as an indicator of overall psychological distress, a positive symptom distress index PSDIand a positive symptom total PST.

The SCL has been Prostitutes Fasa for the Prostitutes Fasa population Data on high-risk behaviors such as unprotected sex, condom use, drug Prostitutes Fasa, alcohol use, Prostitutes Fasa so on were collected through a questionnaire Prostitutes Fasa and designed on Prostitutes Fasa basis of review articles, research published in Persian, previous questionnaire studies and a translation and adaptation of the HIV and AIDS Prostitutes Fasa surveillance survey developed by Family Health International The questionnaire consisted of 29 items.

The pilot test was conducted on 30 FSWs and the validity and reliability of the questionnaire were analyzed. The largest proportion of the women in the case group Most women in Prostitutes Fasa groups were of Persian ethnic origin Among FSWs, the average age Prostitutes Fasa first marriage Mean age at first sexual intercourse Most sex workers used natural methods of contraception, Prostitutes Fasa most women in the control group used oral Prostitutes Fasa.

None Prostitutes Fasa the women in the control group had the history of alcohol use, whereas one-third of the sex workers reported taking alcoholic drinks before or during intercourse. All sex workers had a history of using narcotics or psychoactive drugs during their lifetime, and most of them were daily multidrug Prostitutes Fasa opium, hashish, psychotic drugs, methamphetamine, Prostitutes Fasa.

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In Prostitutes Fasa words, women in this group had a more favorable mental health status, whereas psychological symptoms were significantly more prevalent among FSWs. This finding generally indicates that women in the control group had a more favorable mental health Prostitutes Fasa.

This finding shows that mean scores for these psychological symptoms were higher among women not using condoms during their most recent sexual intercourse. To the best of our knowledge, the present study is the first to investigate the relationship between mental health with HIV transmission in Iranian FSWs. The findings of Prostitutes Fasa study Prostitutes Fasa that high-risk behaviors were more frequent among FSW compared to women in the Prostitutes Fasa group. Earlier research also found that high-risk behaviors were frequent in the former group Because these women are bridges of HIV Prostitutes Fasa to their partners and indirectly to Prostitutes Fasa society, interventions are necessary to increase their knowledge and reduce their high-risk behaviors.

The average age at first sexual intercourse about Prostitutes Fasa years suggests an earlier engagement in illegal sexual relationships and sensation seeking-behaviors which, according to Iranian culture, Prostitutes Fasa result in the disruption of the family system, divorce, left alone, and finally sex Prostitutes Fasa.

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According to GSI results, almost two-thirds of the sex workers experienced significantly moderate to severe disorder symptoms more than women in the control group. These results are in line with the studies Prostitutes Fasa Hong Prostitutes Fasa and France but in contrast with the findings of a study in New Zealand, which found no significant difference between sex workers and Prostitutes Fasa women with respect to general well-being The results of another study on FSWs in the USA found that more than one-third of the participants suffered from anxiety symptoms and more than half Prostitutes Fasa them had depression symptoms With regard to the correlation between mental Prostitutes Fasa and Prostitutes Fasa behaviors, the present results confirm that GSI is associated with certain high-risk sexual Prostitutes Fasa.

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Sex workers with higher psychological distress were more likely to report Prostitutes Fasa behaviors, which exposed them to Prostitutes Fasa infection, and individuals with higher GSI scores were more likely to have more sexual relationships and different sexual partners during the previous week.

In addition, FSWs with higher Prostitutes Fasa scores and more psychological symptoms in all subscales except for Prostitutes Fasa Fasa, interpersonal sensitivity, and psychoticism were less likely to Prostitutes Fasa condoms during their most recent sexual intercourse.

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This Prostitutes Fasa is generally consistent with that of a study conducted in Prostitutes Fasa Another study in China that involved FSWs who were also injection drug users showed that mental health problems were prevalent among this group, and a large Prostitutes Fasa of these women experienced psychological problems such Prostitutes Fasa depression, disappointment, and pessimism.

However, optimism had a negative correlation with discontinuous use of condoms during the previous 6 months, i. Other studies of high-risk groups such as adolescent Prostitutes Fasa females and men who have sex with other men have confirmed the relationship between psychological distress and high-risk behaviors 27 Several studies have shown that negative emotions such Prostitutes Fasa depression, anxiety, and anger are associated with high-risk behaviors, which expose the individuals to HIV infection or transmission Other studies have also reported Prostitutes Fasa FSWs with symptoms of depression were less likely to use condoms consistently In addition, depression has been related to high-risk Prostitutes Fasa among women referred to the sexually transmitted diseases clinics.

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Compared to non-depressed individuals, depressed women were more likely to engage in high-risk behaviors such as having sex for drugs or money, sexual relationships with Prostitutes Fasa drug users, having several sexual partners, and abusing drugs and alcohol Because FSWs experience negative emotions, they are more vulnerable to high-risk behaviors Psychological distress may also limit their access to healthcare services by increasing Prostitutes Fasa loneliness and seclusion.

The findings of the present study showed that compared to women in the control group, FSWs in Shiraz scored low on mental health instruments, which was related to some high-risk Prostitutes Fasa for HIV transmission. Our findings emphasize the need for mental health-oriented preventive interventions such as psychology and psychiatry clinics at harm reduction centers.

Nevertheless, AIDS prevention programs and Prostitutes Fasa reduction strategies should involve psychological interventions by skilled specialists.

In Prostitutes Fasa words, women in this group had a more favorable mental health status, whereas psychological symptoms were significantly more prevalent among FSWs.

Such interventions should include monthly psychological evaluation of the patients and high-risk individuals, and measures to improve their mental health Prostitutes Fasa reduce their high-risk behaviors.

Additional Prostitutes Fasa studies will be needed to evaluate the Prostitutes Fasa of our recommended intervention. The present study had some limitations. Prostitutes Fasa the shah set Prostitutes Fasa on a campaign-cum pilgrimage to Baghdad and the Shi'i shrines of Prostitutes Fasa in andneglected to take her along, she repented and became a nun.

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