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Also, 0. The demographic characteristics of subjects are listed in Table I. Since there are some missing data, the number of participants in categories of ageProstitutes Heerdemarital statusetc. As Prostitutes Heerde the question exploring individual needs of participants, a significant number stated that they need a job and better education. Table III shows that the incidence of high-risk behaviours, substance abuse, and the state of physical health and infectious diseases are significantly correlated with mental disorders p Discussion This study aims to investigate sex-related behaviours among Prostitutes Heerde men in Tehran, and also aims to determine the risk factors and variables related to prostitution among the homeless.

Individuals can stay in these shelters for as long as they need and be fed, whether they are sober or under the influence of any substance though no housing is offered to family members of these individuals.

Although homelessness is a multi-factorial issue, the results of this study suggested that the major causes of homelessness are substance abuse and low income, which is Prostitutes Heerde with the findings reported by Sarvestani et al. In Iran, some male prostitutes provide sexual services to men, and a few to women [6, 7, 9]. We found that prostitution was closely related to addiction, mental health illnesses, poor physical condition Prostitutes Heerde a history of viral infections.

Homeless individuals often fall victim to substance Prostitutes Heerde, high-risk sexual behaviours and mental health problems [23].

The daily use of various Prostitutes Heerde also compromises the Prostitutes Heerde status of these individuals. Moreover, some of these people engage in sexual relations following substance abuse, which is an act, most commonly associated with high-risk sexual Prostitutes Heerde, carried out under and because of the influence of these substances [24].

The homeless who are socially isolated or struggle with depression are more likely to engage in acts of prostitution [25]. In the same vein, the findings revealed that the desire for intimacy coupled with social isolation, or trouble in socialising with women, are other major factors contributing to prostitution in homeless individuals [26].

Frequent intravenous injections of psychoactive substances are also one of the contributory factors for engaging multiple sexual partners; on top of that, the partners of these individuals are also Prostitutes Heerde grappling with substance abuse, and they usually do not use condoms during sexual intercourse Prostitutes Heerde, 16].

In the present study, Participants were mostly in their 30s and the highest frequency of Prostitutes Heerde was observed in this age group. We found that as the age Prostitutes Heerde participants increases by one class the decade classification in Table Ithe risk of prostitution is increased 3-fold Table IV.

A similar study illustrated that as men get older, they are more likely to engage in prostitution [27]. For people living in the temporary shelters, the direct supervision of the Welfare Organization of Iran acts as a protective factor, making them less susceptible to mental illnesses. Furthermore, it also increases their chances of finding a reputable job and a healthy Prostitutes Heerde of income.

As noted in a previous study, the Iranian homeless have a preference for methamphetamine, cigarettes and heroin [3], which is consistent with the findings of this study. Heroin Prostitutes Heerde the main cause of death among the homeless [29].

Since injection is the most common route Prostitutes Heerde heroin administration, these people are at a high risk for HIV infection Prostitutes Heerde. Although addiction is associated with high-risk sexual behaviours, some homeless individuals are unwillingly involved in street prostitution [31, 32]. International studies have demonstrated addiction promotes homelessness, mental health disorders, worse physical health and increased infections in men [19, 31, 32].

As was shown in our results, these phenomena tend to co-exist though it is not clear whether substance abuse is the source or cause of homelessness. As it appears, these two conditions reinforce each Prostitutes Heerde in severity in a Prostitutes Heerde cycle. In addition, the specific substance, route of administration, and dosage are some of the key factors that affect the tendency of individuals to engage in high-risk sexual behaviours [32] while using methadone, Prostitutes Heerde a replacement for opioid addiction, changes the method of substance abuse for the better with lower health risks [6, 13].

If participants are adequately motivated to change, this plan can offer successful outcomes [34]. In this programme, Prostitutes Heerde individuals are identified and Prostitutes Heerde with methadone maintenance treatment MMT programme. Furthermore, the treatment offered at these centres can significantly reduce engagement in high-risk sexual behaviours [35].

Prostitution is one of the major sources of income for the homeless, especially those who are also addicted to various substances and are less likely to be able to hold down a job [36].

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Homelessness gives rise to a plethora of health problems in individuals and society. The provision of medical services in temporary shelters can hamper the hospitalisation of homeless people. The mental health supportive programmes Prostitutes Heerde a comprehensive assertive community treatment ACT programme, Prostitutes Heerde control programmes, and basic skills training programmes that meet the fundamental health-related needs of homeless people, can be effective strategies in controlling physical and infectious diseases that harm this population [37].

Our study showed that homelessness can be rooted in a myriad of familial issues that, for the most part, are connected to financial problems and family disputes. Related international studies that have investigated homelessness in youth, report childhood traumas and negative experiences at home to be some of the major contributing factors in homelessness [8], which shows a significant shift from issues at home to financial pressure as reasons for prostitution as individuals enter adulthood.

To the best of our knowledge, few studies have explored homeless male prostitutes in Iran. Hence, our sources are very limited and confined to a handful of published reports and interviews. As such, more relevant studies on factors that contribute to the growth of the population of male homeless prostitutes seem necessary.

Mental health supportive programmes, a comprehensive assertive community treatment ACT programme, addiction control programmes and basic skills training programmes that meet the fundamental health-related needs of homeless people, can be effective strategies in controlling the physical trauma and infectious diseases that are associated with addiction and prostitution [37].

We believe that by Prostitutes Heerde of proper inhabitation, social Prostitutes Heerde, medical services and enough job opportunities, homeless people Prostitutes Heerde be protected Prostitutes Heerde mental health disorders and drug abuse, which will Prostitutes Heerde the rate of high-risk sexual behaviours.

In Iran, male prostitutes provide sexual services to men and sometimes to women [9]. Heerde JA, Scholes-Balog KE, Hemphill SA. Meet a local Harderwijk hooker for no strings attached sex on the largest adult personals site where you'll find girls looking for no strings attached sex.

A number of factors like Prostitutes Heerde abuse, mental health disorders, physical trauma and infection are associated with a higher incidence of this phenomenon. However, the inhabitation of these vulnerable individuals at emergency shelters and provision of social support and medical services can protect them from mental disorders and substance abuse.

Homelessness as a public mental health and social problem: New knowledge and solutions. Psychological Services ; Springer S. Homelessness: a proposal for a global Prostitutes Heerde and classification. Habitat International ; The socioeconomic status of street homeless in Tehran. Adv Environ Biol ; 6: Asian Pac J Trop Biomed ; 4: The health of homeless Prostitutes Heerde in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.

Lancet ; Understanding consistent condom Prostitutes Heerde among homeless men who have sex with women and engage in multiple sexual partnerships: a path analysis. AIDS Behav ; The status of drug abuse in addicted sex worker women in Tehran in []. Quarterly of Policing Prostitutes Heerde of the Capital Police ; 9: Associations between youth homelessness, sexual offenses, sexual victimization, and sexual risk behaviors: a systematic literature review.

Arch Sex Behav ; Arch Iran Med ; Socioeconomic acceptability of prostitutes in Pakistan: A diversion from prostitution. Cogent Prostitutes Heerde Sciences ; 5: Crack and prostitution: gender, myths, and experiences. Journal of Drug Issues Prostitutes Heerde Hounmenou C. An initial exploration of prostitution of boys in the West African region.

Child Abuse Negl ; Sexual intimacy, mental illness, and homelessness. Am J Community Psychol ; Prostitutes Heerde and relationships on the street: how homeless men judge partner risk on Skid Row. Hepatitis C seroprevalence among intravenous drug users in Tehran. Journal of Research in Medical Sciences ; 6: Men in Prostitutes Heerde maintenance versus psychosocial outpatient treatment: differences in sexual risk behaviors Prostitutes Heerde intervention effectiveness from Prostitutes Heerde multisite HIV prevention intervention trial.

J Addict Dis ; Social Prostitutes Heerde associated with risky sexual behaviors among men who inject drugs in Kermanshah, Western Iran.

Journal of Substance Use ; Opiate substitution treatment and HIV transmission in people who inject drugs: systematic review and meta-analysis. BMJ ; e Drug use and high-risk sexual behaviors of women at a drop-in center in Mazandaran Province, Iran, Iranian J Psychiatry Behav Sci ; 9: e Statistical methods for rates and proportions. Glynn R, Laird N. Regression estimates and missing data: complete case analysis. Drug abuse, social exclusion and homeless in Tehran: a qualitative study.

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Gattis MN. Psychosocial problems associated with homelessness in sexual minority youths. Journal of Human Behavior in the Social Environment ; Petering R. Sexual risk, substance use, mental health, and trauma experiences of gang-involved homeless youth. Journal of Adolescence ; Prostitutes Heerde trade behavior among heterosexually active homeless men.

Archives of Sexual Behavior ; Age-graded risks for commercial sexual exploitation of male and Prostitutes Heerde youth. Journal of Interpersonal Prostitutes Heerde ; Income and employment among homeless people: the role of mental health, health and substance abuse.

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Saeed Dashti Dargahloo. To the best of our knowledge, our study is the first to explore this subject in Iran. Age 18 to 55 years old , marital status single, married, divorced , educational level, occupation and status of insurance, number of children, duration of homelessness and reason for homelessness Table I.

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