Sexually Transmitted Infections · 2013 · 94 citations · 8 references
Public HealthHealth BehaviorPreventive MedicineAdolescent HealthHiv ControlHiv PreventionHiv EpidemiologyHiv SurveillanceHiv TestingSafer Sex PracticesSexual HealthSexually Transmitted InfectionsBehavioral Hiv PreventionHiv Behavioral EpidemiologyHiv PrevalenceHiv Risk ReductionHiv Testing FrequencyRiskSexual Risk TakingSurvey-based Surveillance
OBJECTIVES: To assess the prevalence of HIV and related risk behaviours among people who inject drugs (PWID) in Iran. METHODS: We conducted a national cross-sectional bio-behavioural surveillance survey between March and July 2010, interviewing male PWID from a geographically dispersed sample through a facility-based sampling method. RESULTS: We recruited 2480, and tested 2290 PWID. The overall prevalence of HIV was 15.2% (95% CI 9.7% to 23.1%). Among those who had injected drugs over the last month, 36.9% had used a non-sterile needle, and 12.6% had practiced shared injection. Over the past 12 months preceding the interview, 30.4% had sold sex for money, drugs, goods or a favour. In the multivariate analysis, the prevalence of HIV had a positive association with age, while having above high school education, and permanent job were protective. CONCLUSIONS: Unsafe injection, and sexual risk behaviours are still frequent and the prevalence of HIV among PWID remains high. Intensified efforts are needed to prevent the further spread of HIV among Iranian PWID and their sexual partners.
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