Factors associated with HIV risk perception among people who inject drugs: Findings from a cross-sectional behavioral survey in Kermanshah, Iran

被引:24
|
作者
Armoon, Bahram [1 ]
Noroozi, Mehdi [2 ]
Shushtari, Zahra Jorjoran [2 ]
Sharhani, Asaad [3 ]
Ahounbar, Elahe [4 ]
Karimi, Salahedin [5 ]
Ahmadi, Sina [3 ]
Farhoudian, Ali [4 ]
Rahmani, Azam [6 ]
Abbasi, Mohammad [7 ]
Marshal, Brandon D. L. [8 ]
Rezaei, Omid [9 ]
Rezaei, Fatemeh [10 ]
Sharifi, Hamid [11 ,12 ]
Najafi, Mohammad [4 ]
Bazrafshan, Ali [4 ]
Farhadi, Mohammad Hassan [4 ]
机构
[1] Shahid Beheshti Univ Med Sci, Sch Publ Hlth, Student Res Comm, Tehran, Iran
[2] Univ Social Welf & Rehabil Sci, Social Determinants Hlth Res Ctr, Student Blvd, Tehran, Iran
[3] Shahid Beheshti Univ Med Sci, Sch Hlth, Dept Epidemiol, Tehran, Iran
[4] Univ Social Welf & Rehabil Sci, Subst Abuse & Dependence Res Ctr, Tehran, Iran
[5] Univ Social Welf & Rehabil Sci, Sch Educ & Social Welf, Dept Social Welf Management, Student Res Comm, Tehran, Iran
[6] Univ Tehran Med Sci, Nursing & Midwifery Care Res Ctr, Tehran, Iran
[7] Qom Univ Med Sci, Sch Nursing & Midwifery, Qom, Iran
[8] Brown Univ, Sch Publ Hlth, Dept Epidemiol, Providence, RI 02912 USA
[9] Univ Social Welf & Rehabil Sci, Dept Psychiat, Psychosis Res Ctr, Tehran, Iran
[10] Jahrom Univ Med Sci, Med Sch, Dept Social Med, Jahrom, Iran
[11] Kerman Univ Med Sci, HIV STI Surveillance Res Ctr, Inst Futures Studies Hlth, Kerman, Iran
[12] Kerman Univ Med Sci, Inst Futures Studies Hlth, WHO Collaborating Ctr HIV Surveillance, Kerman, Iran
关键词
HIV risk perception; Kermanshah; people who inject drugs; PERCEIVED RISK; HEPATITIS-C; USERS; INFECTION; PROGRAMS;
D O I
10.1080/14659891.2017.1348554
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: In Iran there are limited data regarding HIV risk perceptions among people who inject drugs (PWID). The objective of this study was to explore HIV risk perception and to examine factors associated with the perception of HIV risk among PWID in Iran. Methods: We surveyed 433 PWID in Kermanshah concerning demographic characteristics, sexual risk behaviors, HIV risk perception, and drug-related risk behaviors in the month prior to the study. Two classes of HIV risk perception (high vs. low) were identified. We used logistic regression to identify factors associated with high HIV risk perception. Result: Of 433 PWID who participated in this study, 36% (95% confidence interval; CI95%: 25.3%, 42.2%) of participants reported high HIV risk perception. Methamphetamine use (adjusted odds ration; AOR = 3.7, p < 0.05), or use of multiple drugs at the same time (AOR = 1.7, p < 0.05) was associated with higher HIV risk perception. Moreover, PWID who were NSP users had 2.8 times the odds of high risk perception compared with non-Needle and Syringe Program (NSP) users (AOR = 2.8). Conclusion: This study implies that initiating drug use at a younger age, using methamphetamine, polydrug use, and needle-and syringe-exchange program utilization were predictors of higher HIV risk perception among PWID in Iran.
引用
收藏
页码:63 / 66
页数:4
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