CORRELATION OF METHAMPHETAMINE USE WITH HIGH-RISK SEXUAL BEHAVIORS AMONG PEOPLE WHO INJECT DRUGS IN IRAN: RESULTS FROM BIO-BEHAVIORAL SURVEILLANCE SURVEY IN 2014

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 330

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شناسه ملی سند علمی:

KAMED13_221

تاریخ نمایه سازی: 10 دی 1398

چکیده مقاله:

Background and Aim : People who inject drugs (PWID) are at a high risk for HIV and sexually transmitted infections (STIs). The population of PWID in Iran is estimated approximately 200000. This study examined the high-risk sexual behavior related to methamphetamine use among PWIDs in Iran.Methods : In this cross-sectional survey, totally 2,356 PWID were recruited using cluster sampling in 10 cities of Iran in 2014. The inclusion criteria were: having a history of drug injection at least once during last 12 months; being ≥18 year-old; and holding Iranian citizenship. A standardized structured questionnaire was used to collect information about injection and sexual experiences of the study population during. High risk sexual contact was defined as having sex without a condom with partner (commercial sex and non - commercialized sex). The data were analyzed by using descriptive statistics and logistic regression in STATA 14. Results : In this study, 98% of participants were male. The mean age at first drug use (Non-injection) were 18.6 years. The prevalence of methamphetamine consumption in last month was (68.3 %). about half of participants (44.5%) had a history of drug injection during last month. Knowledge of sexually transmitted infection were low (23.95%). around half of them had history of commercial sex during last year (42.0%), the prevalence of unsafe sex with non-commercialized partners was 42.0%. Methamphetamine use increase probability of unsafe extramarital sex (non-commercialized sex) 1.5% (OR: 1.5, 95% Confidence Intervals: 1.09; 2.26) and odds unsafe extramarital sexual intercourse (commercial sex) 2.2 (OR: 2.2, 95% Confidence Intervals: 1.4; 3.4). Conclusion : : Methamphetamine use and high risk sexual behaviors are prevalent among PWIDs. Understanding trends in drug-related behaviors and sexual relationships among injecting drug users can be effective in harm reduction programs

کلیدواژه ها:

PWIDs ، high risk sexual behavior ، methamphetamine use

نویسندگان

Jasem Zarei

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Ali Mirzazadeh

Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, United States of America

Hamid Sharifi

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Armita Shahesmaeili

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Soheil Mehmandoost

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Mehrdad Khezri

HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran