Rafiey Hassan, Narenjiha Hooman, Shirinbayan Peymaneh, Noori Roya, Javadipour Morteza, Roshanpajouh Mohsen, Samiei Mercedeh, Assari Shervin
Iranian Research Center for Substance Abuse and Dependence (IRCSAD), University of Social Welfare and Rehabilitation Science, Tehran, Iran.
Harm Reduct J. 2009 Jul 30;6:21. doi: 10.1186/1477-7517-6-21.
The role of needle and syringe sharing behavior of injection drug users (IDUs) in spreading of blood-borne infections - specially HIV/AIDS - is well known. However, very little is known in this regard from Iran. The aim of our study was to determine the prevalence and associates of needle and syringe sharing among Iranian IDUs.
In a secondary analysis of a sample of drug dependents who were sampled from medical centers, prisons and streets of the capitals of 29 provinces in the Iran in 2007, 2091 male IDUs entered. Socio-demographic data, drug use data and high risk behaviors entered to a logistic regression to determine independent predictors of lifetime needle and syringe sharing.
749(35.8%) reported lifetime experience of needle and syringe sharing. The likelihood of lifetime needle and syringe sharing was increased by female gender, being jobless, having illegal income, drug use by family members, pleasure/enjoyment as causes of first injection, first injection in roofless and roofed public places, usual injection at groin, usual injection at scrotum, lifetime experience of nonfatal overdose, and history of arrest in past year and was decreased by being alone at most injections.
However this data has been extracted from cross-sectional design and we can not conclude causation, some of the introduced variables with association with needle and syringe sharing may be used in HIV prevention programs which target reducing syringe sharing among IDUs.
注射吸毒者共用针头和注射器的行为在传播血源性感染（特别是艾滋病毒/艾滋病）方面所起的作用已广为人知。然而，在伊朗，这方面的情况却鲜为人知。我们研究的目的是确定伊朗注射吸毒者中针头和注射器共用的流行率及其相关因素。
对2007年从伊朗29个省份省会的医疗中心、监狱和街头抽取的吸毒者样本进行二次分析，纳入了2091名男性注射吸毒者。将社会人口统计学数据、吸毒数据和高危行为数据纳入逻辑回归分析，以确定终生共用针头和注射器的独立预测因素。
749人（35.8%）报告有终生共用针头和注射器的经历。终生共用针头和注射器的可能性在以下情况下会增加：女性、无业、有非法收入、家庭成员吸毒、首次注射的原因是寻求快感/享受、在无顶和有顶的公共场所首次注射、通常在腹股沟注射、通常在阴囊注射、有非致命过量用药的终生经历以及过去一年有被捕记录；而在大多数注射时独自进行则会降低这种可能性。
然而，这些数据是从横断面设计中提取的，我们无法得出因果关系，但一些与共用针头和注射器相关的变量可用于针对减少注射吸毒者中注射器共用情况的艾滋病毒预防项目。
