伊朗德黑兰被拘留的男性注射吸毒者中 HIV 感染的流行率和相关因素。
Prevalence and correlates of HIV infection among male injection drug users in detention in Tehran, Iran.
机构信息
Iranian Research Center for HIV/AIDS, Department of Infectious and Tropical Diseases, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
J Acquir Immune Defic Syndr. 2010 Feb;53(2):273-5. doi: 10.1097/QAI.0b013e3181be6dde.
OBJECTIVE
To measure HIV prevalence and characterize associated risk behaviors among injection drug users (IDU) upon detention in Tehran, Iran.
METHODS
A cross-sectional survey included 459 male IDU arrested by police during a police sweep in Tehran in 2006. A questionnaire was completed, and blood was collected for HIV testing.
RESULTS
Overall HIV prevalence was 24.4% (95% confidence interval 20.5-28.6). Factors independently associated with HIV infection included history of using an opioid in jail (adjusted odds ratio 2.11, 95% confidence interval 1.26-3.53) and older age (adjusted odds ratio 2.79 for 25-34, 3.01 for 35-44, 4.62 for > or = 45 yr).
CONCLUSIONS
This study supports that incarceration is contributing to the increased spread of HIV. Harm reduction programs should be urgently expanded, particularly among incarcerated IDU.
目的
在伊朗德黑兰，对被拘留的注射吸毒者（IDU）进行调查，以测量 HIV 流行率并描述相关的危险行为。
方法
这是一项横断面调查，共纳入了 2006 年警察扫毒行动中被逮捕的 459 名男性 IDU。调查采用问卷调查的方式进行，同时采集血样进行 HIV 检测。
结果
总 HIV 感染率为 24.4%（95%置信区间 20.5-28.6）。与 HIV 感染相关的独立因素包括在监狱中使用阿片类药物的历史（校正比值比 2.11，95%置信区间 1.26-3.53）和年龄较大（校正比值比 25-34 岁为 2.79，35-44 岁为 3.01，≥45 岁为 4.62）。
结论
本研究支持入狱是导致 HIV 传播增加的原因之一。应紧急扩大减少伤害计划，特别是针对被监禁的 IDU。
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