Regional Knowledge Hub, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, , Kerman, Iran.
Sex Transm Infect. 2013 Nov;89 Suppl 3(Suppl 3):iii29-32. doi: 10.1136/sextrans-2013-051204. Epub 2013 Sep 14.
To assess the prevalence of HIV and related risk behaviours among people who inject drugs (PWID) in Iran.
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.
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.
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.
评估伊朗注射吸毒者（PWID）中艾滋病毒及相关风险行为的流行率。
我们于 2010 年 3 月至 7 月间开展了一项全国性的横断面生物行为监测调查，通过基于机构的抽样方法，对来自不同地区的男性 PWID 进行访谈。
我们共招募了 2480 名参与者，并对 2290 名 PWID 进行了检测。总体 HIV 感染率为 15.2%（95%CI 9.7%至 23.1%）。在过去一个月有过注射吸毒行为的人中，36.9%曾使用过非无菌注射器，12.6%曾共用过注射器。在访谈前的过去 12 个月内，30.4%的人曾通过性交易获取金钱、毒品、物品或帮助。在多变量分析中，HIV 感染率与年龄呈正相关，而受过高中以上教育和有固定工作则具有保护作用。
不安全的注射行为和性风险行为仍然很普遍，PWID 中的 HIV 感染率仍然很高。需要加大力度，防止伊朗 PWID 及其性伴侣中 HIV 的进一步传播。
