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伊朗监狱中艾滋病毒/艾滋病流行趋势及相关干预措施——13年经验

Trend of HIV/AIDS Prevalence and Related Interventions Administered in Prisons of Iran -13 Years' Experience.

作者信息

Shahbazi Mohammad, Farnia Marzieh, Rahmani Khaled, Moradi Ghobad

机构信息

1. GFATM Project Coordinator against HIV/AIDS and Tuberculosis Projects, United Nations Development Program, Prisons Organization , Tehran, Iran.

2. Health and Treatment Office of Iranian Prisons Organization , Tehran, Iran.

出版信息

Iran J Public Health. 2014 Apr;43(4):471-9.

PMID:26005657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4433728/
Abstract

BACKGROUND

HIV/AIDS epidemic is concentrated among injecting drug users in Iran. Like many other countries with HIV/AIDS concentrated epidemic, prisons are high risk areas for spreading HIV/AIDS. The aim of this paper was to study the trend of HIV/AIDS prevalence and related interventions administered in prisons of Iran during a 13 years period.

METHODS

This cross sectional study was conducted using the data collected from the sentinel sites in all prisons in the country and it also used the data about Harm Reduction interventions which has been implemented by Iran Prisons Organization. To evaluate the correlation between the prevalence and each of administered interventions in prisons the Correlation Coefficient Test was used for the second half of the mentioned time period.

RESULTS

The prevalence of HIV/AIDS in prisons had increased rapidly in the early stages of epidemic, so that in 2002 the prevalence raised to 3.83%. Followed by the expansion of Methadone Maintenance Therapy and development of Triangular Clinics, HIV/AIDS prevalence in prisons declined. There was a relationship between interventions and the prevalence of HIV/AIDS.

CONCLUSION

In regions and countries where the epidemic is highly prevalent among injecting drug users and prisoners, Methadone Maintenance Therapy and development of Triangular Clinics can be utilized to control HIV/AIDS epidemic quickly.

摘要

背景

伊朗的艾滋病毒/艾滋病疫情集中在注射吸毒者中。与许多其他艾滋病毒/艾滋病集中流行的国家一样,监狱是艾滋病毒/艾滋病传播的高风险地区。本文旨在研究13年间伊朗监狱中艾滋病毒/艾滋病流行趋势及相关干预措施。

方法

本横断面研究使用了从该国所有监狱的哨点收集的数据,还使用了伊朗监狱组织实施的减少伤害干预措施的数据。为了评估监狱中流行率与每项实施干预措施之间的相关性,在上述时间段的后半段使用了相关系数检验。

结果

在疫情早期,监狱中艾滋病毒/艾滋病的流行率迅速上升,以至于在2002年流行率升至3.83%。随着美沙酮维持治疗的扩大和三角诊所的发展,监狱中艾滋病毒/艾滋病的流行率下降。干预措施与艾滋病毒/艾滋病的流行率之间存在关联。

结论

在注射吸毒者和囚犯中疫情高度流行的地区和国家,可以利用美沙酮维持治疗和三角诊所的发展来迅速控制艾滋病毒/艾滋病疫情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4d7/4433728/c09f3a78aa05/IJPH-43-471-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4d7/4433728/c09f3a78aa05/IJPH-43-471-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4d7/4433728/c09f3a78aa05/IJPH-43-471-g001.jpg

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