Samiei Mercedeh, Moradi Afsaneh, Noori Roya, Aryanfard Sepideh, Rafiey Hassan, Naranjiha Hooman
Division of Psychiatry, Razi Psychiatric Hospital, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran.
Department of Psychology, Faculty of Psychology and Educational Sciences, Al-Zahra University, Tehran, IR Iran.
Int J High Risk Behav Addict. 2016 Feb 28;5(2):e27488. doi: 10.5812/ijhrba.27488. eCollection 2016 Jun.
As the most populated Persian Gulf country, in Iran, engagement with drug injection and unsafe sex are the main routes of HIV transmission among some drug-dependent women.
The current study explored the barriers that a group of drug-dependent women reported in accessing and adhering to HIV services in drug use treatment.
Qualitative interviews were conducted with 47 Persian women at five outpatient drug treatment centers between January and December 2011. Five focus group interviews were conducted with ten key informants (KI). The interviews made use of a semi-structured interview guide, which facilitated discussion regarding the barriers. The interview transcripts were analyzed thematically using Atlas-ti software.
The interview accounts highlighted a number of barriers, including stigmatization, a considerable lack of knowledge about free HIV centers in the community, previous traumatic events, misconceptions about the quality of HIV services, and a poor supportive referral system among drug treatment and HIV centers.
The findings highlight a need for removing stigma and providing high quality women-only HIV services. Increasing trust and knowledge of available HIV services are needed for this group of women. Increasing staff knowledge is a priority. An integrated supportive network among drug treatment and HIV centers is suggested in Iran.
作为人口最多的波斯湾国家，在伊朗，注射毒品和不安全的性行为是一些吸毒成瘾女性感染艾滋病毒的主要途径。
本研究探讨了一组吸毒成瘾女性在获得和坚持使用吸毒治疗中的艾滋病毒服务方面所报告的障碍。
2011年1月至12月期间，在五个门诊戒毒治疗中心对47名伊朗女性进行了定性访谈。对十名关键信息提供者进行了五次焦点小组访谈。访谈使用了半结构化访谈指南，该指南有助于讨论相关障碍。使用Atlas-ti软件对访谈记录进行了主题分析。
访谈记录突出了一些障碍，包括污名化、对社区免费艾滋病毒中心的了解严重不足、以前的创伤事件、对艾滋病毒服务质量的误解以及戒毒治疗和艾滋病毒中心之间支持性转诊系统不佳。
研究结果强调需要消除污名化并提供高质量的仅针对女性的艾滋病毒服务。对于这组女性来说，需要增强对现有艾滋病毒服务的信任和了解。提高工作人员的知识水平是当务之急。建议在伊朗建立戒毒治疗和艾滋病毒中心之间的综合支持网络。
