SeyedAlinaghi SeyedAhmad, Farhoudi Behnam, Mohraz Minoo, Golsoorat Pahlaviani Fatemeh, Hosseini Mostafa, Farnia Marzieh, Shahbazi Mohammad, Alasvand Ramin, Tashakoriyan Mehrzad
1)Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran. 2)Tehran Positive Club, Tehran, Iran.
Clinical Research Development Center, Amir-Almomenin Hospital, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
Arch Iran Med. 2017 Jun;20(6):356-360.
This is a cross-sectional survey conducted on 6900 male prisoners in Great Tehran Prison from October 2013 to May 2014.
In order to find HIV positive prisoners in the prison's quarantine and two housing units, we used HIV active case finding (ACF) strategy by rapid screening test. In ACF, healthcare staff and trained prisoners asked inmates to answer relevant questions about history of risky behaviors related to HIV as well as to be tested voluntarily by HIV rapid test. A positive result was confirmed by ELISA screening and Western blot tests. Furthermore, to find the prevalence of specific HIV risk factors among prisoners were assessed using a questionnaire, and the results were analyzed by STATA software, providing univariate and multivariate modeling.
There were 85 HIV positive patients. The prevalence of HIV was 1.23%. The risk factors independently associated with HIV infection were age (adjusted odds ratio of 3.46 for 35-44 yrs., 95% CI:1.01-11.92), duration of imprisonment (adjusted odds ratio of 4.22 for ≥10 yr., 95% CI: 1.92-9.24 ), history of injection drug use (adjusted odds ratio of 5.01, 95% CI: 2.24-11.18), history of needle sharing (adjusted odds ratio of 2.28, 95% CI: 1.25-4.16) and tattooing (adjusted odds ratio of 1.84, 95% CI: 1.05-3.24).
The prevalence and risk factors of HIV infection should be recognized by policy makers for intensifying harm reduction programs and reforming the HIV guidelines in prisons.
这是一项于2013年10月至2014年5月期间对德黑兰大监狱6900名男性囚犯开展的横断面调查。
为了在监狱检疫区和两个关押单元中找出HIV阳性囚犯，我们采用了通过快速筛查检测进行HIV主动病例发现（ACF）的策略。在ACF中，医护人员和经过培训的囚犯要求囚犯回答有关与HIV相关的危险行为史的相关问题，并自愿接受HIV快速检测。阳性结果通过ELISA筛查和蛋白质印迹试验进行确认。此外，为了找出囚犯中特定HIV危险因素的流行情况，使用问卷进行评估，并通过STATA软件对结果进行分析，并提供单变量和多变量模型。
有85名HIV阳性患者。HIV的患病率为1.23%。与HIV感染独立相关的危险因素为年龄（35 - 44岁的调整优势比为3.46，95%置信区间：1.01 - 11.92）、监禁时长（≥10年的调整优势比为4.22，95%置信区间：1.92 - 9.24）、注射吸毒史（调整优势比为5.01，95%置信区间：2.24 - 11.18）、共用针头史（调整优势比为2.28，95%置信区间：1.25 - 4.16）以及纹身（调整优势比为1.84，95%置信区间：1.05 - 3.24）。
政策制定者应认识到HIV感染的患病率和危险因素，以加强减少伤害计划并改革监狱中的HIV指南。
