Najafi Zeinab, Shekarbeigi Saeede, Koochak Hamid Emadi, Farhoudi Behnam, SeyedAlinaghi SeyedAhmad, Mirzazadeh Ali
Iranian Research Center for HIV/AIDS (IRCHA), Iranian Institute for Reduction of High-Risk Behavior, Tehran, Iran.
Clinical Research Development Center, Amir-Almomenin Hospital, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
Open AIDS J. 2020;14(1):35-40. doi: 10.2174/1874613602014010035. Epub 2020 May 23.
The objective of the present study was to determine the prevalence of HIV and risk behaviors among the inmates' visitors at the Great Tehran Prison in 2018.This population is more likely to be infected with HIV due to their relationship with inmates. However, they have not been prioritized to the other populations in comparison to inmates who are usually prioritized over others.
Using a convenient sampling method, we recruited inmates' visitorsat the Great Tehran Prison in 2018. An anonymous questionnaire collected information on the participant's demographic characteristics, relationship withinmate, imprisonment history, drug-related risk behaviors, and HIV-related risk behaviors.Rapid HIV blood test detected HIV positive people. To examine the association between risk behaviors and HIV infection, we used a multivariate logistic regression model to calculate the adjusted Odds Ratio (OR)(adjusted Odds ratio of 23.140, 95% CI OD: 1.994-268.5).
1131 visitors were asked to participate in the study; out of which 1120 consented (99%).Out of the 1120 participants, 55.2% were female, and the majority (72.4%) aged older than 35 years. Of those who had a sexual partner, 50% did not usea condom in the last 6 months. Overall, HIV prevalence was 0.4% in the inmate visitors, but it was significantly higher among those with a history of drug injection().
Our findings indicated that overall the HIV prevalence is low amonginmates' visitors; Subgroups with a history of injection have high HIV prevalence which needs to beprioritized for HIV screening and treatment.
本研究的目的是确定2018年德黑兰大监狱囚犯探视者中艾滋病毒的流行情况和风险行为。由于与囚犯的关系，这一人群感染艾滋病毒的可能性更高。然而，与通常被优先考虑的囚犯相比，他们没有被优先于其他人群。
采用便利抽样方法，我们招募了2018年德黑兰大监狱囚犯的探视者。一份匿名问卷收集了参与者的人口统计学特征、与囚犯的关系、监禁史、与毒品相关的风险行为以及与艾滋病毒相关的风险行为。快速艾滋病毒血液检测检测出艾滋病毒呈阳性的人。为了检验风险行为与艾滋病毒感染之间的关联，我们使用多元逻辑回归模型来计算调整后的比值比（OR）（调整后的比值比为23.140，95%置信区间OD：1.994-268.5）。
1131名探视者被要求参与研究；其中1120人同意参与（99%）。在1120名参与者中，55.2%为女性，大多数（72.4%）年龄超过35岁。在有性伴侣的人中，50%在过去6个月中未使用避孕套。总体而言，囚犯探视者中的艾滋病毒流行率为0.4%，但在有注射毒品史的人中显著更高（）。
我们的研究结果表明，总体而言，囚犯探视者中的艾滋病毒流行率较低；有注射史的亚组艾滋病毒流行率较高，需要优先进行艾滋病毒筛查和治疗。
