High HIV Prevalence in a Respondent-Driven Sampling Survey of Injection Drug Users in Tehran, Iran

被引：16

作者：

Malekinejad, Mohsen ^{[1
,2
]}

Mohraz, Minoo ^{[3
]}

Razani, Nooshin ^{[4
]}

Akbari, Gholamreza ^{[3
]}

McFarland, Willi ^{[5
]}

Khairandish, Parastoo ^{[3
]}

Malekafzali, Housien ^{[6
]}

Gouya, Mohammad M. ^{[7
]}

Zarghami, Asieh ^{[8
]}

Rutherford, George W. ^{[2
]}

机构：

[1] Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco, CA 94118 USA

[2] Univ Calif San Francisco, Global Hlth Sci, San Francisco, CA 94118 USA

[3] Univ Tehran Med Sci, Iranian Res Ctr HIV & AIDS, Tehran, Iran

[4] Univ Calif San Francisco, Sch Med, Div Gen Pediat, San Francisco, CA 94118 USA

[5] San Francisco Dept Publ Hlth, San Francisco, CA USA

[6] Univ Tehran Med Sci, Sch Publ Hlth, Dept Biostat, Tehran, Iran

[7] Iranian Minist Hlth & Med Educ, Ctr Dis Management, Tehran, Iran

[8] Santa Clara Cty Publ Hlth Dept, Santa Clara, CA USA

来源：

AIDS AND BEHAVIOR | 2015年 / 19卷 / 03期

关键词：

HIV; Iran; Injection drug use; Cross-sectional design; Respondent-driven sampling; HARD-TO-REACH; SURVEILLANCE; INFECTION;

D O I：

10.1007/s10461-014-0904-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Iran is facing unprecedented dual drug use and HIV epidemics. We conducted a cross-sectional survey to obtain HIV prevalence and risk behavior data from injection drug users (IDU) in Tehran. We used respondent-driven sampling (RDS) to recruit IDU through successive waves starting with 24 "seeds," conducted anonymous face-to-face interviews and HIV testing and counseling, and used RDSAT to adjust data. During 44 weeks, 1,726 study referral coupons resulted in 645 (37 %) IDU referrals, of whom 548 (85 %) were enrolled. From those enrolled, 84 % were incarcerated, 47 % employed, 55 % single, 27 % under 30 years of age, and 26 % homeless. The adjusted HIV prevalence was 26.6 % (95 % confidence interval 21.3-32.1), and was higher among certain IDU subgroups (e.g., those who sharing injection paraphernalia). Our estimates of HIV prevalence were higher than some other estimates; however, repeated surveys using similar methodology are needed to monitor the trend of HIV epidemic over time.

引用

页码：440 / 449

页数：10

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