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01.07.2008 | Original Paper

Injection Drug Use in Rural Iran: Integrating HIV Prevention into Iran’s Rural Primary Health Care System

verfasst von: Vahid Mojtahedzadeh, Nooshin Razani, Mohsen Malekinejad, Mohsen Vazirian, Shervan Shoaee, Mohammad Bagher Saberi Zafarghandi, Alexandra L. Hernandez, Jeffrey S. Mandel

Erschienen in: AIDS and Behavior | Sonderheft 1/2008

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Abstract

Major opium trafficking routes traverse rural Iran, but patterns of drug use and HIV infection in these areas are unknown. In 2004, Iran’s Ministry of Health integrated substance use treatment and HIV prevention into the rural primary health care system. Active opium or heroin users (N = 478) were enrolled in a rural clinic. Participants received counseling for abstinence from substances, or daily needle exchange and condoms. On enrollment, 108 (23%) reported injecting; of these, 79 (73%) reported sharing needles. Of 65 participants tested for HIV, 46 (72%) tested positive. Participants who received daily needle exchange/condoms stayed in the program longer than those who did not (AOR 2.08, 95% CI 1.1–3.88). This project demonstrates that HIV risks exist in rural Iran and suggests the innovative use of Iran’s rural health care system to extend prevention and treatment services to these populations.

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Titel: Injection Drug Use in Rural Iran: Integrating HIV Prevention into Iran’s Rural Primary Health Care System
verfasst von: Vahid Mojtahedzadeh
Nooshin Razani
Mohsen Malekinejad
Mohsen Vazirian
Shervan Shoaee
Mohammad Bagher Saberi Zafarghandi
Alexandra L. Hernandez
Jeffrey S. Mandel
Publikationsdatum: 01.07.2008
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe Sonderheft 1/2008
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-008-9408-y

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