Having multiple sexual partners among Iranian Injection Drug Users

Background: Transmission of HIV from intra-venous drug users (IDUs) to the community occurs predominantly through high-risk sexual behaviors. Limited information exists regarding the high-risk sexual behaviors of IDUs in Iran. Aim. The aim of this study was to determine the prevalence and factors as...

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Main Authors: Shervin eAssari, Mosaieb eYarmohamadivasel, Hooman eNarenjiha, Hassan eRafiey, Roya eNoori, Peymaneh eShirinbayan, Maryam eMoghani Lankarani, Reza eMoghani Lankarani, Mahmoud eSehat, Khodabakhsh eAhmadi
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-10-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00125/full
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author Shervin eAssari
Mosaieb eYarmohamadivasel
Hooman eNarenjiha
Hassan eRafiey
Roya eNoori
Peymaneh eShirinbayan
Maryam eMoghani Lankarani
Reza eMoghani Lankarani
Mahmoud eSehat
Khodabakhsh eAhmadi
author_facet Shervin eAssari
Mosaieb eYarmohamadivasel
Hooman eNarenjiha
Hassan eRafiey
Roya eNoori
Peymaneh eShirinbayan
Maryam eMoghani Lankarani
Reza eMoghani Lankarani
Mahmoud eSehat
Khodabakhsh eAhmadi
author_sort Shervin eAssari
collection DOAJ
description Background: Transmission of HIV from intra-venous drug users (IDUs) to the community occurs predominantly through high-risk sexual behaviors. Limited information exists regarding the high-risk sexual behaviors of IDUs in Iran. Aim. The aim of this study was to determine the prevalence and factors associated with having multiple sexual partners among Iranian IDUs. Methods. This is a national survey on drug-dependent adults. Participants were sampled from medical centers, prisons, and streets of capitals of 29 provinces in Iran, between May 2007 and February 2008. We analyzed data of 1,416 current IDUs. Socio-demographics and drug use characteristics were entered into a binary logistic regression model to determine predictors of having multiple sexual partners. Results. Having multiple sexual partners in the past or at the time of survey was reported by 56.4% of Iranian IDUs. Multivariate analysis showed that the likelihood of having multiple sexual partners in IDUs decreased by being married (odds ratio [OR], 0.38; P < .001) and increased by female gender (OR, 13.44; P = .02), having illegal income (OR, 1.72; P = .003), higher monthly family income (OR, 1.01; P = .003), pleasure, curiosity, and recreation as cause of first drug use (OR, 1.37; P = .04), ruins as usual place for injection (OR, 1.89; P = .001), and history of syringe sharing (OR, 1.50; P = .02). Conclusions. Having multiple sexual partners was reported by majority of Iranian IDUs, and this was linked to socio-demographics, initiation data, and other risk behaviors. This information should be considered in prevention efforts to reduce sexual transmission of HIV infection in Iran.
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spelling doaj.art-02e7c6c7bbf34915b57fb5ad2641f6202022-12-22T03:37:54ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402014-10-01510.3389/fpsyt.2014.0012566528Having multiple sexual partners among Iranian Injection Drug UsersShervin eAssari0Mosaieb eYarmohamadivasel1Hooman eNarenjiha2Hassan eRafiey3Roya eNoori4Peymaneh eShirinbayan5Maryam eMoghani Lankarani6Reza eMoghani Lankarani7Mahmoud eSehat8Khodabakhsh eAhmadi9University of MichiganBu-Ali Sina UniversityDarius Institute, University of Social Welfare and Rehabilitation SciencesDarius Institute, University of Social Welfare and Rehabilitation SciencesDarius Institute, University of Social Welfare and Rehabilitation SciencesDarius Institute, University of Social Welfare and Rehabilitation SciencesUniversal Network for Health Information Dissemination and Exchange (UNHIDE)Universal Network for Health Information Dissemination and Exchange (UNHIDE)Universal Network for Health Information Dissemination and Exchange (UNHIDE)Behavioral Sciences Research CenterBackground: Transmission of HIV from intra-venous drug users (IDUs) to the community occurs predominantly through high-risk sexual behaviors. Limited information exists regarding the high-risk sexual behaviors of IDUs in Iran. Aim. The aim of this study was to determine the prevalence and factors associated with having multiple sexual partners among Iranian IDUs. Methods. This is a national survey on drug-dependent adults. Participants were sampled from medical centers, prisons, and streets of capitals of 29 provinces in Iran, between May 2007 and February 2008. We analyzed data of 1,416 current IDUs. Socio-demographics and drug use characteristics were entered into a binary logistic regression model to determine predictors of having multiple sexual partners. Results. Having multiple sexual partners in the past or at the time of survey was reported by 56.4% of Iranian IDUs. Multivariate analysis showed that the likelihood of having multiple sexual partners in IDUs decreased by being married (odds ratio [OR], 0.38; P < .001) and increased by female gender (OR, 13.44; P = .02), having illegal income (OR, 1.72; P = .003), higher monthly family income (OR, 1.01; P = .003), pleasure, curiosity, and recreation as cause of first drug use (OR, 1.37; P = .04), ruins as usual place for injection (OR, 1.89; P = .001), and history of syringe sharing (OR, 1.50; P = .02). Conclusions. Having multiple sexual partners was reported by majority of Iranian IDUs, and this was linked to socio-demographics, initiation data, and other risk behaviors. This information should be considered in prevention efforts to reduce sexual transmission of HIV infection in Iran.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00125/fullIranSexual BehaviorHIV infectionHigh risk sexual behaviorinjection drug usersmultiple sexual partnership
spellingShingle Shervin eAssari
Mosaieb eYarmohamadivasel
Hooman eNarenjiha
Hassan eRafiey
Roya eNoori
Peymaneh eShirinbayan
Maryam eMoghani Lankarani
Reza eMoghani Lankarani
Mahmoud eSehat
Khodabakhsh eAhmadi
Having multiple sexual partners among Iranian Injection Drug Users
Frontiers in Psychiatry
Iran
Sexual Behavior
HIV infection
High risk sexual behavior
injection drug users
multiple sexual partnership
title Having multiple sexual partners among Iranian Injection Drug Users
title_full Having multiple sexual partners among Iranian Injection Drug Users
title_fullStr Having multiple sexual partners among Iranian Injection Drug Users
title_full_unstemmed Having multiple sexual partners among Iranian Injection Drug Users
title_short Having multiple sexual partners among Iranian Injection Drug Users
title_sort having multiple sexual partners among iranian injection drug users
topic Iran
Sexual Behavior
HIV infection
High risk sexual behavior
injection drug users
multiple sexual partnership
url http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00125/full
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