Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
Abstract Background and Aims Street children face a disproportionately higher risk of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high‐risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk beha...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.1674 |
| _version_ | 1797448793465028608 |
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| author | Naser Nasiri Polychronis Kostoulas Payam Roshanfekr Ali Asghar Kheirkhah Vakilabad Mehrdad Khezri Hossein Mirzaei Ali Sharifi Hamid Sharifi |
| author_facet | Naser Nasiri Polychronis Kostoulas Payam Roshanfekr Ali Asghar Kheirkhah Vakilabad Mehrdad Khezri Hossein Mirzaei Ali Sharifi Hamid Sharifi |
| author_sort | Naser Nasiri |
| collection | DOAJ |
| description | Abstract Background and Aims Street children face a disproportionately higher risk of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high‐risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk behaviors among street children in Iran. Methods We searched PubMed, Web of Science (ISI), Embase, Scopus, and Google Scholar for the English‐language records and Iranian databases, including SID, Magiran, and IRANDOC for the Farsi‐language records up to September 18, 2022. Random effects analysis was used to obtain prevalence estimates for each condition. Homogeneity across included studies was assessed using I2. Results We extracted data from 18 eligible studies, representing 5646 children (83.2% boys), with a mean age of 10.2 (range: 5–18). The prevalence of HIV, HBV, and HCV were 0.79% (95% confidence intervals [CIs]: 0.0–5.56), 1.97% (95% CI: 1.01–3.19), and 1.88% (95% CI: 0.74–3.46), respectively. The prevalence of lifetime drug use and sexual abuse was 8.32% (95% CI: 4.83–12.62) and 10.18% (95% CI: 3.02–20.67) among street children, respectively. Conclusion The estimated prevalence of HIV, HBV, and HCV among street children in Iran was higher than the estimates in the general population. Moreover, drug use and the experience of sexual abuse were prevalent among this population. These findings suggest the need for targeted prevention programs for street children in Iran. |
| first_indexed | 2024-03-09T14:15:37Z |
| format | Article |
| id | doaj.art-3d039e41df884e69ad4763b721b32d54 |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-09T14:15:37Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-3d039e41df884e69ad4763b721b32d542023-11-29T04:12:34ZengWileyHealth Science Reports2398-88352023-11-01611n/an/a10.1002/hsr2.1674Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysisNaser Nasiri0Polychronis Kostoulas1Payam Roshanfekr2Ali Asghar Kheirkhah Vakilabad3Mehrdad Khezri4Hossein Mirzaei5Ali Sharifi6Hamid Sharifi7School of Health Jiroft University of Medical Sciences Jiroft IranLaboratory of Epidemiology and Artificial Intelligence, Faculty of Public & One Health University of Thessaly Thessaly GreeceSocial Welfare Management Research Center, Social Health Research Institute University of Social Welfare and Rehabilitation Sciences Tehran IranClinical Research Development Center of Imam Khomeini Hospital Jiroft University of Medical Sciences Jiroft IranHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance Institute for Futures Studies in Health, Kerman University of Medical Sciences Kerman IranHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance Institute for Futures Studies in Health, Kerman University of Medical Sciences Kerman IranDepartment of Ophthalmology Shafa Hospital, Afzalipour School of Medicine, Kerman University of Medical Sciences Kerman IranHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance Institute for Futures Studies in Health, Kerman University of Medical Sciences Kerman IranAbstract Background and Aims Street children face a disproportionately higher risk of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high‐risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk behaviors among street children in Iran. Methods We searched PubMed, Web of Science (ISI), Embase, Scopus, and Google Scholar for the English‐language records and Iranian databases, including SID, Magiran, and IRANDOC for the Farsi‐language records up to September 18, 2022. Random effects analysis was used to obtain prevalence estimates for each condition. Homogeneity across included studies was assessed using I2. Results We extracted data from 18 eligible studies, representing 5646 children (83.2% boys), with a mean age of 10.2 (range: 5–18). The prevalence of HIV, HBV, and HCV were 0.79% (95% confidence intervals [CIs]: 0.0–5.56), 1.97% (95% CI: 1.01–3.19), and 1.88% (95% CI: 0.74–3.46), respectively. The prevalence of lifetime drug use and sexual abuse was 8.32% (95% CI: 4.83–12.62) and 10.18% (95% CI: 3.02–20.67) among street children, respectively. Conclusion The estimated prevalence of HIV, HBV, and HCV among street children in Iran was higher than the estimates in the general population. Moreover, drug use and the experience of sexual abuse were prevalent among this population. These findings suggest the need for targeted prevention programs for street children in Iran.https://doi.org/10.1002/hsr2.1674HepatitisHIVIranmeta‐analysisrisk factorsstreet children |
| spellingShingle | Naser Nasiri Polychronis Kostoulas Payam Roshanfekr Ali Asghar Kheirkhah Vakilabad Mehrdad Khezri Hossein Mirzaei Ali Sharifi Hamid Sharifi Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis Health Science Reports Hepatitis HIV Iran meta‐analysis risk factors street children |
| title | Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis |
| title_full | Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis |
| title_fullStr | Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis |
| title_full_unstemmed | Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis |
| title_short | Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis |
| title_sort | prevalence of hiv hepatitis b virus hepatitis c virus drug use and sexual behaviors among street children in iran a systematic review and meta analysis |
| topic | Hepatitis HIV Iran meta‐analysis risk factors street children |
| url | https://doi.org/10.1002/hsr2.1674 |
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