关键词: HIV related behaviors HIV/AIDS Iran injecting drug users sexual contacts

Mesh : Male Female Humans Iran HIV Infections / epidemiology Risk-Taking Sexual Behavior Educational Status

来  源:   DOI:10.3389/fpubh.2023.1038489   PDF(Pubmed)

Abstract:
A major shift in the routes of HIV transmission seams to be taking place in Iran. Our study aimed to investigate the 30-year trend of major HIV related behaviors in Iran.
The national HIV/AIDS registry database (from September 1986 to July 2016 with data on 32,168 people newly diagnosed with HIV) was used to study the 30 years trend and demographic determinants of major HIV related behaviors.
The highest rate of drug injection (DI) among people living with HIV (PLHIV) was reported during 1996 to 1999 (p-for trend < 0.001) while the highest rate of sexual activity by minorities or hard to reach groups was during 2004 to 2011 (p-for trend < 0.001). Among males, drug injection was directly associated with being single (ORsingle/married = 1.34), being unemployed (ORunemployed/employed = 1.94) and having lower level of education (ORThe pattern of major HIV related behaviors among Iranian males and females have been rapidly changing and people living with HIV (PLHIV) are being diagnosed at a younger age. Health education to younger individuals is an essential HIV controlling strategy among Iranian population. Implementation of surveys in hidden and hard-to-reach populations is also recommended.
摘要:
未经评估:伊朗将发生艾滋病毒传播途径的重大转变。我们的研究旨在调查伊朗主要HIV相关行为的30年趋势。
UNASSIGNED:国家艾滋病毒/艾滋病登记数据库(1986年9月至2016年7月,有32,168名新诊断为艾滋病毒的人的数据)用于研究30年趋势和主要艾滋病毒相关行为的人口决定因素。
UNASSIGNED:据报道,1996年至1999年期间,艾滋病毒感染者(PLHIV)中注射毒品(DI)的比例最高(趋势p<0.001),而少数群体或难以接触群体的性行为率最高是2004年至2011年(趋势p<0.001)。在男性中,药物注射与单身直接相关(ORsingle/已婚=1.34),失业(OR失业/就业=1.94),教育水平较低(OR<高中/≥高中=2.21)。关于女性,药物注射与家庭主妇(ORhousewife/employed=1.35)和较低的教育水平(OR<高中/≥高中=1.85)相关.在女性中,无套性接触在年轻人中更为常见(OR20-29/<20=6.15),和已婚(或已婚/单身=7.76)。然而,在单身男性中(OR已婚/单身=0.82),受教育程度更高(OR≥高中/<高中=1.24),失业(ORunderloor/employed=1.53)报告说,少数群体或难以接触的群体有更多的性活动。
UNASSIGNED:伊朗男性和女性的主要艾滋病毒相关行为模式正在迅速变化,艾滋病毒感染者(PLHIV)在年轻时被诊断出来。对年轻人的健康教育是伊朗人口中必不可少的艾滋病毒控制策略。还建议在隐蔽和难以接触的人群中进行调查。
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