People who inject drugs in prison: HIV prevalence, transmission and prevention

Dolan, Kate; Moazen, Babak; Noori, Atefeh; Rahimzadeh, Shadi; Farzadfar, Farshad; Hariga, Fabienne

doi:10.1016/j.drugpo.2014.10.012

Cited by 76 publications

(77 citation statements)

References 27 publications

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“…The result of low investment in care and little political will to implement efforts to try to solve existing problems is clear. Health care in prisons is solely the responsibility of prison administration, and is disconnected from the recommendations laid down in the protocols of public health programs (11)(12)(13)(14) . Although international organizations have shown a decline in the rate of HIV prevalence among prisoners, reaching an average of 3.0% a year (15) , official data indicate that it is still higher than in the general population, demonstrating that it is a public health problem that is difficult to tackle.…”

Section: Discussionmentioning

confidence: 99%

Fatores associados à prevalência do vírus da imunodeficiência humana em população privada de liberdade

Sousa

Araújo

Teles

et al. 2017

Rev. esc. enferm. USP

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Objective:To analyze HIV prevalence and associated factors in inmates in a prison in a state in the Northeast region of Brazil. Method: Epidemiological, cross-sectional study carried out with prisoners. Interviews were conducted using a form and a rapid test for the diagnosis. Bivariate and multivariate hypothesis testing, with a simple logistic ratio (unadjusted odds ratio) and multiple ratio (adjusted odds ratio) were applied. Significance level was set at p≤0.05. Results: A total of 2,131 inmates participated in the study. The HIV prevalence was 1.0%. Seropositive individuals were mostly Afro-American; their marital status was predominantly single/separated/widower. The mean age was of 31.3 years, and the mean educational level was 6.29 years. There was a link between the HIV virus and the variables: selection of partners based on physical attributes and vaginal sexual intercourse. Conclusion: Tackling the HIV infection represents a major challenge for prison and sanitary authorities, considering that the issues related to the HIV context inside and outside the prison environment are interconnected and, therefore, demands coordinated action.

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Section: Discussionmentioning

confidence: 99%

Fatores associados à prevalência do vírus da imunodeficiência humana em população privada de liberdade

Sousa

Araújo

Teles

et al. 2017

Rev. esc. enferm. USP

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“…Evidence leaves no doubt that women are more vulnerable to HIV/AIDS than men (17,29,30). In this study "partner's condom refusal" was the main reason of condom non-use among women living with HIV/AIDS.…”

Section: Discussionmentioning

confidence: 82%

Determinants of Consistent Condom Use Among Iranians Living with HIV/AIDS: Implication for Prevention

Moazen

Hajizadeh

Setayesh

et al. 2017

Int J High Risk Behav Addict

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Background: Individuals that are HIV positive can transmit the infection through unprotected sex. Objectives: The present study aimed to evaluate the prevalence and determinants of consistent condom use among Iranian people living with HIV/AIDS as one of the most stigmatized and hard-to-access groups in this country. Patients and Methods: This cross-sectional study was conducted in Tehran, Iran. A total of 400 heterosexuals living with HIV/AIDS were sampled from 5 behavioral consulting centers through a purposive sampling method. Data were collected through an interviewer-administered questionnaire. Bivariate logistic regression, chi-square test, and multivariate logistic regression model were used as the statistical models in this study. Results: Of all 400 participants, 240 (60%) were men. The mean age was 34.7 for both sexes. During the past year, 335 (83.7%) were sexually active and 269 (67.9%) reported never having used a condom. Consistent condom use (always using condom in sexual intercourse) was reported by 67 (16.7%) of the participants. Consistent condom use was significantly associated with participation in HIV prevention courses (P = 0.003), knowledge of unsafe sex consequences (P = 0.017), condom use as a dual protection method (P = 0.0001), having a HIV-positive sexual partner (P = 0.0001), as well as being in a regular sexual relationship (P = 0.005). Conclusions: Development and improvement of the HIV prevention programs seems necessary to control the transmission of HIV in each community. However, results of the present study emphasize the importance of more attention to some specific programs such as prevention of mother-to-child transmission as a result of the willingness of Iranian people living with HIV/AIDS to child bearing. In addition, more attention should be paid to women as the more vulnerable part of the community to better prevent and control HIV in Iran.

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“…Sabendo-se que as prisões são "a high-risk environment for the transmission of HIV" 56 (p. 57), a inércia no que diz respeito à distribuição de material de injeção é uma situação de igual modo intrigante. Também já tem provimento legal há largos anos 57 , contraria muitas das recomendações no que diz respeito à prevenção do HIV nas prisões 58,59 e tem por base, quase sempre, receios de insegurança infundados que acabam por se sobrepor a imperativos de saúde pública e de direitos humanos 56,60 .…”

Section: Redução De Danos E Barreiras Estruturais No Campo Da Toxicodunclassified

Indivíduos, estruturas e riscos: panorâmica da prevenção primária do HIV em Portugal

Sacramento

2016

Cad. Saúde Pública

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Resumo: O texto debate as principais orientações e procedimentos que configuram a prevenção primária do HIV/AIDS em Portugal, prestando especial atenção à redução de riscos nos dois grandes cenários de propagação da epidemia: a sexualidade e o consumo de drogas injetáveis. Na análise, os riscos de infecção são considerados enquanto expressões de práticas densamente imbricadas em estruturas sociais e quadros culturais. À luz dessa concepção, procura-se avaliar e compreender em que medida as estratégias preventivas têm subjacente uma abordagem ampla e integradora, incluindo os indivíduos e as suas circunstâncias. Simultaneamente, são identificados alguns dos grandes constrangimentos estruturais que ainda se colocam à concretização de condições propícias à minimização de riscos e à adoção de comportamentos seguros. Nesses exercícios analíticos não se ponderam somente as orientações políticas e programáticas, mas também processos no terreno, de forma a mostrar-se como a não operacionalização de medidas já previstas e legisladas constitui, por si mesma, uma poderosa barreira estrutural à prevenção do HIV.

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People who inject drugs in prison: HIV prevalence, transmission and prevention

Cited by 76 publications

References 27 publications

Fatores associados à prevalência do vírus da imunodeficiência humana em população privada de liberdade

Fatores associados à prevalência do vírus da imunodeficiência humana em população privada de liberdade

Determinants of Consistent Condom Use Among Iranians Living with HIV/AIDS: Implication for Prevention

Indivíduos, estruturas e riscos: panorâmica da prevenção primária do HIV em Portugal

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