Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

SOCIO-DEMOGRAPHIC AND SUBSTANCE BEHAVIOURAL ABUSE ASSOCIATED TO HIV INFECTION

Author

Madani AH 1 , Jamshidi Makiani M 2 , Davoodian P 3 , Manshuri G 2 , Aghaei R 3 , Egbal Efteghari T 3

Institution

1 Department of Epidemiology, Research Center for Social Determinants for Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
2 Department of Infectious Diseases, Research Center for AIDS, Tehran University of Medical Sciences, Tehran, Iran
3 Research Center for Infectious Diseases, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

Abstract

Objectives: Socio-demographic and substance behavioral abuse, assumed to have strong influence on HIV/AIDS. Individuals who are in different level of socio-economic, demographic status, using alcohol, tobacco, or other drugs are more likely to engage in high-risk behaviors, such as unprotected sex, which can increase the risk for HIV infection. The aim of this study was to identify the most significant demographic, socio-economic and behavioral of HIV risk in one of high risk groups (injecting drug users) in south part of Iran.

Methods: We recruited all injecting drug users (IDUs) from July through December 2010 referred to drop in centers (DIC) in Bandar Abbas south part of Iran. IDUs were interviewed regarding demographic factors, socio-economic and substance behavioral abuse determinants. In addition, blood samples were also obtained for HIV testing. Data were processed using the SPSS software version 16 and the chi-square test was performed to identify the related associations.

Results: In general, HIV infection was detected in 42.4% of IDUs. The results indicate that HIV was significantly associated with the marriage status, single compared to married, OR= 2.4 (CI: 1.3-4.5; p= 0.005), occupation, unemployed compared to employed, OR= 2.1 (CI: 1.1-3.8; p= 0.022), using heroin substance, OR= 3.6 (CI: 1.6-8.1; p= 0.001), using ecstasy, OR= 1.8 (CI: 1.0-3.2; p= 0.001) and drinking alcohol OR= 2.0 (CI: 1.1-3.7; p= 0.031).

Conclusion: Unemployment, being unmarried or divorced, using heroin, ecstasy and alcohol were more prevalent among HIV infected individuals and were possible risk factors for HIV/AIDS among injecting drug users.