Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1399
10
1
gregorian
2021
1
1
35
1
online
1
fulltext
en
Prevalence of Symptom-based Sexually Transmitted Infections and Related Factors among Incarcerated Men in Iran, 2013
Epidemiology
Epidemiology
Original Research
Original Research
<strong>Background: </strong>Prisoners are at higher risk for sexually transmitted infections (STIs) than the general population. This study reported the prevalence and correlated factors of STI-related symptoms among male prisoners in Iran.<br>
<strong>Methods:</strong> Participants were selected from 27 prisons across 16 Iranian provinces in 2013 using a multistage cluster sampling (N = 5490). Men aged ≥18 years who spent at least one week in prison and self-reported having had sex during the previous year were eligible and asked if they have had penile discharge (PD) or genital ulcers (GU) within the last year. Demographic variables, HIV/STIs-related knowledge, STIs care-seeking practices, HIV self-perceived risk, history of substance use, and sexual behaviors were collected by face-to-face interviews. HIV tests were completed using the ELISA method. Factors associated with STIs-related symptoms were examined using logistic regression models, and adjusted odds ratios (AOR) along with their 95% confidence intervals (CI) were reported.<br>
<strong>Results: </strong>Of 2,620 eligible male prisoners (mean age ± SD = 35.7 ± 8.9), 6.9% reported symptoms for PD, GU, or both; of whom 36.2% had not sought STIs care inside prison. A history of injection drug use (AOR = 2.14; 95% CI: 1.45, 3.14), having access to condoms inside prison (AOR = 1.57, 95% CI: 1.08, 2.82), self-perceived risk of HIV (AOR = 1.52, 95% CI: 1.03, 2.24), and HIV-seropositivity (AOR = 3.30, 95% CI: 1.02, 10.61) were positively and having sufficient STIs-related knowledge (AOR = 0.63, 95% CI: 0.44, 0.89) was negatively associated with reporting STIs-related symptoms.<br>
<strong> Conclusion:</strong> Despite the low prevalence of STIs among Iranian prisoners, initiation of screening among high-risk prisoners, including people who inject drugs and prisoners living with HIV, may prevent subsequent health effects. Current HIV/STIs prevention policies across Iranian prisons to help improve prisoners’ HIV/STIs knowledge and encourage their HIV/STIs preventive practices should be reinforced.
Sexually Transmitted Infections, Symptoms, Prisoners, Surveillance, Iran
1269
1274
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-4046-2&slc_lang=en&sid=1
Armita
Shahesmaeili
armita.shahesmaeili@gmail.com
200319475328460066892
200319475328460066892
Yes
HIV/STI Surveillance Research Center, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Mostafa
Shokoohi
shokouhi.mostafa@gmail.com
200319475328460066893
200319475328460066893
No
HIV/STI Surveillance Research Center, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, , Kerman University of Medical Sciences, Kerman, Iran & Division of Social and Behavioral Health Sciences, Dalla Lana School of Public Health, University of Toronto, & Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, Ontario, Canada
Fatemeh
Tavakoli
fatemehtavakoli98@yahoo.com
200319475328460066894
200319475328460066894
No
HIV/STI Surveillance Research Center, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Mohammad Hassan
Rabiee
rabiee.hasan@yahoo.com
200319475328460066895
200319475328460066895
No
Department of Food Hygiene and Quality Control, School of Veterinary Medicine, University of Tehran, Tehran, Iran
Kianoush
Kamali
kianoush.kamali@gmail.com
200319475328460066896
200319475328460066896
No
5. HIV & STI Control Department, Center for Communicable Disease Control, Ministry of Health and Medical Education, Tehran, Iran
Ali Akbar
Haghdoost
ahaghdoost@gmail.com
200319475328460066897
200319475328460066897
No
Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
Mohammad
Karamouzian
karamouzian.m@gmail.com
200319475328460066898
200319475328460066898
No
Hamid
Sharifi
hsharifi@kmu.ac.ir
200319475328460066899
200319475328460066899
No
HIV/STI Surveillance Research Center, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran