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
Drug injection and associated factors among the elderly living with HIV/AIDS in Tehran, Iran
Community Health
Community Health
Original Research
Original Research
<strong>Background: </strong>Injection of drugs is one of the most serious health problems among Iranian living with HIV/AIDS. The injection of drugs, accounting for the transmission of more than two-thirds of HIV infections. HIV remains a major concern around the world and is expected to be the third leading cause of mortality worldwide. Thus, the aim of this study was to explore the predictors of injection drug use in the elderly patients living with HIV/AIDS.<br>
<strong>Methods:</strong> This was a cross-sectional study executed in Tehran City, Iran, in 2018. A total of 160 individuals aged 60 years and older with HIV from different counseling centers were selected by convenience sampling. Data were collected using questionnaires including a positive state of mind, coping, social support, and a checklist of demographical variables. Bivariate analysis and multiple logistic regression using SPSS software version 21.0 were employed to determine factors associated with drug injection. The statistical tests were performed with a significance level of 5% (p≥0.05).<br>
<strong>Results: </strong>The study participants’ mean(SD) age was 65.6(±6.6) years. In total, 33 people (20.6%) of the samples reported injection drug use. The frequency of injection drug use was greater among men (AOR: 2.28, 95% CI 2.2-22.8; p=0.010), those reporting a monthly income of ≥30000000 Rials (AOR: 31.56, 95% CI 2.95-338; p=0.004), subjects with past experience of drug use (AOR: 7.11, 95% CI 2.18-23.2; p=0.001), those with ≥2 years past from their HIV diagnosis (AOR: 4.04, 95% CI 1.12-14.58; p=0.033), and those living with more than two people in one residential place (Household size AOR: 5.9, 95% CI 1.64-21.24; p=0.007).<br>
<strong>Conclusion: </strong>It seems that the design and implementation of harm reduction programs among the elderly with HIV/AIDS who inject drugs are essential and should be considered as an agenda of policymakers and health professionals.
Drug Injection, Elderly People, HIV/AIDS, Drug Use, Determinants
423
428
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-5483-2&slc_lang=en&sid=1
Salah Eddin
Karimi
salahkarimi2009@gmail.com
200319475328460063280
200319475328460063280
No
Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
Nasibeh
Zanjari
zanjari.nz@gmail.com
200319475328460063281
200319475328460063281
No
Iranian Research Centre on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Neda
SoleimanvandiAzar
sinaahmadi25@gmail.com
200319475328460063282
200319475328460063282
No
3. Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran
Elaheh
Ahounbar
e.ahounbar@yahoo.com
200319475328460063283
200319475328460063283
No
Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mohammad Ali
Mohammadi Gharehghani
ali_gh75@yahoo.com
200319475328460063284
200319475328460063284
No
Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mohammad Ali
ahmadi
sinaahmadi25@gmail.com
200319475328460063285
200319475328460063285
Yes
Social Welfare Management Research Center, & Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran