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Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis

BACKGROUND AND AIMS: Street children face a disproportionately higher risk of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high‐risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk behaviors am...

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Autores principales: Nasiri, Naser, Kostoulas, Polychronis, Roshanfekr, Payam, Kheirkhah Vakilabad, Ali Asghar, Khezri, Mehrdad, Mirzaei, Hossein, Sharifi, Ali, Sharifi, Hamid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620850/
https://www.ncbi.nlm.nih.gov/pubmed/37927540
http://dx.doi.org/10.1002/hsr2.1674
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author Nasiri, Naser
Kostoulas, Polychronis
Roshanfekr, Payam
Kheirkhah Vakilabad, Ali Asghar
Khezri, Mehrdad
Mirzaei, Hossein
Sharifi, Ali
Sharifi, Hamid
author_facet Nasiri, Naser
Kostoulas, Polychronis
Roshanfekr, Payam
Kheirkhah Vakilabad, Ali Asghar
Khezri, Mehrdad
Mirzaei, Hossein
Sharifi, Ali
Sharifi, Hamid
author_sort Nasiri, Naser
collection PubMed
description BACKGROUND AND AIMS: Street children face a disproportionately higher risk of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high‐risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk behaviors among street children in Iran. METHODS: We searched PubMed, Web of Science (ISI), Embase, Scopus, and Google Scholar for the English‐language records and Iranian databases, including SID, Magiran, and IRANDOC for the Farsi‐language records up to September 18, 2022. Random effects analysis was used to obtain prevalence estimates for each condition. Homogeneity across included studies was assessed using I (2). RESULTS: We extracted data from 18 eligible studies, representing 5646 children (83.2% boys), with a mean age of 10.2 (range: 5–18). The prevalence of HIV, HBV, and HCV were 0.79% (95% confidence intervals [CIs]: 0.0–5.56), 1.97% (95% CI: 1.01–3.19), and 1.88% (95% CI: 0.74–3.46), respectively. The prevalence of lifetime drug use and sexual abuse was 8.32% (95% CI: 4.83–12.62) and 10.18% (95% CI: 3.02–20.67) among street children, respectively. CONCLUSION: The estimated prevalence of HIV, HBV, and HCV among street children in Iran was higher than the estimates in the general population. Moreover, drug use and the experience of sexual abuse were prevalent among this population. These findings suggest the need for targeted prevention programs for street children in Iran.
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spelling pubmed-106208502023-11-03 Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis Nasiri, Naser Kostoulas, Polychronis Roshanfekr, Payam Kheirkhah Vakilabad, Ali Asghar Khezri, Mehrdad Mirzaei, Hossein Sharifi, Ali Sharifi, Hamid Health Sci Rep Narrative Review BACKGROUND AND AIMS: Street children face a disproportionately higher risk of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) due to high‐risk sexual and drug use practices. We aimed to estimate the prevalence of these infections and related risk behaviors among street children in Iran. METHODS: We searched PubMed, Web of Science (ISI), Embase, Scopus, and Google Scholar for the English‐language records and Iranian databases, including SID, Magiran, and IRANDOC for the Farsi‐language records up to September 18, 2022. Random effects analysis was used to obtain prevalence estimates for each condition. Homogeneity across included studies was assessed using I (2). RESULTS: We extracted data from 18 eligible studies, representing 5646 children (83.2% boys), with a mean age of 10.2 (range: 5–18). The prevalence of HIV, HBV, and HCV were 0.79% (95% confidence intervals [CIs]: 0.0–5.56), 1.97% (95% CI: 1.01–3.19), and 1.88% (95% CI: 0.74–3.46), respectively. The prevalence of lifetime drug use and sexual abuse was 8.32% (95% CI: 4.83–12.62) and 10.18% (95% CI: 3.02–20.67) among street children, respectively. CONCLUSION: The estimated prevalence of HIV, HBV, and HCV among street children in Iran was higher than the estimates in the general population. Moreover, drug use and the experience of sexual abuse were prevalent among this population. These findings suggest the need for targeted prevention programs for street children in Iran. John Wiley and Sons Inc. 2023-11-02 /pmc/articles/PMC10620850/ /pubmed/37927540 http://dx.doi.org/10.1002/hsr2.1674 Text en © 2023 The Authors. Health Science Reports published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Narrative Review
Nasiri, Naser
Kostoulas, Polychronis
Roshanfekr, Payam
Kheirkhah Vakilabad, Ali Asghar
Khezri, Mehrdad
Mirzaei, Hossein
Sharifi, Ali
Sharifi, Hamid
Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
title Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
title_full Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
title_fullStr Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
title_full_unstemmed Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
title_short Prevalence of HIV, hepatitis B virus, hepatitis C virus, drug use, and sexual behaviors among street children in Iran: A systematic review and meta‐analysis
title_sort prevalence of hiv, hepatitis b virus, hepatitis c virus, drug use, and sexual behaviors among street children in iran: a systematic review and meta‐analysis
topic Narrative Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10620850/
https://www.ncbi.nlm.nih.gov/pubmed/37927540
http://dx.doi.org/10.1002/hsr2.1674
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