Cargando…

Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach

Background: Many studies have recognized the importance of sexual and injection risk behaviors in HIV transmission among people who inject drugs (PWID). We aimed to examine effect of alcohol use on sexual and injection risky behavior using coarsened exact matching (CEM) approach among PWID in Tehran...

Descripción completa

Detalles Bibliográficos
Autores principales: Noroozi, Mehdi, Marshall, Brandon D.L., Noroozi, Alireza, Armoon, Bahram, Sharifi, Hamid, Qorbani, Mostafa, Abbasi, Mohammad, Bazrafshan, Mohammad Rafi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hamadan University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204422/
_version_ 1783530061799882752
author Noroozi, Mehdi
Marshall, Brandon D.L.
Noroozi, Alireza
Armoon, Bahram
Sharifi, Hamid
Qorbani, Mostafa
Abbasi, Mohammad
Bazrafshan, Mohammad Rafi
author_facet Noroozi, Mehdi
Marshall, Brandon D.L.
Noroozi, Alireza
Armoon, Bahram
Sharifi, Hamid
Qorbani, Mostafa
Abbasi, Mohammad
Bazrafshan, Mohammad Rafi
author_sort Noroozi, Mehdi
collection PubMed
description Background: Many studies have recognized the importance of sexual and injection risk behaviors in HIV transmission among people who inject drugs (PWID). We aimed to examine effect of alcohol use on sexual and injection risky behavior using coarsened exact matching (CEM) approach among PWID in Tehran, Iran. Study design: A cross-sectional study. Methods: This study was conducted from Mar to Aug 2016 in Tehran, Iran. PWID were recruited by a convenience and snowball sampling from five of Drop-in Centers (DICs) in Tehran. We assessed three outcomes of interest, all treated as binary variables, including distributive and receptive sharing and inconsistent condom use with any type of sexual partner. We applied coarsened exact matching (CEM) to estimate the independent effect of alcohol use on injection and sexual risk behaviours. All data analysis was performed using Stata v.11. Results: Overall, 550 PWID (all male) were enrolled. The prevalence of receptive sharing, distributive sharing, and inconsistent condom use was 32%, 15% and 55%, respectively. In the matched samples, last month drinkers were more likely to report receptive sharing (OR=2.12 95% CI: 1.31, 3.81; P=0.022), as compared to abstainer participants. Distributive sharing in last 30 d, was also significantly higher among last month drinkers group (OR=2.72 95% CI 1.72, 4.21; P=0.011), compared last month abstainers group. Finally, there was a statistically significant relationship between alcohol use and inconsistent condom use (OR=4.21 95% CI: 2.71, 7.52; P=0.013). Conclusions: The findings emphasize importance of addressing alcohol use in risk reduction interventions for Iranian PWID with alcohol use.
format Online
Article
Text
id pubmed-7204422
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Hamadan University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-72044222020-05-11 Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach Noroozi, Mehdi Marshall, Brandon D.L. Noroozi, Alireza Armoon, Bahram Sharifi, Hamid Qorbani, Mostafa Abbasi, Mohammad Bazrafshan, Mohammad Rafi J Res Health Sci Original Article Background: Many studies have recognized the importance of sexual and injection risk behaviors in HIV transmission among people who inject drugs (PWID). We aimed to examine effect of alcohol use on sexual and injection risky behavior using coarsened exact matching (CEM) approach among PWID in Tehran, Iran. Study design: A cross-sectional study. Methods: This study was conducted from Mar to Aug 2016 in Tehran, Iran. PWID were recruited by a convenience and snowball sampling from five of Drop-in Centers (DICs) in Tehran. We assessed three outcomes of interest, all treated as binary variables, including distributive and receptive sharing and inconsistent condom use with any type of sexual partner. We applied coarsened exact matching (CEM) to estimate the independent effect of alcohol use on injection and sexual risk behaviours. All data analysis was performed using Stata v.11. Results: Overall, 550 PWID (all male) were enrolled. The prevalence of receptive sharing, distributive sharing, and inconsistent condom use was 32%, 15% and 55%, respectively. In the matched samples, last month drinkers were more likely to report receptive sharing (OR=2.12 95% CI: 1.31, 3.81; P=0.022), as compared to abstainer participants. Distributive sharing in last 30 d, was also significantly higher among last month drinkers group (OR=2.72 95% CI 1.72, 4.21; P=0.011), compared last month abstainers group. Finally, there was a statistically significant relationship between alcohol use and inconsistent condom use (OR=4.21 95% CI: 2.71, 7.52; P=0.013). Conclusions: The findings emphasize importance of addressing alcohol use in risk reduction interventions for Iranian PWID with alcohol use. Hamadan University of Medical Sciences 2018-05-19 /pmc/articles/PMC7204422/ Text en © 2018 The Author(s); Published by Hamadan University of Medical Sciences. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Noroozi, Mehdi
Marshall, Brandon D.L.
Noroozi, Alireza
Armoon, Bahram
Sharifi, Hamid
Qorbani, Mostafa
Abbasi, Mohammad
Bazrafshan, Mohammad Rafi
Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach
title Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach
title_full Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach
title_fullStr Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach
title_full_unstemmed Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach
title_short Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach
title_sort effect of alcohol use on injection and sexual behavior among people who inject drugs in tehran, iran: a coarsened exact matching approach
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204422/
work_keys_str_mv AT noroozimehdi effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT marshallbrandondl effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT noroozialireza effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT armoonbahram effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT sharifihamid effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT qorbanimostafa effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT abbasimohammad effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach
AT bazrafshanmohammadrafi effectofalcoholuseoninjectionandsexualbehavioramongpeoplewhoinjectdrugsintehraniranacoarsenedexactmatchingapproach