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Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis

Background: Acquired Immunodeficiency Syndrome (AIDS) is one of the most important health challenges worldwide. Moreover, the prevalence of the Human Immunodeficiency Virus (HIV) infection differs among Iranian prisoners and the general population. The present study aimed to identify the patterns of...

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Autores principales: Ale-Ebrahim, Jalal, Janani, Leila, SeyedAlinaghi, Seyed Ahmad, Farhoudi, Behnam, Abbasi-Ghahramanloo, Abbas, Sajadipour, Mansoor, Motevalian, Seyed Abbas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7722948/
https://www.ncbi.nlm.nih.gov/pubmed/33316009
http://dx.doi.org/10.34171/mjiri.34.109
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author Ale-Ebrahim, Jalal
Janani, Leila
SeyedAlinaghi, Seyed Ahmad
Farhoudi, Behnam
Abbasi-Ghahramanloo, Abbas
Sajadipour, Mansoor
Motevalian, Seyed Abbas
author_facet Ale-Ebrahim, Jalal
Janani, Leila
SeyedAlinaghi, Seyed Ahmad
Farhoudi, Behnam
Abbasi-Ghahramanloo, Abbas
Sajadipour, Mansoor
Motevalian, Seyed Abbas
author_sort Ale-Ebrahim, Jalal
collection PubMed
description Background: Acquired Immunodeficiency Syndrome (AIDS) is one of the most important health challenges worldwide. Moreover, the prevalence of the Human Immunodeficiency Virus (HIV) infection differs among Iranian prisoners and the general population. The present study aimed to identify the patterns of HIV-related high-risk behaviors in male prisoners. Methods: In this cross-sectional study, 2832 inmates were examined for HIV-related high-risk behaviors. The required data were collected using a questionnaire on high-risk behaviors, including a history of heterosexual and homosexual intercourse, and a history of drug use disorders. A Latent Class Analysis (LCA) was performed to analyze the obtained data in WinLTA software. Results: Five latent classes were defined for the male prisoners, as follows: low-risk (20%), moderate-risk (23%), Injection Drug Use (IDU) (8%), heterosexual intercourse/methamphetamine use (38%), and high-risk (11%). The LCA results revealed that high-risk sexual behaviors, IDU, and sharing injection equipment in prisons significantly influence the classification. The obtained data suggested that a history of imprisonment was not frequent in class 2 (OR=1.0033, %95CI:0.9936–1.01) and class 4 members (OR=1.0053, %95CI:0.9929–1.0179). However, it was more prevalent in class 3 (OR=1.0164, %95CI:1.0068–1.0262), and 5 (OR=1.0211, %95CI:1.0129–1.0293). Heterosexual contact had the highest prevalence (75%) in this regard. The results showed that the lowest prevalence of high-risk behaviors was associated with morphine use (0.3%). Among illicit drugs, methamphetamine was the most prevalent drug (42%) in the studied subjects. Conclusion: The present study indicated a high prevalence of high-risk sexual behaviors and methamphetamine use in the investigated participants. We observed the co-occurrence of HIV-related high-risk behaviors in male prisoners. Thus, providing safe sex education for prisoners is highly recommended. It is also necessary to pursue care programs about IDU as a key risk factor for HIV transmission in prisons.
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spelling pubmed-77229482020-12-10 Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis Ale-Ebrahim, Jalal Janani, Leila SeyedAlinaghi, Seyed Ahmad Farhoudi, Behnam Abbasi-Ghahramanloo, Abbas Sajadipour, Mansoor Motevalian, Seyed Abbas Med J Islam Repub Iran Original Article Background: Acquired Immunodeficiency Syndrome (AIDS) is one of the most important health challenges worldwide. Moreover, the prevalence of the Human Immunodeficiency Virus (HIV) infection differs among Iranian prisoners and the general population. The present study aimed to identify the patterns of HIV-related high-risk behaviors in male prisoners. Methods: In this cross-sectional study, 2832 inmates were examined for HIV-related high-risk behaviors. The required data were collected using a questionnaire on high-risk behaviors, including a history of heterosexual and homosexual intercourse, and a history of drug use disorders. A Latent Class Analysis (LCA) was performed to analyze the obtained data in WinLTA software. Results: Five latent classes were defined for the male prisoners, as follows: low-risk (20%), moderate-risk (23%), Injection Drug Use (IDU) (8%), heterosexual intercourse/methamphetamine use (38%), and high-risk (11%). The LCA results revealed that high-risk sexual behaviors, IDU, and sharing injection equipment in prisons significantly influence the classification. The obtained data suggested that a history of imprisonment was not frequent in class 2 (OR=1.0033, %95CI:0.9936–1.01) and class 4 members (OR=1.0053, %95CI:0.9929–1.0179). However, it was more prevalent in class 3 (OR=1.0164, %95CI:1.0068–1.0262), and 5 (OR=1.0211, %95CI:1.0129–1.0293). Heterosexual contact had the highest prevalence (75%) in this regard. The results showed that the lowest prevalence of high-risk behaviors was associated with morphine use (0.3%). Among illicit drugs, methamphetamine was the most prevalent drug (42%) in the studied subjects. Conclusion: The present study indicated a high prevalence of high-risk sexual behaviors and methamphetamine use in the investigated participants. We observed the co-occurrence of HIV-related high-risk behaviors in male prisoners. Thus, providing safe sex education for prisoners is highly recommended. It is also necessary to pursue care programs about IDU as a key risk factor for HIV transmission in prisons. Iran University of Medical Sciences 2020-08-29 /pmc/articles/PMC7722948/ /pubmed/33316009 http://dx.doi.org/10.34171/mjiri.34.109 Text en © 2020 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/1.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial-ShareAlike 1.0 License (CC BY-NC-SA 1.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Ale-Ebrahim, Jalal
Janani, Leila
SeyedAlinaghi, Seyed Ahmad
Farhoudi, Behnam
Abbasi-Ghahramanloo, Abbas
Sajadipour, Mansoor
Motevalian, Seyed Abbas
Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis
title Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis
title_full Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis
title_fullStr Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis
title_full_unstemmed Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis
title_short Patterns of high-risk behaviors associated with HIV among male prisoners: A latent class analysis
title_sort patterns of high-risk behaviors associated with hiv among male prisoners: a latent class analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7722948/
https://www.ncbi.nlm.nih.gov/pubmed/33316009
http://dx.doi.org/10.34171/mjiri.34.109
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