Repository of Research and Investigative Information

Repository of Research and Investigative Information

Larestan University of Medical Sciences

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

(2018) Effect of Alcohol Use on Injection and Sexual Behavior among People Who Inject Drugs in Tehran, Iran: A Coarsened Exact Matching Approach. Journal of Research in Health Sciences. ISSN 2228-7795

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Abstract

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.

Item Type: Article
Keywords: alcoholism injections sexual behavior drug users iran risk behaviors hiv risk kermanshah prevalence patterns
Divisions: Education Vice-Chancellor Department > Faculty of Nursing and Midwifery > Department of Nursing
Journal or Publication Title: Journal of Research in Health Sciences
Journal Index: ISI
Volume: 18
Number: 2
ISSN: 2228-7795
Depositing User: خانم موهبت شیوخی
URI: http://eprints.larums.ac.ir/id/eprint/56

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