Volume 9, Issue 1 (14 2011)                   sjsph 2011, 9(1): 67-76 | Back to browse issues page

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Heidari A, Mirahmadizadeh A, Keshtkaran A, Javanbakht M, Etemad K, Lotfi M. Changes in unprotected sexual behavior and shared syringe use among addicts referring to Methadone Maintenance Treatment (MMT) centers affiliated to Shiraz University of Medical Sciences in Shiraz, Iran: An uncontrolled interventional study. sjsph. 2011; 9 (1) :67-76
URL: http://sjsph.tums.ac.ir/article-1-63-en.html
1- , heidari_ar_2000@yahoo.com
Abstract:   (7941 Views)

Background and Aim:  AIDS is a lethal disease, for which there is no treatment or any vaccine to prevent it. The injection-drug use and unprotected sexual behavior are two factors important  in HIV transmission. This study was conducted to determine changes in high-risk sexual and injection-drug use behaviors associated with HIV among drug users referring to Methadone Maintenance Treatment centers in Shiraz, Iran.

Materials and Methods: This before-after interventional study with no control group included drug-users (n=694) referring to all the 7 MMT centers in Shiraz, Iran in 2009. The data were collected by interviewing patients and using a questionnaire. The software used for data analysis was SPSS 15, the statistical test being the Wilcoxon test.

Results: The average age of the clients was 36.5 ± 9.5 years. Most of them were males (% 92.1) and single (% 43.1). 37.3 % of them being injection-drug users. The proportion of the injection-drug users having had at least one shared injection one week before referring to an MMT center was 23.3%, which decreased to 9.2% after one week. Analysis of the data also showed that 25.2% of the addicts had had at least one unprotected sexual contact during the previous month the proportion decreased to 21.0% one month after referring to an MMT center. The reductions in the mean numbers of both shared injections and unprotected sexual contacts were statistically significant (p <0.001).

Conclusion: Considering the effectiveness of the MMT centers in reducing risky behaviors of injection-drug users, it is essential to expand these centers at both the national and regional levels quantitatively and qualitatively and encourage drug-users to refer to them and seek help. This will help greatly in the prevention of HIV.

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Type of Study: Research | Subject: General
Received: 2010/12/19 | Accepted: 2011/03/1 | Published: 2013/08/9

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