Pattern of Substance Abuse and Prevalence of Risk Factors of HIV and Hepatitis Among Addicted Women in Western Iran

Overview

Journal Int J Prev Med

Date 2019 May 31

PMID 31143432

Citations 4

Authors

Behrooz Hamzeh

Zeinab Moradi

Farid Najafi

Mehdi Moradinazar

Affiliations

Soon will be listed here.

Abstract

Background: Women are the first victims in most of social damages and corruptions. However, due to some social and cultural reasons, the most of the drug addiction studies in Iran target male population. Hence, this study aimed to investigate the pattern of substance abuse and prevalence of HIV and hepatitis risk factors among addicted women.

Methods: This is a cross-sectional study conducted on women referred to methadone maintenance treatment centers of Western Iran (Kermanshah province). Data were collected through interview by a psychologist who is working full time in the centers.

Results: A total of 138 addicted women were studied. Among whom, 50 individuals were aged >45 years old (36.2%), 135 individuals (97.8%) had a history of substance abuse in their family, and 66 individuals (40.5%) initiated drug use before age 20. The most common substances were opium and crack with a proportion of 76.8% and 9.4%, respectively. Prevalence of positive HIV and hepatitis B among addicted women were 18.8% (26 persons) and 5.0% (7persons), respectively. Three (2.1%) of addicted women with HIV also had HBV. The most commonly HIV transmission were drug injections (30.7%) and unprotected sex (11.5%).

Conclusions: Although women do not constitute a significant part of substance abuse, increasing trend of women addiction, on one hand, and high prevalence of risk factors related to HIV or hepatitis in women, on the other hand; show that officials and experts are required to seriously consider prevention and harm reduction programs for women.

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References

Haas A, Peters R . Development of substance abuse problems among drug-involved offenders. Evidence for the telescoping effect. J Subst Abuse. 2001; 12(3):241-53. DOI: 10.1016/s0899-3289(00)00053-5. View

Jennison K, Johnson K . Parental alcoholism as a risk factor for DSM-IV-defined alcohol abuse and dependence in American women: the protective benefits of dyadic cohesion in marital communication. Am J Drug Alcohol Abuse. 2001; 27(2):349-74. DOI: 10.1081/ada-100103714. View

McClelland G, Teplin L, Abram K, Jacobs N . HIV and AIDS risk behaviors among female jail detainees: implications for public health policy. Am J Public Health. 2002; 92(5):818-25. PMC: 1447167. DOI: 10.2105/ajph.92.5.818. View

Brown T, Topp J, Ross D . Rationales, obstacles and strategies for local outcome monitoring systems in substance abuse treatment settings. J Subst Abuse Treat. 2003; 24(1):31-42. DOI: 10.1016/s0740-5472(02)00342-2. View

Suligoi B, Magliochetti N, Nicoletti G, Pezzotti P, Rezza G . Trends in HIV prevalence among drug-users attending public drug-treatment centres in Italy: 1990-2000. J Med Virol. 2004; 73(1):1-6. DOI: 10.1002/jmv.20054. View

Power K, Markova I, Rowlands A, McKee K, Anslow P, Kilfedder C . Intravenous drug use and HIV transmission amongst inmates in Scottish prisons. Br J Addict. 1992; 87(1):35-45. DOI: 10.1111/j.1360-0443.1992.tb01898.x. View

Saelim A, Geater A, Chongsuvivatwong V, Rodkla A, Bechtel G . Needle sharing and high-risk sexual behaviors among IV drug users in Southern Thailand. AIDS Patient Care STDS. 2004; 12(9):707-13. DOI: 10.1089/apc.1998.12.707. View

Cox S, Johnson C, Meikle S, Jamieson D, Posner S . Trends in rates of hospitalization with a diagnosis of substance abuse among reproductive-age women, 1998 to 2003. Womens Health Issues. 2007; 17(2):75-83. DOI: 10.1016/j.whi.2007.02.001. View

Ahmadi J, Pridmore S, Alimi A, Cheraghi A, Arad A, Parsaeyan H . Epidemiology of opium use in the general population. Am J Drug Alcohol Abuse. 2007; 33(3):483-91. DOI: 10.1080/00952990701301293. View

10.

Zamani S, Ichikawa S, Nassirimanesh B, Vazirian M, Ichikawa K, Gouya M . Prevalence and correlates of hepatitis C virus infection among injecting drug users in Tehran. Int J Drug Policy. 2007; 18(5):359-63. DOI: 10.1016/j.drugpo.2007.02.007. View

11.

Chersich M, Luchters S, Malonza I, Mwarogo P, Kingola N, Temmerman M . Heavy episodic drinking among Kenyan female sex workers is associated with unsafe sex, sexual violence and sexually transmitted infections. Int J STD AIDS. 2007; 18(11):764-9. DOI: 10.1258/095646207782212342. View

12.

Skinner M, Fleming C, Haggerty K, Catalano R . Sex risk behavior among adolescent and young adult children of opiate addicts: outcomes from the focus on families prevention trial and an examination of childhood and concurrent predictors of sex risk behavior. Prev Sci. 2013; 15 Suppl 1:S70-7. PMC: 3692595. DOI: 10.1007/s11121-012-0327-9. View

13.

Elifson K, Klein H, Sterk C . Predictors of Unsafe Sex among At-Risk Heterosexual Women. Womens Health Urban Life. 2013; 9(2):80-106. PMC: 3635080. View

14.

Jessup M . Addiction in women: prevalence, profiles, and meaning. J Obstet Gynecol Neonatal Nurs. 1997; 26(4):449-58. DOI: 10.1111/j.1552-6909.1997.tb02727.x. View

15.

Panda S, Chatterjee A, Bhattacharjee S, Ray B, Saha M, Bhattacharya S . HIV, hepatitis B and sexual practices in the street-recruited injecting drug users of Calcutta: risk perception versus observed risks. Int J STD AIDS. 1998; 9(4):214-8. DOI: 10.1258/0956462981922061. View