Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017
Abstract Background Self-perception of risk for HIV acquisition is crucial for promoting preventive behaviors among people in prisons. This cross-sectional study examined self-perception of HIV risk and associated factors among people in prisons in Iran. Methods In 2017, we conducted a cross-section...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-02-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-025-21518-9 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832571249036886016 |
|---|---|
| author | Zahra Abdolahinia Seyed Aria Nejadghaderi Soheil Mehmandoost AliAkbar Haghdoost Abedin Iranpour Mohammad Karamouzian Hamid Sharifi |
| author_facet | Zahra Abdolahinia Seyed Aria Nejadghaderi Soheil Mehmandoost AliAkbar Haghdoost Abedin Iranpour Mohammad Karamouzian Hamid Sharifi |
| author_sort | Zahra Abdolahinia |
| collection | DOAJ |
| description | Abstract Background Self-perception of risk for HIV acquisition is crucial for promoting preventive behaviors among people in prisons. This cross-sectional study examined self-perception of HIV risk and associated factors among people in prisons in Iran. Methods In 2017, we conducted a cross-sectional study in Iran using multistage random sampling approach to recruit participants from 33 prisons in Iran. Eligible participants were adult people in prisons for at least one week. Data were collected via gender-matched face-to-face interviews using a standard HIV risk assessment questionnaire. Multivariable logistic regression models were built to identify correlates of high self-perceived HIV risk. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were reported. Results Among 5,422 HIV-negative participants (94.0% men; mean age 35.7 years), 6.8% (95% CI: 6.1–7.5%) reported high self-perception of risk for HIV acquisition. Among these, 3.6%, 5.2%, and 8.4% reported zero, one, and more than one risky behavior, respectively. Higher odds of high self-perceived risk were associated with being < 30 years old (AOR: 1.50; 95% CI: 1.13–2.00), having never got married (AOR: 1.58; 95% CI: 1.12–2.23), engaging in condomless sex (AOR: 1.56; 95% CI: 1.13–2.16), same-sex practices among men (AOR: 1.90; 95% CI: 1.43–2.51), and recent sexually transmitted infection symptoms (AOR: 2.18; 95% CI: 1.19–3.57). Conclusions A notable gap exists between actual HIV risk behaviors and self-perceived risk among people in prisons in Iran. Targeted prison-based educational interventions are essential to improve risk awareness and promote HIV prevention behaviors among this marginalized population. |
| format | Article |
| id | doaj-art-8b25c7cf07bc4d4ebb6adb7b2f01217c |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-8b25c7cf07bc4d4ebb6adb7b2f01217c2025-02-02T12:46:13ZengBMCBMC Public Health1471-24582025-02-012511810.1186/s12889-025-21518-9Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017Zahra Abdolahinia0Seyed Aria Nejadghaderi1Soheil Mehmandoost2AliAkbar Haghdoost3Abedin Iranpour4Mohammad Karamouzian5Hamid Sharifi6HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesCentre on Drug Policy Evaluation, MAP Centre for Urban Health Solutions, St. Michael’s HospitalHIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical SciencesAbstract Background Self-perception of risk for HIV acquisition is crucial for promoting preventive behaviors among people in prisons. This cross-sectional study examined self-perception of HIV risk and associated factors among people in prisons in Iran. Methods In 2017, we conducted a cross-sectional study in Iran using multistage random sampling approach to recruit participants from 33 prisons in Iran. Eligible participants were adult people in prisons for at least one week. Data were collected via gender-matched face-to-face interviews using a standard HIV risk assessment questionnaire. Multivariable logistic regression models were built to identify correlates of high self-perceived HIV risk. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were reported. Results Among 5,422 HIV-negative participants (94.0% men; mean age 35.7 years), 6.8% (95% CI: 6.1–7.5%) reported high self-perception of risk for HIV acquisition. Among these, 3.6%, 5.2%, and 8.4% reported zero, one, and more than one risky behavior, respectively. Higher odds of high self-perceived risk were associated with being < 30 years old (AOR: 1.50; 95% CI: 1.13–2.00), having never got married (AOR: 1.58; 95% CI: 1.12–2.23), engaging in condomless sex (AOR: 1.56; 95% CI: 1.13–2.16), same-sex practices among men (AOR: 1.90; 95% CI: 1.43–2.51), and recent sexually transmitted infection symptoms (AOR: 2.18; 95% CI: 1.19–3.57). Conclusions A notable gap exists between actual HIV risk behaviors and self-perceived risk among people in prisons in Iran. Targeted prison-based educational interventions are essential to improve risk awareness and promote HIV prevention behaviors among this marginalized population.https://doi.org/10.1186/s12889-025-21518-9HIVPrisonsIncarcerationDrug useUnprotected sex |
| spellingShingle | Zahra Abdolahinia Seyed Aria Nejadghaderi Soheil Mehmandoost AliAkbar Haghdoost Abedin Iranpour Mohammad Karamouzian Hamid Sharifi Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017 BMC Public Health HIV Prisons Incarceration Drug use Unprotected sex |
| title | Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017 |
| title_full | Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017 |
| title_fullStr | Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017 |
| title_full_unstemmed | Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017 |
| title_short | Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017 |
| title_sort | self perception of risk for hiv acquisition among people in prisons in iran a nationwide survey in 2017 |
| topic | HIV Prisons Incarceration Drug use Unprotected sex |
| url | https://doi.org/10.1186/s12889-025-21518-9 |
| work_keys_str_mv | AT zahraabdolahinia selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 AT seyedarianejadghaderi selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 AT soheilmehmandoost selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 AT aliakbarhaghdoost selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 AT abediniranpour selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 AT mohammadkaramouzian selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 AT hamidsharifi selfperceptionofriskforhivacquisitionamongpeopleinprisonsinirananationwidesurveyin2017 |