ABSTRACT

Objective

In this rapid assessment and response (RAR) survey, the demographic and behavioral differences between two sub-groups of people with incarceration histories are described. Data from those who report injecting in prison and those who do not were analyzed.

Methods

Analysis of data from a sub-set of 1,240 participants recruited to a RAR national survey and reporting a history of incarceration.

Results

The prevalence of ever drug injecting in prison was 15.08% (N = 187, CI: 13.3–17.4). Participants with only primary school education were more likely to report injecting (p < .001), were more frequently imprisoned (p < .001) and reported having never heard about HIV (p < .001). The multivariable logistic regression model showed that participants who reported injecting in prison were different in terms of their education (never attending school, OR = 2.29, 95% CI: 1– 5.23) and the number of times they had been in prison (> twice OR = 1.96, 95% CI: 1.15– 3.29).

Conclusions

Identifying the factors influencing injection drug use in prison can help design effective strategies to prevent harms in vulnerable prisoners. Alternatives to prison for people who use drugs require further consideration in Iran.

中文翻译：

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伊朗监狱中的毒品注射：来自 2017 年国家快速评估和反应 (RAR) 调查的证据

摘要

客观的

在这项快速评估和响应 (RAR) 调查中，描述了有监禁历史的两个亚组人群之间的人口统计和行为差异。对报告在监狱注射和未注射的人的数据进行了分析。

方法

对 1,240 名被招募参加 RAR 全国调查并报告监禁历史的参与者的子集的数据进行分析。

结果

监狱中曾经注射毒品的流行率为 15.08%（N = 187，CI：13.3-17.4）。仅受过小学教育的参与者更有可能报告注射（p < .001），更频繁地被监禁（p < .001）并且报告从未听说过艾滋病毒（p < .001）。多变量逻辑回归模型显示，报告在监狱中注射的参与者在教育（从未上过学，OR = 2.29，95% CI：1-5.23）和入狱次数（> 两次）方面存在差异OR = 1.96，95% CI：1.15–3.29）。

结论

确定影响监狱注射吸毒的因素有助于设计有效的策略，以防止对弱势囚犯造成伤害。伊朗需要进一步考虑为吸毒者提供监狱的替代方案。