From: HIV prevalence and continuum of care among incarcerated people in Iran from 2010 to 2017
Variables | 2010 | 2013 | 2017 | Trend | ||||||
---|---|---|---|---|---|---|---|---|---|---|
N (%) | HIV Prevalence (95% CI) | P value | N (%) | HIV Prevalence (95% CI) | P value | N (%) | HIV Prevalence (95% CI) | P value | P value | |
Overall prevalence | 4536 | 2.1 (1.2, 3.6) | – | 5490 | 1.7 (1.3, 2.1) | – | 5785 | 0.8 (0.6,1.1) | – |  < 0.001 |
Age | ||||||||||
 ≤ 25 | 1111 (24.5) | 1.3 (0.7, 2.1) | 0.111 | 670 (12.2) | 0.9 (0.4, 2.4) | 0.181 | 689 (11.9) | 0.4 (0.1, 1.5) | 0.359 | 0.061 |
 > 25 | 3421 (75.5) | 2.2 (1.7, 2.7) | 4820 (87.8) | 1.8 (1.4, 2.3) | 5091 (88.1) | 0.8 (0.6, 1.1) |  < 0.001 | |||
Sex | ||||||||||
Male | 4337 (95.6) | 2.1 (1.9, 3.6) | 0.910 | 5387 (98.1) | 1.7 (1.3, 2.1) | 0.401 | 5435 (94.0) | 0.8 (0.6, 1.0) | 0.916 |  < 0.001 |
Female | 199 (4.4) | 1.9 (0.6, 5.9) | 103 (1.9) | 0.0 (0.0, 3.5) | 350 (6.0) | 0.9 (0.2, 5. 9) | 0.062 | |||
Level of education | ||||||||||
High school or less | 4360 (96.2) | 2.0 (1.7, 2.5) | 0.187 | 5204 (95.0) | 1.8 (1.4, 2.2) | 0.231 | 5361 (92.9) | 0. 9 (0.7, 1.2) | 0.011 |  < 0.001 |
More than high school | 172 (3.8) | 0.6 (0.09, 4.4) | 277 (5.0) | 0.8 (0.2, 3.01) | 411 (7.1) | 0.01 (0.001, 0.7) | 0.430 | |||
Marital status | ||||||||||
Never married | 1663 (36.9) | 2.6 (1.9, 3.5) |  < 0.001 | 1825 (33.2) | 2.7 (1.99, 3.7) |  < 0.001 | 1915 (33.1) | 0.9 (0.6, 1.5) | 0.548 | 0.002 |
Currently married | 2415 (53.6) | 1.08 (0.7, 1.6) | 2998 (54.5) | 0.7 (0.5, 1.1) | 2939 (50.8) | 0. 7 (0.4, 1.1) | 0.091 | |||
Previously married | 428 (9.5) | 4.2 (2.7, 6.6) | 661 (12.3) | 3.1 (1.8, 5.3) | 928 (16.1) | 0.7 (0.3, 1.6) |  < 0.001 | |||
Incarceration history | ||||||||||
Yes | 1872 (46.4) | 2.9 (2.2, 3.7) |  < 0.001 | 3260 (59.4) | 2.4 (1.9, 3.1) |  < 0.001 | 3419 (59.1) | 0.9 (0.7, 1.4) | 0.080 |  < 0.001 |
No | 2166 (53.6) | 1.25 (0.86,1.81) | 2228 (40.6) | 0.58 (0.32, 1.07) | 2362 (40.9) | 0.48 (0.23, 1.01) | 0.001 | |||
Ever had non-injection drug use | ||||||||||
Yes | 3330 (73.5) | 2.5 (2.0, 3.1) |  < 0.001 | 4367 (79.6) | 2.0 (1.6, 2.6) | 0.002 | 4424 (76.5) | 0.9 (0.7, 1.3) | 0.094 |  < 0.001 |
No | 1200 (26.5) | 0.4 (0.2, 1.0) | 1119 (20.4) | 0.4 (0.1, 1.2) | 1360 (23.5) | 0.2 (0.0, 1.3) | 0.173 | |||
Ever had drug injection | ||||||||||
Yes | 726 (16.0) | 8.1 (4.6, 13.8) |  < 0.001 | 991 (22.7) | 6.3 (4.8, 8.3) |  < 0.001 | 705 (12.2) | 3.9 (2.7, 5.7) |  < 0.001 | 0.081 |
No | 3803 (84.0) | 0.9 (0.5, 1.6) | 3368 (77.3) | 0.7 (0.4, 1.0) | 5065 (87.8) | 0.3 (0.2, 0.5) |  < 0.001 | |||
Age at first drug use | ||||||||||
 ≤ 18 | 1399 (42.6) | 3.5 (2.6, 4.6) | 0.001 | 1945 (44.5) | 2.9 (2.2, 3.9) |  < 0.001 | 2059 (46.9) | 1.1 (0.7, 1.7) | 0.253 |  < 0.001 |
 > 18 | 1884 (57.4) | 1.7 (1.2, 2.4) | 2422 (55.5) | 1.2 (0.8, 1.9) | 2329 (53.1) | 0.8 (0.5, 1.3) | 0.004 | |||
Age at first injection | ||||||||||
 ≤ 18 | 113 (15.9) | 12.4 (7.4, 19. 9) | 0.036 | 127 (12.8) | 11.3 (6.3, 19.2) | 0.031 | 99 (14.3) | 5.3 (2.2, 12.3) | 0.487 | 0.182 |
 > 18 | 598 (84.1) | 6.7 (4.9, 9.0) | 864 (87.2) | 5.57 (4.06, 7.61) | 594 (85.7) | 3.8 (2.5, 5.7) | 0.301 | |||
History of tattooing | ||||||||||
Yes | 2041 | 3.3 (2.1, 5.4) |  < 0.001 | 2672 (48.7) | 2.6 (1.9, 3.4) |  < 0.001 | 2733 (47.3) | 1.2 (0.8, 1.7) | 0.004 |  < 0.001 |
No | 2492 | 1.0 (0.5, 2.2) | 2815 (51.3) | 0.8 (0.5, 1.3) | 3051 (52.7) | 0.4 (0.2, 0.8) | 0.082 | |||
Condom use at last sex | ||||||||||
Yes | – | – |  | 1144 (24.5) | 2.0 (1.2, 3.2) | 0.307 | 1267 (25.4) | 0. 9 (0.5, 1.6) | 0.614 | 0.214 |
No | – | – | 3532 (75.5) | 1.5 (0.9, 2.0) | 3725 (74.6) | 0.7 (0.5, 1.1) | 0.060 | |||
History of same-sex practices | ||||||||||
Yes | – | – |  | 562 (12.1) | 2.9 (1.8, 4.9) | 0.012 | 714 (14.7) | 1.1 (0.6, 2.2) | 0.244 | 0.104 |
No | – | – | 4085 (87.9) | 1.4 (1.0, 1.9) | 4143 (85.3) | 0.7 (0.5, 1.0) | 0.141 | |||
Condom use at last same-sex practice | ||||||||||
Yes | – | – |  | 33 (6.0) | 7.3 (1.8, 24.9) | 0.174 | 36 (5.1) | 0 | 0.515 | 0.128 |
No | – | – | 521 (94.0) | 2.7 (1.6, 4.7) | 670 (94.9) | 1.2 (0.6, 2.4) | 0.210 |