ArticleBMC public health2025
Self-perception of risk for HIV acquisition among people in prisons in Iran: A nationwide survey in 2017.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Insights into medication adherence among HIV-positive patients: the integrated change model.AIDS research and therapy · 2025Article
- The prevalence of homelessness and its associated factors among people who inject drugs in Iran: results from nationwide bio-behavioral surveillance surveys in 2020 and 2023.BMC public health · 2025Article
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7 authors.
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Abstract
backgroundSelf-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.
methodsIn 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.
resultsAmong 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).
conclusionsA 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.
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