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Published on: November 11, 2013
Descriptive Aspects of Injection Drug Users in Iran's National Harm Reduction Program by Methadone Maintenance
Sharareh Eskandarieh1, Ali Nikfarjam, Termeh Tarjoman
1Bureau of Mental & Social Health and Addiction, Ministry of Health, Treatment and Medical Education, Tehran, Iran.
Background:
The Ministry of Health, Treatment and Medical Education of Iran has recently announced an estimated figure of 200,000 injecting drug users (IDUs). The aim of this study was to pilot a national program using demographics, types of drug abuse and prevalence of blood-borne infections among IDUs.
Methods:
In order to elicit data on demographics, types of drug abuse and prevalence of blood-borne infections among IDUs, a questionnaire was designed in the Bureau of Mental-Social Health and Addiction in collaboration with Iran's Drug Control Headquarters of the Police Department. Therapeutical alliance of addiction in Shafagh Center was based on Methadone Maintenance Therapy (MMT).
Results:
Among 402 reported IDUs most of them were male, single and in age range of 20 to 39 years old with 72.7% history of imprisonment. Most of them had elementary and high school education and a history of addiction treatment. The majority were current users of opioid, heroin and crack. The prevalence of blood-borne infections was 65.9% and 18.8% for HCV and HIV/AIDS infections, respectively.
Conclusion:
Prevention programs about harm reduction, treatment and counseling should include young IDUs as a core focus of their intervention structure.
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