Publications by authors named "Bijan Nassirimanesh"

Background: In general, information about women who use drugs comes from studies performed in the West. Whether women in countries such as Iran are likely to enter drug treatment or how they will respond is not known.

Purpose: To examine the short-term impact of methadone maintenance treatment (MMT) on drug use, dependence, social functioning, crime, and human immunodeficiency virus (HIV) and hepatitis C virus (HCV) risk behavior and seroincidence in female drug users in Iran.

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Background: In the west, men are twice as likely as women to develop a drug problem, but female users have higher rates of morbidity than male users. Iran has the world highest per capita opiate consumption, but little is known about female drug users. In 2007, we established a free methadone clinic with ancillary services for female drug users in South Tehran.

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In Iran women are less likely than men to use drugs, but suffer greater morbidity, are stigmatised, and are less likely to seek treatment. In 2007, we established a clinic in Tehran for drug using women. We report here on our study of the 97 women who registered in the first year of operation.

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This study was conducted to compare needle and syringe sharing practices among injecting drug users (IDUs) in two neighborhoods, one with and one without a needle and syringe program (NSP). In 2005, 419 street-based IDUs were interviewed at specific locations in two neighborhoods where IDUs are known to congregate. We compared self-reported needle and syringe access and use between IDUs from a neighborhood with an active NSP to IDUs from a neighborhood without such an intervention.

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This study aimed to investigate the prevalence and correlates of hepatitis C virus infection among injecting drug users in a community-based setting in Tehran, Iran. In October 2004, injecting drug users were recruited from a drop-in centre and neighboring parks and streets in a drug-populated neighborhood in Tehran. Participants were interviewed using a structured questionnaire, and a sample of oral mucosal transudate was collected for detection of HIV and HCV antibodies.

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Article Synopsis
  • - The study aimed to assess HIV-1 infection rates among injecting drug users (IDUs) in Tehran, finding a prevalence of 23.2% in a sample of 213 individuals.
  • - Participants were interviewed about their backgrounds and HIV risk factors, and HIV-1 antibodies were tested through oral samples, with results analyzed for correlations.
  • - Key findings indicated that shared drug injection in prison and multiple incarcerations were significant risk factors for higher HIV-1 infection rates, highlighting the need for urgent harm reduction programs in both community and prison settings.
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Aim: This study aimed to examine drug use, drug treatment history and risk behaviour among a sample of Iranian drug users seeking treatment through a general practice clinic in Iran.

Methods: Review of medical records and an intake questionnaire at a large general practice in Marvdasht, Iran, with a special interest in drug dependence treatment. Records from a random sample of injecting drug users (IDU), non-injecting drug users (DU) and non-drug using patients were examined.

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Article Synopsis
  • HIV infection rates among injecting drug users (IDUs) in Iran are alarmingly high, prompting the need for community-based interventions.
  • A study compared the risk behaviors of IDUs based on their participation in an HIV outreach program in Tehran, finding that those receiving 7 or more syringes per week shared needles/syringes significantly less.
  • While more research is needed to fully evaluate the program's effectiveness, the initial results indicate it may help reduce needle sharing among IDUs involved.
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In order to be optimally effective, continuing training programmes for health-care professionals need to be tailored so that they target specific knowledge deficits, both in terms of topic content and appropriate intervention strategies. A first step in designing tailored treatment programmes is to identify the characteristics of the relevant health-care professional group, their current levels of content and treatment knowledge, the estimated prevalence of drug and alcohol problems among their patients and their preferred options for receiving continuing education and training. This study reports the results of a survey of 53 primary care physicians working in Iran.

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