Access to harm reduction programs among persons who inject drugs: Findings from a respondent-driven sampling survey in Tehran, Iran

Highlights • Using RDS method, we examine access to harm reduction programs five years after their implementation in Tehran. • There are still certain groups of people who inject drug who are underserved for such services. • Lack of awareness, personal and family oriented as well as physical access...

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Bibliographic Details
Published in:The International journal of drug policy 2014-07, Vol.25 (4), p.717-723
Main Authors: Rahnama, Ruyan, Mohraz, Minoo, Mirzazadeh, Ali, Rutherford, George, McFarland, Willi, Akbari, Gholamreza, Malekinejad, Mohsen
Format: Article
Language:English
Subjects:
Access to health care
Acquired Immune Deficiency Syndrome
Adult
Age Factors
AIDS
Drug Abuse
Drug prevention
Drug use
Drug users
Female
Friendship
Harm Reduction
Health behavior
Health policy
Health Services Accessibility
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Imprisonment
Injection-drug use
Injections
Internal Medicine
Iran
Iran - epidemiology
Location
Male
Males
Medical Education
Methadone
Middle Aged
Needle Exchange Programs
Needle-Exchange Programs - utilization
Patient Acceptance of Health Care
Population
Public health
Respondent-driven sampling
Risk
Risk-Taking
Sampling
Sex Factors
Sexually transmitted diseases
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - prevention & control
Suburbs
Surveillance
Surveys
Surveys and Questionnaires
Urban Health Services
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Summary:Highlights • Using RDS method, we examine access to harm reduction programs five years after their implementation in Tehran. • There are still certain groups of people who inject drug who are underserved for such services. • Lack of awareness, personal and family oriented as well as physical access barriers are the most important predictors for it. • Ongoing surveillance activities are necessary to track change in access over time.
ISSN:0955-3959
1873-4758
DOI:10.1016/j.drugpo.2014.05.013