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Prevalence of Sexually Transmitted Infections and Associated Risk Behaviors in Prisoners: A Systematic Review Publisher



Seyedalinaghi S1 ; Pashaei Z1 ; Rahimi E1 ; Saeidi S2 ; Mirzapour P1 ; Noori T3 ; Ghasemzadeh A4 ; Afzalian A5 ; Dashti M4 ; Habibi P1 ; Farhoudi B6 ; Aghaie N7 ; Shamsabadi A8 ; Dadras O1, 9 Show All Authors
Authors
  1. Seyedalinaghi S1
  2. Pashaei Z1
  3. Rahimi E1
  4. Saeidi S2
  5. Mirzapour P1
  6. Noori T3
  7. Ghasemzadeh A4
  8. Afzalian A5
  9. Dashti M4
  10. Habibi P1
  11. Farhoudi B6
  12. Aghaie N7
  13. Shamsabadi A8
  14. Dadras O1, 9
  15. Mehraeen E10
Show Affiliations
Authors Affiliations
  1. 1. Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Nursing, Khalkhal University of Medical Sciences, Khalkhal, Iran
  3. 3. Department of Health Information Technology, Zabol University of Medical Sciences, Zabol, Iran
  4. 4. Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran
  5. 5. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Social Determinants of Health Research Center, Amiralmomenin Hospital, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  7. 7. School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Department of Health Information Technology, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
  9. 9. Department of Global Public Health and Primary care, University of Bergen, Bergen, Norway
  10. 10. Department of Health Information Technology, Khalkhal University of Medical Sciences, Khalkhal, Iran

Source: Health Science Reports Published:2022


Abstract

Background and Aims: Sexually transmitted infections (STIs) are one of the major health concerns globally. Generally, prisoners are at higher risks for STIs due to risk factors including; drug-use, high-risk sexual behaviors, densely populated prisons, and poor living conditions. Therefore, we aimed to conduct a systematic review to evaluate the existing data on STI prevalence, and its associated risk factors among prisoners. Methods: We conducted a systematic search of the literature using the keywords in Scopus, PubMed, Web of Science, and Google Scholar online databases. We selected all the relevant original studies in English through title/abstract and full-text screening process.‎. Results: Based on the inclusion and exclusion criteria, we selected and reviewed 32 studies out of 96 identified papers. The most important STI-associated risk factors among prisoners were drug use, low educational levels, and unsafe sex. The prevalence of STIs was heterogenous in selected studies and was reported as follows; Human Immunodeficiency Virus (HIV) (0%−14.5%), hepatitis B viruses (HBV) (0.04%−27.23%), hepatitis C viruses (HCV) (0.17%−49.7%), Syphilis (0.2%−22.1%), Chlamydia Trachomatis (CT) (1.02%−6.7%), Gonorrhea (0.6%−7.8%), and herpes simplex virus-2 (HSV-2) 22.4%. Conclusion: This systematic review indicates that the prevalence of STIs (HIV, HBV, HCV, Syphilis, Chlamydia Trachomatis, Gonorrhea, and HSV-2) among prisoners appears to be higher than the general population, with drug abuse, low educational levels, and unsafe sex as major risk factors. © 2022 The Authors. Health Science Reports published by Wiley Periodicals LLC.
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