Drug use and unsafe injection among adults who live in prisons in Iran: a systematic review and meta-analysis

Abstract

Drug use is common among people who live in prisons (PWLP) worldwide. This systematic review and meta-analysis aimed to summarize the prevalence of drug use among PWLP in Iran. We searched PubMed, Embase, Web of Science, Scopus, PsycINFO, as well as Farsi-language databases including Iran Psych Magiran, IranMedex, Scientific Information Database (SID), and Irandoc for studies published from January 2003 to January 2021. We included studies that reported the prevalence of drug use among PWLP. We performed a random-effects meta-analysis to pool prevalence estimates. Point estimates and 95% confidence intervals (CI) are reported. Among 1107 publications and reports screened, 16 studies reported the prevalence of drug use and were included. The pooled prevalence of lifetime non-injection drug use was 73.8% (95% CI 70.9, 76.6). The pooled prevalence of lifetime injection drug use was 16.0% (12.6, 19.7). Needle/syringe sharing among those with a lifetime injection drug use history was 14.0% (6.4, 24.0). Non-injection and injection drug use was found to be prevalent among PWLP in Iran. Continued evidence-based prevention, harm reduction, and treatment programs should address drug use among this population.

Keywords:

• Drug use
• harm reduction
• needle/syringe sharing
• prison
• Iran

Disclosure statement

No potential conflict of interest was reported by the author(s).