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Abstract

Purpose

This paper aims to determine the knowledge and attitudes of the physicians regarding human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), to emphasize that these patients exist and they will exist in the future and to raise awareness so as to prevent that their rights to treatment are revoked.

Design/methodology/approach

The survey was conducted via a link sent through an online system. Random physicians from 81 cities of the country were invited to the survey. The survey has 41 questions regarding knowledge and attitudes in total, including epidemiological information such as age, gender and title.

Findings

A total of 3,107 physicians has voluntarily participated in the study. In total, 2,195 (70.7%) are internal physicians and 912 (29.3%) are surgical physicians among the participant physicians. In total, 1,452 (46.7%) of the participants are specialist physicians, 608 (19.6%) of the participants are practising physician and the rest of it is physician assistants, academicians and dentists, respectively.

Originality/value

In this study, it has been found out that the physicians have a lack of knowledge on HIV/AIDS and they adopt a discriminatory attitude towards HIV-positive persons. HIV-positive patients who are exposed to discrimination and scared of being uncovered refrain from applying to hospitals for treatment, which puts public health into jeopardy due to the high viral load and these patients are faced with difficulties in coping with both medical and emotional load of the disease.

Details

International Journal of Human Rights in Healthcare, vol. 17 no. 1
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 19 June 2023

Efpraxia D. Zamani, Laura Sbaffi and Khumbo Kalua

The aim of this study was to address the unmet information needs of Malawian informal carers. We report on a three-year project which we co-created with informal carers, medical…

Abstract

Purpose

The aim of this study was to address the unmet information needs of Malawian informal carers. We report on a three-year project which we co-created with informal carers, medical doctors and NGOs with the view to disseminate health advisory messages.

Design/methodology/approach

This study was developed on the principles of co-production. The impact of our health advisory messaging approach was assessed through observations and questionnaire-based surveys for quality, clarity and usefulness.

Findings

The messages were disseminated beyond the local support groups and reached a much wider community via word of mouth. The messages also led to short and medium term benefits for informal carers and their loved ones.

Originality/value

Our findings highlight the importance of understanding the contextual conditions of informal caring and that of co-producing interventions with the people these aim to benefit.

Details

Journal of Documentation, vol. 80 no. 1
Type: Research Article
ISSN: 0022-0418

Keywords

Article
Publication date: 13 February 2023

SeyedAhmad SeyedAlinaghi, Behnam Farhoudi, Elnaz Shahmohamadi, Mehrnaz Rasoolinejad, Maliheh Hasannezhad, Mohammad Rasool Rashidi, Omid Dadras, Ali Moradi, Zohal Parmoon, Hooman Ebrahimi and Ali Asadollahi-Amin

Hepatitis C is one of the major health issues in both developed and developing countries. Hepatitis C virus (HCV) infection is more common in prisoners than in the general…

Abstract

Purpose

Hepatitis C is one of the major health issues in both developed and developing countries. Hepatitis C virus (HCV) infection is more common in prisoners than in the general population. The purpose of this study was to determine the prevalence of HCV and its associated risk factors in Iranian male prisoners in Tehran.

Design/methodology/approach

In this cross-sectional study, the authors investigated the frequency and risk factors of hepatitis C infection among male prisoners in the Great Tehran Prison. Information on risk factors including the length of imprisonment, previous history of imprisonment, history of drug injection, history of tattooing, history of piercing, history of high-risk sex and family history of hepatitis C were extracted from patients’ records. To evaluate HCV status, blood samples were collected and tested.

Findings

In this study, 179 participants were included. Nine participants (5.0%, 95% CI, 2.3-9.3) were positive for hepatitis C. HCV infection was not significantly associated with age, marital status, education, previous history of imprisonment, length of imprisonment, piercing and high-risk sex; however, there was a significant association between a history of tattooing and a history of injecting drug use and Hepatitis C.

Originality/value

The prevalence of hepatitis C among male prisoners in Great Tehran Prison was 5% in this study, similar to recent studies on prisoners in Tehran. A history of drug injections as well as tattooing were the most important risk factors for hepatitis C in male prisoners.

Details

International Journal of Prisoner Health, vol. 19 no. 4
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 29 December 2022

Behnam Farhoudi, Elnaz Shahmohamadi, SeyedAhmad SeyedAlinaghi, Zohreh Rostam Afshar, Zohal Parmoon, Pegah Mirzapour, SeyedAlireza Nadji, Fatemeh Golsoorat Pahlaviani and Mehrzad Tashakorian

Sexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many…

Abstract

Purpose

Sexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many different aspects of human life, including quality of life, sexual health, reproductive health and even the health of newborns and children. Despite of high rates of STIs in prisons, there are not sufficient screening, prevention and treatment programs to control STIs transmission among prisoners in Iran. This study aims to evaluate the prevalence of STIs among incarcerated women in Iran for the first time, using the active case finding strategy.

Design/methodology/approach

This is a cross-sectional study conducted on 438 incarcerated women in a prison in Tehran, Iran, from 2017 to 2018. A total of 438 prisoners were screened by active case findings for STI symptoms, then evaluated by complete genital and anal examination, followed by molecular testing.

Findings

A total of 189 (43.2%) prisoners announced vaginal discharge, while 194 (44.3%) individuals had vaginal discharge in the genital examination. In the cervical examination, 137 individuals (31.3%) had abnormal findings, of which 83 (18.9%) individuals had cervicitis, 40 (9.1%) individuals had cervical erosion, 38 (8.7%) individuals had cervical prolapse and 17 (3.9%) individuals had bleeding originated from the cervix.

Originality/value

This study showed that it is possible to set up a system in which the diagnosis, follow-up and treatment of prisoners with STIs can be actively performed. Educating prisoners about signs and symptoms, risk behaviors and prevention routes of STIs, as much as regular screening of prisoners, and adequate treatment can help control the STIs prevalence among prisoners and in the general population.

Details

International Journal of Prisoner Health, vol. 19 no. 4
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 8 May 2023

Behnam Farhoudi, Elnaz Shahmohamadi, SeyedAhmad SeyedAlinaghi, Zohreh Rostam Afshar, Pegah Mirzapour, SeyedAlireza Nadji, Fatemeh Golsoorat Pahlaviani, Mehrzad Tashakorian and Daniel Hackett

According to estimates, there are approximately 714,000 female prisoners in the world. A considerable proportion are pregnant, of childbearing age at the time of incarceration and…

Abstract

Purpose

According to estimates, there are approximately 714,000 female prisoners in the world. A considerable proportion are pregnant, of childbearing age at the time of incarceration and may experience numerous reproductive health concerns. The purpose of this study is to examine the demographics and sexual and reproductive history of female prisoners in Iran.

Design/methodology/approach

Four hundred and thirty-four female prisoners (mean age: 39.0 ± 9.9) serving sentences at Qarchak prison, Iran, completed a questionnaire. The participants were recruited between October 2017 and September 2018 using a convenient sampling method. The questionnaire captured sociodemographic characteristics and sexual and reproductive history.

Findings

Most respondents had 7–12 years of formal education, were housewives (69.9%), were either married (41.6%) or divorced (41.8%) and were literate (91.3%). History of drug use among the respondents was 34.7%. Most respondents had regular menstruation (63.5%) and were pre-menopausal (86.1%). Natural birth control was preferred (39.7%) compared to other methods, such as condoms (18%) and oral contraceptive pills (8.4%). Spontaneous and induced abortions were reported by 17.8% and 16.4% of respondents, respectively. There was 5.9% of respondents that reported having a history of sexually transmitted infections (STIs) before incarceration, with HPV the most common (12.7%).

Research limitations/implications

This study has limitations, including the problem of following up with prisoners to shorten the average length of their imprisonment, which can leave many issues in the field of women’s health and their follow-up incomplete. Prison health care workers should also follow up on women’s health and pregnancy hygiene after their release because there is usually a high prevalence of STIs in prisoners.

Practical implications

The findings highlight the importance of improving the quality of women’s health care and pregnancy-related care in prisons. Additionally, the importance of having a health protocol for incarcerated women in Iran. Other programs should also be implemented for women prisoners to eliminate the discrimination they may face in prison.

Originality/value

The international community has attempted to develop care guidelines for pregnant prisoners, particularly for prenatal and mental health services. However, currently in Iran no such guidelines have been developed. To date no research has explored the sexual health among female prisoners of this country. The aim of the present study was to examine the demographics and sexual and reproductive history of female prisoners in Iran. A secondary aim was to identify the health care needs of female prisoners in Iran.

Details

International Journal of Prisoner Health, vol. 19 no. 4
Type: Research Article
ISSN: 1744-9200

Keywords

Article
Publication date: 31 July 2023

Shreya Jha, Shashi Kant, Nishakar Thakur, Pradeep Kumar, Sanjay Rai, Partha Haldar, Priyanka Kardam, Puneet Misra, Kiran Goswami and Shobini Rajan

Prisoners are at a higher risk of HIV infection compared to the general population. The purpose of this study is to estimate the prevalence of HIV and related risk behaviours…

Abstract

Purpose

Prisoners are at a higher risk of HIV infection compared to the general population. The purpose of this study is to estimate the prevalence of HIV and related risk behaviours among inmates of the Central Prisons in four states of North India.

Design/methodology/approach

The HIV sentinel surveillance was conducted in seven Central Prisons in four states of North India from February to April 2019. Four hundred inmates were included from each prison. The interviews were conducted at the Integrated Counselling and Testing Centre located within the prison premises. The Ethics Committee of the National AIDS Control Organization, New Delhi, granted ethical approval before the start of the surveillance.

Findings

Overall, 2,721 inmates were enrolled in this study. The mean (SD) age was 38.9 (13.9) years. One-third of prison inmates had comprehensive knowledge about HIV/AIDS. The proportion of convict (54%) and undertrial (46%) inmates was almost equal. The overall prevalence of HIV infection among inmates was 0.96% (95% CI 0.65–1.40). The odds of being HIV positive were significantly higher in never married inmates, undertrials, inmates who were in the prison for more than three months to one year, inmates incarcerated for multiple times, inmates with history of injecting drug use and inmates with history of intercourse with a commercial sex worker.

Originality/value

The findings from the very first HIV sentinel surveillance in central prisons in North India have been presented in this paper. This has huge implications for future policy decisions.

Details

International Journal of Prisoner Health, vol. 19 no. 4
Type: Research Article
ISSN: 1744-9200

Keywords

Abstract

Details

International Journal of Human Rights in Healthcare, vol. 17 no. 1
Type: Research Article
ISSN: 2056-4902

Article
Publication date: 10 August 2023

Tasmia Roshan, Surath Ghosh, Ram P. Chauhan and Sunil Kumar

The fractional order HIV model has an important role in biological science. To study the HIV model in a better way, the model is presented with the help of Atangana- Baleanu…

Abstract

Purpose

The fractional order HIV model has an important role in biological science. To study the HIV model in a better way, the model is presented with the help of Atangana- Baleanu operator which is in Caputo sense. Also, the characteristics of the solutions are described briefly with the help of the advance numerical techniques for the different values of fractional order derivatives. This paper aims to discuss the aforementioned objectives.

Design/methodology/approach

In this work, Adams-Bashforth method and Euler method are used to get the solution of the HIV model. These are the important numerical methods. The comparison results also are described with the physical meaning of the solutions of the model.

Findings

HIV model is analyzed under the view of fractional and AB derivative in Atangana-Baleanu-Caputo sense. The uniqueness of the solution is proved by using Banach Fixed point. The solution is derived with the help of Sumudu transform. Further, the authors employed fractional Adam-Bashforth method and Euler method to enumerate numerical results. The authors have used several values of fractional orders to present the outcomes graphically. The above calculations have been done with the help of MATLAB (R2016a). The numerical scheme used in the proposed study is valid and fruitful, and the same can be used to explore other real issues.

Research limitations/implications

This investigation can be done for the real data sets.

Practical implications

This paper aims to express the solution of the HIV model in a better way with the effect of non-locality, this work is very useful.

Originality/value

In this work, HIV model is developed with the help of Atangana- Baleanu operator in Caputo sense. By using Banach Fixed point, the authors proved that the solution is unique. Also, the solution is presented with the help of Sumudu transform. The behaviors of the solutions are checked for different values of fractional order derivatives with the physical meaning with help of the Adam-Bashforth method and the Euler method.

Details

Engineering Computations, vol. 40 no. 7/8
Type: Research Article
ISSN: 0264-4401

Keywords

Article
Publication date: 2 February 2022

Alana Griffith and Mahalia Jackman

A consensus in the literature is that anti-gay prejudice has a negative impact on HIV programming for men who have sex with men (MSM). This paper aims to analyse the prevalence…

Abstract

Purpose

A consensus in the literature is that anti-gay prejudice has a negative impact on HIV programming for men who have sex with men (MSM). This paper aims to analyse the prevalence and predictors of anti-gay prejudice in Barbados, an island in the Caribbean, and possible impacts on the full recognition of the right to health care.

Design/methodology/approach

The study used nationally representative data obtained from the Caribbean Development Research Services capturing anti-gay prejudice in Barbados in 2004, 2013 and 2019. The data were analysed using logit models and ordinary least squares regression.

Findings

The share of persons who expressed feelings of hatred towards gays and lesbians did not change significantly over the period. Social distance attitudes improved between 2004 and 2013 but have not changed since. Men generally expressed more prejudice than women and male sexual prejudice could be localised to three groups – men without tertiary education, men under 51 and members of non-Christian religions. Meanwhile, there was little consistency in the predictors of women’s attitudes over the period.

Originality/value

This study provides insights into the trends in attitudes towards sexual minorities in a developing country. The main conclusion is that although health care is provided as a universal right to all Barbadians, a strictly medical approach to HIV prevention among MSM in countries with high levels of anti-gay prejudice is insufficient.

Details

International Journal of Human Rights in Healthcare, vol. 16 no. 4
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 25 April 2023

Jason Hung

The essay aims to suggest policies that can help strategically deconstruct and dereproduce the establishment of (child) sexual exploitation in Thailand and Cambodia in phases, for…

Abstract

Purpose

The essay aims to suggest policies that can help strategically deconstruct and dereproduce the establishment of (child) sexual exploitation in Thailand and Cambodia in phases, for the purpose of upholding child and human rights and rebranding the global image of these two regional commercial sex hubs in the long term.

Design/methodology/approach

This essay is constructed based on the theoretical framework of the social control and general strain theories. Supported by the theories, the essay examines what are the socioeconomic determinants driving the prevalence of the (child) commercial sex industry in Thailand and Cambodia. Here the essay highlights and summarises how the (child) commercial sex industry has been constructed and reproduced. Next, the essay presents the existing policy gaps in relation to (child) sex tourism and sex exploitation. Last, and more importantly, the essay delivers perspectives on how Thai and Cambodian lawmakers and policymakers should respond to the severe societal problems of (child) sex trafficking and prostitution in relation to the prevailing sex tourism.

Findings

At the national level, Bangkok and Phnom Penh have an urgent need to rebrand their countries, despite partially allowing commercial sex activities. Moreover, to promote gender equality, Bangkok and Phnom Penh should redistribute their education and occupational opportunities, enabling more school-aged girls or work-aged women to obtain a fairer share of life chances for self-empowerment. At the regional level, Bangkok and Phnom Penh have to tighten regulations against (child) sex exploitation. At the community level, the promotion of community policing can be conducive to minimising any prostitution activities. At the family level, more positive socialisation should be exercised. When more children, including girls, are subsidised to enter school, and are positively parented, there are more educational opportunities for school-aged cohorts.

Originality/value

This essay contains scholarly originality and significance in the presentation of the socioeconomic construction of (child) sexual exploitation, and its relationship to sex tourism and (child) prostitution in Thai and Cambodian contexts, grounded in up-to-date, relevant sociological arguments. A major area that identifies the originality of this essay is the examination of existing, relevant policy gaps in a timely fashion, and correspondingly, the suggestion of policy development that helps deconstruct and deproduce (child) sexual exploitation at the national, regional, community and family levels.

Details

International Journal of Sociology and Social Policy, vol. 43 no. 11/12
Type: Research Article
ISSN: 0144-333X

Keywords

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