Spatial patterns analysis and hotspots of HIV over 20 years using geographic information system. A case study of Kermanshah, West Iran
More details
Hide details
1
Director of Disease Control of Vice-chancellor of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
2
Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
3
Research Center for Environmental Determinants of Health (RCEDH), Kermanshah University of Medical Sciences, Kermanshah, Iran
Submission date: 2018-03-26
Final revision date: 2018-09-12
Acceptance date: 2018-09-14
Publication date: 2019-11-16
HIV & AIDS Review 2019;18(4):296-304
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Nowadays, human immunodeficiency virus (HIV) has turned into a major health predicament worldwide, varying from country to country, and geographic studies performed in Iran on HIV are limited. So, the present study aimed to use spatial patterns analysis and analyze hotspots of HIV over the period 1994-2013.
Material and methods:
The research method was descriptive, analytic, and cross-sectional. Additionally, the recorded data on HIV-stricken patients based in the Kermanshah County over 1994-2013 were used, and the spatial trends of HIV were analyzed by Arc/geographic information system (GIS).
Results:
Nearly 3318 inhabitants based in Kermanshah were proven to be infected with HIV over 20 years,
of whom 92% were male and 8% were female. Moreover, intravenous drug users had the highest percentage of being infected with HIV (85%). Studying the spatial trends of HIV demonstrated that the majority of infected people were based in Kermanshah County (88%).
Conclusions:
During the past 20 years, the number of HIV-stricken women has had an upward trend, and the possibility of being infected through intravenous drug injection and sexual intercourse was reported the same in 2013. HIV prevalence increased in Kermanshah Province and three hotspots were identified there. Managers can use the results of the present study when planning for health-related practices such as those related to HIV.
REFERENCES (45)
1.
Hariri S, McKenna MT. Epidemiology of human immunodeficiency virus in the United States. Clin Microbiol Rev 2007; 20: 478-488.
2.
Rangel MC, Gavin L, Reed C, Fowler MG, Lee LM. Epidemiology of HIV and AIDS among adolescents and young adults in the United States. J Adolescent Health 2006; 39: 156-163.
4.
Ministry of Health and Medical Education. Report of registered cases of HIV/AIDS in Iran; 2014. Available at:
http://aids.behdasht.gov.ir/in... (Accessed: 9.11.2015).
6.
El-Sadr WM, Holmes CB, Mugyenyi P, Thirumurthy H, Ellerbrock T,Ferris R, et al. Scale-up of HIV treatment through PEPFAR: a historic public health achievement.J Acquir Immune Defic Syndr 2012; 60 (Suppl 3): S96-S104.
7.
Hacker MA, Leite I, Friedman SR, Carrijo RG, Bastos FI, et al. Poverty, bridging between injecting drug users and the general population, and “interiorization” may explain the spread of HIV in southern Brazil. Health Place 2009; 15: 514-519.
8.
Pfeiffer D, Robinson TP, Stevenson M, Stevens KB, Rogers DJ, Clements ACA. Spatial Analysis in Epidemiology. Oxford University Press, Oxford 2008.
9.
Centers for Disease Control and Prevention. Revised Guidelines for HIV Counseling, Testing, and Referral and Revised Recommendations for HIV Screening of Pregnant Women. MMWR 2001; 50: 1-74. Available at:
https://www.cdc.gov/mmwr/PDF/r....
10.
Tanser F, Bärnighausen T, Cooke GS, Newell ML. Localized spatial clustering of HIV infections in a widely disseminated rural South African epidemic. Int J Epidemiol 2009; 38: 1008-1016.
11.
Cromley E, McLafferty S. GIS and public health. Guilford Press, New York 2002.
12.
Peng ZH, Cheng YJ, Reilly KH, Wang L, Qin QQ, Ding ZW, et al. Spatial distribution of HIV/AIDS in Yunnan province, People’s Republic of China. Geospat Health 2011; 5: 177-182.
13.
Kalipeni E, Zulu L. Using GIS to model and forecast HIV/AIDS rates in Africa, 1986–2010. Professional Geographer 2008; 60: 33-53.
14.
Messina JP, Emch M, Muwonga J, Mwandagalirwa K, Edidi SB, Mama N, et al. Spatial and socio-behavioral patterns of HIV prevalence in the Democratic Republic of Congo. Soc Sci Med 2010; 71: 1428-1435.
15.
Cromley E, McLafferty S. Public participation GIS and community health. GIS and public health. Guilford Press, New York 2012; 411-422.
16.
Bautista CT, Sateren WB, Sanchez JL, Singer DE, Scott P. Geographic mapping of HIV infection among civilian applicants for United States military service. Health Place 2008; 14: 608-615.
17.
Jeefoo P. Spatial patterns analysis and hotspots of HIV/AIDS in Phayao Province, Thailand. Arch Des Sci 2012; 65: 37-50.
18.
Martinez AN, Mobley LR, Lorvick J, Novak SP, Lopez AM, Kral AH. Spatial analysis of HIV positive injection drug users in San Francisco, 1987 to 2005. Int J Environ Res Public Health 2014; 11: 3937-3955.
19.
Yang AC, Wen TH, Shih CC, Fang CT. Differentiating geographic patterns of human immunodeficiency virus (HIV) infection with different risk factors in northern Taiwan: 1997-2008. Applied Geography 2011; 31: 519-524.
20.
Chan PA, Reitsma MB, DeLong A, Boucek B, Nunn A, Salemi M, et al. Phylogenetic and geospatial evaluation of HIV-1 subtype diversity at the largest HIV center in Rhode Island. Infect Genet Evol 2014; 28: 358-366.
21.
Ghanbarnezhad A, Roustazadeh A, Alizadeh A, Abbastabar H, Nazarnezhad M, Mohseni S. Spatial distribution of TB and HIV co-infection in South of Iran. AYER 2015; 4: 177-183.
22.
Moradi G, Mohraz M, Gouya MM, Dejman M, Seyedalinaghi S, Khoshravesh S, et al. The view of point and perspective of policy makers about HIV/AIDS control policies in Iran – a qualitative study. J Sch Public Health Instit Public Health Res 2014; 12: 11-22.
23.
Siam S. Survey of women’s knowledge about AIDS in Rasht 2006. J Guilan Univ Med Sci 2008; 17: 59-67.
24.
Rostaei S, Ahadnejad Reveshty M, Asghari Zamani A, Zangenh A. Assessment of urban poverty spatial distribution in Kermanshah City. Social Welfare Quarterly 2012; 12: 77-101.
25.
Mosayebi S, Taghdisi A. Spatial analysis and grading the employment indexes in Iran’s provinces (using the factor and cluster analysis techniques). Town and Country Planning 2014; 5: 361-382.
26.
Ashrafinia F, Janani L, Khajeh Kazemi R, Dastoorpour M. The relationship between fear of AIDS with childbearing age women knowledge and attitude toward AIDS. Razi J Med Sci 2014; 20: 76-84.
27.
Madise NJ, Ziraba AK, Inungu J, Khamadi SA, Ezeh A, Zulu EM, et al. Are slum dwellers at heightened risk of HIV infection than other urban residents? Evidence from population-based HIV prevalence surveys in Kenya. Health Place 2012; 18: 1144-1152.
28.
Taiwo B, Li X, Palella F, Jacobson LP, Margolick JB, Detels R, et al. Higher risk of AIDS or death in patients with lower CD4 cell counts after virally suppressive HAART. HIV Med 2009; 10: 657-660.
29.
Montazeri A. AIDS knowledge and attitudes in Iran: results from a population-based survey in Tehran. Patient Educ Couns 2005; 57: 199-203.
30.
Salehi L, Salehi F, Shakibazadeh E. Education-based needs assessment: a step toward effective prevention of AIDS. J Qazvin Univ Med Sci 2009; 13: 74-78.
31.
Azizi H, Saboory E, Ghaderi S. The study of prostitute women’s knowledge about ways of HIV transmission in Tehran in 1390. Journal of Urmia Nursing and Midwifery Faculty 2014; 11: 806-813.
32.
Meshkati M, Hajari A, Mostajeran M, Nosratnejad S. Knowledge and attitudes of married women referred to health centers affiliated to Isfahan University of Medical Sciences, Iran, about AIDS and related factors. J Mazandaran Univ Med Sci 2014; 23: 100-107.
33.
Amirpour M, Ghorbany M. Investigate the changing patterns of drug use from low risk to high risk. Social Welfare Quarterly 2013; 13: 201-228.
34.
Mahmoudi M, Dehdari T, Shojaeezadeh D, Abbasian L. Coping with stress strategies in HIV-infected Iranian patients. J Assoc Nurses AIDS Care 2015; 26: 464-471.
35.
Oster E. HIV and sexual behavior change: why not Africa? J Health Econ 2012; 31: 35-49.
36.
Tahari MMH, Babaei MH, Morovati SA. Investigation and ranking of Iranian provinces in terms of access to health sector indicators. Health Information Management 2012; 9: 356-369.
37.
Reshadat S, Saedi S, Zangeneh A, Ghasemi SR, Gilan NR, Karbasi A, et al. Spatial accessibility of the population to urban health centres in Kermanshah, Islamic Republic of Iran: a geographic information systems analysis. Eastern Mediterranean Health Journal 2015; 25: 389-395.
38.
Iman M, Moradi GM. The examination of the relation between acculturation stress and mental health: Kermanshah as a case study. J Appl Soc 2009; 20: 147-170.
39.
Cuadros DF, Awad SF, Abu-Raddad LJ. Mapping HIV clustering: a strategy for identifying populations at high risk of HIV infection in sub-Saharan Africa. Int J Health Geographics 2013; 12: 28.
40.
Zulu LC, Kalipeni E, Johannes E. Analyzing spatial clustering and the spatiotemporal nature and trends of HIV/AIDS prevalence using GIS: the case of Malawi, 1994-2010. BMC Infect Dis 2014; 14: 285.
41.
Ghosh J, Wadhwa V, Kalipeni E. Vulnerability to HIV/AIDS among women of reproductive age in the slums of Delhi and Hyderabad, India. Soc Sci Med 2009; 68: 638-642.
42.
Palladino C, Bellón JM, Perez-Hoyos S, Resino R, Guillen S, Garcia D, et al. Spatial pattern of HIV-1 mother-to-child-transmission in Madrid (Spain) from 1980 till now: demographic and socioeconomic factors. AIDS 2008; 22: 2199-2205.
43.
Tatem AJ, Hemelaar J, Gray RR, Salemi M. Spatial accessibility and the spread of HIV-1 subtypes and recombinants. AIDS 2012; 26: 2351-2360.
44.
Heimer R, Barbour R, Shaboltas AV, Hoffman IF, Kozlovb AP. Spatial distribution of HIV prevalence and incidence among injection drugs users in St Petersburg: implications for HIV transmission. AIDS (London, England) 2008; 22: 123-130.
45.
Karimi M, Niknami S. Self-efficacy and perceived benefits/barriers on the AIDS preventive behaviors. J Kermanshah Univ Med Sci 2011; 15: 384-392.