AIDS Research and Treatment
Volume 2011 (2011), Article ID 612475, 2 pages
doi:10.1155/2011/612475

Research Article

Frequency of HIV Infection among Sailors in South of Iran by Rapid HIV Test

Hossain Jabbari,¹ Somayeh Aghamollaie,¹ Gholamreza Esmaeeli Djavid,1,2 Abbas Sedaghat,³  Maryam Sargolzaei,³ SeyedAhmad SeyedAlinaghi,¹ Mehrnaz Rasoolinejad,¹ and Minoo Mohraz ¹

¹Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran
²Academic Center for Education, Culture and Research, Tehran, Iran
³Ministry of Health and Medical Education, Tehran, Iran

Received 18 January 2011; Accepted 16 February 2011

Academic Editor: Guido Poli

Copyright © 2011 Hossain Jabbari et al. Hossain Jabbari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract.

Information on the prevalence and risk factors for HIV infection among sailors is scarce. The aim of this seroprevalence study was to evaluate the frequency of HIV infection among sailors in south of Iran using rapid HIV test. The study included 400 consecutive participants in Lengeh, Shahid Rajaie, and Shahid Bahonar ports in south of Iran in May 2010. We observed only one case (0.25%) of HIV infection in this sample of sailors. While prevalence appears low at present, we recommend periodic HIV serosurveillance with detailed behavioral measures for this population in the future.

1. Introduction

According to WHO protocol sailors, truck drivers and immigrant workers are low-risk population for HIV infection. Truck drivers and immigrant workers were studied in Iran [1, 2] while information on the prevalence and risk factors for HIV infection among sailors is generally scarce. Some studies have shown that sailors who arrived from abroad and spent at least one night in ports and most of their time traveling in different countries far from their family and sexual partners are at high risk of HIV infection through high risk sexual contacts with sex workers and have been used as a sentinel population in surveillance programs [3, 4].

To our knowledge, no similar study has been conducted among this population in Iran. This study assessed the frequency of HIV infection among sailors in south of Iran as a sentinel population for HIV/AIDS using the rapid HIV test.

2. Materials and Methods

In this cross-sectional study, we approached 409 consecutive Hormozgan Province’s sailors from the 1st to the 31st of May 2010. Of these, 400 participants consented to attend anonymously. This study was approved by institutional review board (IRB) of Tehran University of Medical Sciences (TUMS) and was done in Shahid Rajaie, Lengeh, and Shahid Bahonar ports located in south of Iran. The sailors were traveling to Asian, European, and African countries, and they were approached while waiting at the harbors. Basic demographic information (age and marital status) was recorded in data collection sheet. After obtaining verbal consent, 40 microliter of blood was collected by sampler for rapid HIV test (Acon Laboratories, Inc., San Diego, CA 92121, USA). Sensitivity and specificity of the test were 99.9% and 99.8%, respectively. The test results were read after 3–5 minutes and analyzed by SPSS Software. People whose tests were initially screened as positive or indeterminate were referred to the Imam Khomeini Hospital (the national referral center for HIV/AIDS) in Tehran for confirmation and further care.

3. Results

Among the sailors surveyed, the mean age was 39.34 ± 12/068 years (range, 18–80 years). 331 people were married (82.8%), 67 single (16.8%), and 2 divorced (0.4%). We found only one (0.25%, %95 CI %0.006–%1.38) HIV positive test among this sample of Iranian sailors in the south ports. After referring to the hospital, ELIZA and Western blot tests of the individual were positive. He had history of several trips to Pakistan and India.

4. Discussion

In our study, we found only one HIV positive test. Possible reasons for our results include the following. (1) There is truly very little HIV infection in Iranian sailors. (2) Our sample represents lower risk sailors compared to samples of sailors in other countries. Table 1 shows seroprevalence of HIV infection among other countries. Our study shows the similar statistics to some countries such as UK and West Africa. Also it shows the significant difference with Ethiopia and Spain.

Table 1: Prevalence of HIV infection among sailors in other countries.

Country
Sample size
Prevalence

Ethiopia [5]
260
9.6%

Spain [6]
57
3.5%

UK [7]
304
0.33%

Sub-Saharan WestAfrica [8]
499
0.2%

Our major limitation of our study is that we did not ask about risk behaviors in this sample. Despite this limitation, our study provides the first estimate of HIV seroprevalence among sailors in Iran. Regarding similar studies in other countries, periodical tests in this sentinel population along with necessary training in order to improve insight, knowledge, and preventive measures about HIV/AIDS appear to be essential. We propose future studies to evaluate behavioral risk factors in sailors regarding paucity of data in this population in Iran. Finally, we also suggest expanding similar studies at other harbors which may attend more high risk sailors.

Acknowledgment

The authors thank of all staffs in Iranian Shipping Line specially Dr. Salari, Dr. Rahimi, and Mrs. Gholami for their help.

References

H. Jabbari, S. A.S. Alinaghi, P. Kheirandish, G. R.E. Javid, M. Rasolinejad, M. Hajiabdolbaghi, A. Sedaghat, M. Sargolzaei, A. H. Sharifi, M. Mohraz, and K. Khoshnoud, “Lack of HIV infection among truck drivers in Iran using rapid HIV test,” Journal of Research in Medical Sciences, vol. 15, no. 5, pp. 287–289, 2010.

H. Jabbari, A. Sharifi, S. A. SeyedAlinaghi, et al., “Assessing the prevalence of HIV among Afghan immigrants in Iran through rapid HIV testing in the field,” Acta Medica Iranica. In press.

A. Sugihantono, M. Slidell, A. Syaifudin, H. Pratjojo, I. M. Utami, T. Sadjimin, and K. H. Mayer, “Syphilis and HIV prevalence among commercial sex workers in Central Java, Indonesia: risk-taking behavior and attitudes that may potentiate a wider epidemic,” AIDS Patient Care and STDs, vol. 17, no. 11, pp. 595–600, 2003.

D. Mabey and P. Mayaud, “Sexually transmitted diseases in mobile populations,” Genitourinary Medicine, vol. 73, no. 1, pp. 18–22, 1997.

K. Demissie, D. Amre, and E. Tsega, “HIV-1 infection in relation to educational status, use of hypodermic injections and other risk behaviours in ethiopian sailors,” East African Medical Journal, vol. 73, no. 12, pp. 819–822, 1996.

C. Sarasqueta, R. Najera, P. Estebanez, et al., “HIV prevalence and risk factors in clients of prostitutes,” in Proceedings of the International AIDS Conference, vol. 7, p. 416, June 1991, abstract no. M.D.4107.

A. R. Weild, M. A. Bellis, Q. Syed, and N. J. Beeching, “Sexual behaviour and prevalence of antibodies to HIV and hepatitis B in seafarers visiting Liverpool,” in Proceedings of the International AIDS Conference, vol. 11, p. 376, July 1996, abstract no. Tu.C.2645.

E. Pujol, M. Ollero, P. Marquez, A. Gea, R. Alcoucer, and A. Gimeno, “HTLV-I infection in sailors who travel to sub-Saharan West Africa,” Enfermedades Infecciosas y Microbiologia Clinica, vol. 9, no. 5, pp. 283–285, 1991.