Risk factors for tuberculosis among inmates: A retrospective analysis
Risk factors for tuberculosis among inmates: A retrospective analysis
复制标题
DOI：
10.1111/j.0737-1209.2005.220204.x
复制
发表时间：
2005-03-01
影响因子：
2.1
通讯作者：
Crittenden, KS
中科院分区：
文献类型：
--
作者：
Kim, S;Crittenden, KS
本文研究了7年期间囚犯中与结核病相关的风险因素，以及种族和性别与这些风险因素的关系。我们对某县监狱前囚犯的数据进行了回顾性分析。入院时的结核病状况用人口统计学、行为危险因素和监禁因素来解释。我们检查了种族和性别对风险因素的防御。共纳入441例结核病例和478例非结核病例。如果囚犯是白人、未婚、无家可归、酗酒和艾滋病毒阳性，他们更有可能患结核病。与其他囚犯相比，患有结核病的囚犯的社会经济地位更低，行为风险因素更多。他们的监禁和严重犯罪较少，但监禁时间较长。结核病危险因素因种族和性别而异。监狱中的结核病控制需要在囚犯居住的社区进行干预。惩教卫生是公共卫生的重要组成部分。公共卫生护士有责任更好地了解和改善对这一高风险和难以接触到的人群的卫生保健。
This paper examined risk factors associated with TB among inmates, over a 7-year period, and the association of ethnicity and gender with these risk factors. We performed retrospective analysis of data on former inmates from a county jail. TB status at admission was explained with demographics, behavioral risk factors, and incarceration factors. We examined ethnicity and gender defenses on the risk factors. A total of 441 TB cases and 478 non-TB cases were included. Inmates were more likely to have TB if they were whites, unmarried, homeless, alcohol abusers, and HIV positive. Inmates with TB had even lower socioeconomic status and more behavioral risk factors than other inmates. They had fewer incarcerations and less serious crimes, but longer jail stays. TB risk factors differed by ethnicity and gender. TB control in jails requires intervention in the communities where inmates live. Correctional health is a critical part of public health. Public health nurses are responsible for better understanding and improving health care for this high-risk and difficult-to-reach population.