HIV and STD testing in prisons: Perspectives of in-prison service providers

HIV and STD testing in prisons: Perspectives of in-prison service providers
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DOI:
10.1521/aeap.15.7.547.24045
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发表时间:
2003-12-01
影响因子:
1.8
通讯作者:
Askew, J
Askew, J
中科院分区:
医学4区
文献类型:
--
作者:
Grinstead, O;Seal, DW;Askew, J

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由于艾滋病毒和性传播疾病的风险人群集中在监狱和监狱,因此监禁是提供艾滋病毒和性传播疾病检测的机会。我们采访了在美国四个州的监狱工作的72名服务提供者,了解他们在监狱中进行艾滋病毒和性传播疾病检测的经历和看法。提供者的工作职责包括行政、教育、安全、咨询和医疗。提供者对与艾滋病毒和性传播疾病检测有关的监狱程序和方案的了解仅限于其特定的工作职责,导致许多人错失了预防咨询和转介的机会。建议包括增加卫生保健和咨询人员,以便为检测结果为阴性和阳性的人提供检测后咨询,为被监禁者提供额外的预防计划,改善工作人员关于艾滋病毒和性传播疾病检测的培训,以及改善监狱内提供者之间以及惩教人员和公共卫生人员之间的沟通。
Because individuals at risk for HIV and STDs are concentrated in prisons and jails, incarceration is an opportunity to provide HIV and STD testing. We interviewed 72 service providers working in U.S. prisons in four states about their experiences with and perceptions regarding HIV and STD testing in prison. Providers' job duties represented administration, education, security, counseling, and medical care. Providers' knowledge of prison procedures and programs related to HIV and STD testing was narrowly limited to their specific job duties, resulting in many missed opportunities for prevention counseling and referral. Suggestions include increasing health care and counseling staff so posttest counseling can be provided for those with negative as well as positive test results, providing additional prevention programs for incarcerated persons, improving staff training about HIV and STD testing, and improving communication among in-prison providers as well as between corrections and public health staff.