HIV transmission in a prison system in an Australian State
HIV transmission in a prison system in an Australian State
复制标题
DOI：
10.5694/j.1326-5377.1999.tb123490.x
复制
发表时间：
1999-07-05
影响因子：
11.4
通讯作者：
Wodak, A
中科院分区：
文献类型：
--
作者：
Dolan, KA;Wodak, A
目的：调查可能的艾滋病病毒在监狱囚犯之间的传播。设置：在澳大利亚的一个州的监狱系统。参与者：13名前囚犯和他们的监狱contacts.Methods：前囚犯谁声称已感染艾滋病病毒在监狱和他们的监狱接触进行了采访有关艾滋病病毒的危险行为。在监狱和社区的医疗记录，由三名成员组成的专家小组，以建立初级艾滋病毒感染的可能性，其可能的时间和location.Main结果measures：确定是否艾滋病毒感染可能发生在prison.Results：有一个非常高的概率，至少有四个13前囚犯调查获得艾滋病毒在监狱中共用注射设备。另外两名前囚犯很可能在监狱外感染艾滋病毒。感染的其余7个位置无法确定。结论：艾滋病毒在监狱中的传播有重大的公共卫生影响，因为大多数吸毒的囚犯很快返回社区。应当考虑对囚犯采取已知在社区环境中有效的艾滋病毒预防战略，如美沙酮维持治疗和注射器交换计划。
Objective: To investigate possible HIV transmission among prison inmates.Setting: A prison system in an Australian State.Participants: 13 ex-prisoners and their prison contacts.Methods: Ex-prisoners who claimed to have been infected with HIV in prison and their prison contacts were interviewed about HIV risk behaviour. Entries in prison and community medical records were used by a three-member expert panel to establish the likelihood of primary HIV infection and its possible timing and location.Main outcome measures: Determination of whether HIV infection probably occurred in prison.Results: There was a very high probability that at least four of 13 ex-prisoners investigated acquired HIV in prison from shared injection equipment. Another two ex-prisoners most probably acquired HIV infection outside prison. The location of infection for the remaining seven could not be determined.Conclusions: HIV transmission in prison has substantial public health implications as most drug-using prisoners soon return to the community. HIV prevention strategies known to be effective in community settings, such as methadone maintenance treatment and syringe exchange schemes, should be considered for prisoners.