Injecting drug use, sexual risk, HIV knowledge and harm reduction uptake in a large prison in Bali, Indonesia
Injecting drug use, sexual risk, HIV knowledge and harm reduction uptake in a large prison in Bali, Indonesia
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DOI：
10.1108/ijph-05-2014-0011
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发表时间：
2016-01-01
影响因子：
1.4
通讯作者：
Wirawan, Dewa Nyoman
中科院分区：
文献类型：
--
作者：
Sawitri, Anak Agung Sagung;Hartawan, Anak Agung Gede;Wirawan, Dewa Nyoman
目的-本文的目的是描述巴厘岛Kerobokan监狱囚犯中与艾滋病毒相关的危险行为和艾滋病毒知识，印度尼西亚。设计/方法/方式-使用结构化问卷和样本框架，以反映囚犯和监狱性别组合的麻醉品使用囚犯的横断面调查。结果-在230名囚犯招募到研究自我-报告的注射吸毒流行率为7.4%（95%CI 4.0- 10.8%）。参与监狱美沙酮治疗计划的受访者都仍在注射毒品，占IDU的13/17。总体而言，47%（95% CI 45- 55%）报告注射的受访者也报告在上周共用针头。3.0%（95% CI 0.82- 5.26%）的研究受访者报告了监狱中的性行为。三分之一的非注射者不知道使用避孕套的预防作用。这项研究表明，尽管减少伤害的举措在Kerobokan监狱艾滋病毒的风险行为继续存在，并有相当大的缺乏意识的重要性，避孕套的使用在预防HIV。研究限制/影响-作者依赖于自我报告的风险行为，可能会受到报告偏见。抽样策略可能无法反映囚犯使用或不使用narcotic.Practical影响的真实比例-目前的危害减少的方法，包括美沙酮替代治疗，应优化印尼监狱setting. Origality/值-这是第一次研究报告艾滋病毒相关的危险行为，从印尼监狱建立美沙酮替代方案。
Purpose - The purpose of this paper is to describe HIV-related risk behavior and knowledge of HIV among inmates of Kerobokan prison Bali, Indonesia.Design/methodology/approach - A cross-sectional survey of inmates of using a structured questionnaire and sample framework to reflect narcotic use among inmates and the prison gender mix.Findings - Among 230 inmates recruited to the study self-reported prevalence of injecting drug use was 7.4 percent (95 percent CI 4.0-10.8percent). Respondents who participated in a prison based methadone treatment program were all still injecting drugs, these made up 13/17 of the IDU. In total, 47 percent (95 percent CIs 45-55 percent) of respondents who reported injecting also reported sharing needles within the last week. Sexual intercourse while in prison was reported by 3.0 percent (95 percent CI 0.82-5.26 percent) of study respondents. One-third of non-injectors were unaware of the preventative role of condom use. This study suggests that despite harm reduction initiatives within Kerobokan prison HIV risk behavior continues and there is a considerable lack of awareness of the importance of condom use in preventing HIV.Research limitations/implications - The authors relied on self-reported risk behavior that may be subject to reporting bias. The sampling strategy may not reflect the true ratio inmates using or not using narcotics.Practical implications - The current harm reduction approach, including methadone substitution treatment should be optimized within the Indonesian prison setting.Originality/value - This is the first study reporting HIV-related risk behavior from an Indonesian prison with an established methadone substitution program.