Body art practices among inmates: Implications for transmission of bloodborne infections

Body art practices among inmates: Implications for transmission of bloodborne infections
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DOI:
10.1016/j.ajic.2009.06.006
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发表时间:
2010-03-01
影响因子:
4.9
通讯作者:
Sloan, Patricia E.
Sloan, Patricia E.
中科院分区:
医学3区
文献类型:
--
作者:
Abiona, Titilayo C.;Balogun, Joseph A.;Sloan, Patricia E.

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背景:监狱囚犯中未经消毒的人体艺术实践与血源性病毒的传播有关。本研究的目的是确定流行的纹身和身体穿孔的囚犯,确定与接受纹身在监狱中的因素,并探讨纹身和身体穿孔在prison.Methods:一个横断面调查进行了随机选择的囚犯在17个州监狱在伊利诺伊州;在伊利诺伊州芝加哥,一个方便的样本最近释放的前囚犯,参加了焦点小组讨论(FGD)。结果:共有1 819名囚犯(1 293名男性和526名女性)参加了调查,47名前囚犯参加了FGD。67%的调查样本有纹身,60%有身体穿孔。男性(19.3%)比女性(8.7%)在监狱中接受纹身(比值比,0.40; 95%置信区间:0.29-0.56);监狱中身体穿孔的流行率较低(1.3%),男性和女性相似。与监狱中纹身相关的因素包括监禁1年或更长时间,并且在男性和女性中都有过性行为;仅女性的非异性恋身份;对于男性,年龄在30-39岁;监禁4次或更多次;有共用针头的历史,多个阴道性伴侣,以及在被捕前6个月内不一致地使用避孕套。重点小组提供了关于监狱中人体艺术做法的信息。犯人们有各种各样的理由获得人体艺术,设备往往是共享的,和清洁剂不是现成的。结论:纹身和身体穿孔的做法存在于监狱,并可能构成传播血源性病毒感染的风险。本文讨论了降低这些风险的干预措施。
Background: Unsterile body art practices among inmates in prison have been implicated in the transmission of bloodborne viruses. The objectives of this study were to determine the prevalence of tattooing and body piercing among inmates, identify factors associated with receiving a tattoo in prison, and explore the contexts of tattooing and body piercing in prison.Methods: A cross-sectional survey was conducted among randomly selected inmates in 17 state prisons in Illinois; a convenient sample of recently released exprisoners in Chicago, IL, participated in focus group discussions (FGDs).Results: A total of 1819 (1293 men and 526 women) inmates participated in the survey, and 47 exprisoners participated in the FGDs. Sixty-seven percent of the survey sample had tattoos, and 60% had body piercings. More men (19.3%) than women (8.7%) had received tattoos in prison (odds ratio, 0.40; 95% confidence interval: 0.29-0.56); prevalence of body piercing in prison was low (1.3%) and similar for men and women. Factors associated with tattooing in prison include incarceration for 1 year or longer and having had sex in prison among both men and women; nonheterosexual identity for women only; and for men, being 30-39 years old; incarcerated 4 or more times; having a history of sharing needles, multiple vaginal sex partners, and inconsistent condom use in the 6 months before arrest. Focus groups provided information on body art practices in prison. Inmates had a variety of reasons for getting body art, equipment was often shared, and cleansing agents were not readily available.Conclusion: Tattooing and body piercing practices exist in prison and could constitute risks for transmission of bloodborne viral infections. Interventions to reduce these risks are discussed.