Racial differences in testing for infectious diseases: An analysis of jail intake data.

Racial differences in testing for infectious diseases: An analysis of jail intake data.
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DOI:
10.1371/journal.pone.0288254
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
文献类型:
--
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疾控中心建议对所有在押人员进行艾滋病毒和丙型肝炎病毒(HCV)检测。在社区中,对少数人进行艾滋病毒和丙型肝炎病毒检测存在障碍。我们在马萨诸塞州米德尔塞克斯惩教所(MHOC)的一所监狱里检查了种族和传染病(艾滋病毒、丙型肝炎病毒、梅毒)检测的关系。这是对2016-2020年间选择参加传染病检测的MHOC囚犯的回顾分析。感兴趣的变量包括种族/民族、自我认同的精神病史和是否经历过住房限制。23%(1,688/8,467)被监禁的人要求在入狱时进行检测。在这些人中,只有38%接受了测试。非西班牙裔黑人(25%)和西班牙裔(30%)比白人(19%)更有可能要求检测。与非西班牙裔白人(8%,AOR 1.54(1.10-2.15))相比,西班牙裔(16%,AOR 1.69(1.24-2.29))更有可能收到测试结果。与白人相比,黑人、非西班牙裔和西班牙裔更有可能选择参加并完成传染病检测。这些发现可能与社区在获得护理方面的种族差异有关。此外,略高于三分之一的要求检测的人收到了检测结果,这突显出在确保检测完成方面还有改进的空间。我们希望我们与监狱专业人员的合作能够鼓励其他跨学科的调查。
HIV and hepatitis C virus (HCV) testing for all people in jail is recommended by the CDC. In the community, there are barriers to HIV and HCV testing for minoritized people. We examined the relationship between race and infectious diseases (HIV, HCV, syphilis) testing in one Massachusetts jail, Middlesex House of Corrections (MHOC). This is a retrospective analysis of people incarcerated at MHOC who opted-in to infectious diseases testing between 2016–2020. Variables of interest were race/ethnicity, self-identified history of psychiatric illness, and ever having experienced restrictive housing. Twenty-three percent (1,688/8,467) of people who were incarcerated requested testing at intake. Of those, only 38% received testing. Black non-Hispanic (25%) and Hispanic people (30%) were more likely to request testing than white people (19%). Hispanic people (16%, AOR 1.69(1.24–2.29) were more likely to receive a test result compared to their white non-Hispanic (8%, AOR 1.54(1.10–2.15)) counterparts. Black non-Hispanic and Hispanic people were more likely to opt-in to and complete infectious disease testing than white people. These findings could be related to racial disparities in access to care in the community. Additionally, just over one-third of people who requested testing received it, underscoring that there is room for improvement in ensuring testing is completed. We hope our collaborative efforts with jail professionals can encourage other cross-disciplinary investigations.
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