An unanswered health disparity: Tuberculosis among correctional inmates, 1993 through 2003
An unanswered health disparity: Tuberculosis among correctional inmates, 1993 through 2003
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DOI：
10.2105/ajph.2004.055442
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发表时间：
2005-10-01
影响因子：
12.7
通讯作者：
Moore, M
中科院分区：
文献类型：
--
作者：
MacNeil, JR;Lobato, MN;Moore, M
目的：我们试图描述在监狱囚犯和非囚犯人群中结核病（TB）危险因素和治疗结果的差异和趋势。方法：我们分析了1993年至2003年国家结核病监测系统报告的数据。我们比较了15-64岁的囚犯和非囚犯的特征。结果：在美国总计210976例结核病病例中，3.8%（7820例）报告来自惩教系统。联邦和州监狱的犯罪率分别为每10万名囚犯29.4和24.2起，大大高于非囚犯人口的犯罪率（每10万人6.7起）。与非囚犯相比，患有结核病的囚犯更有可能至少有1种结核病危险因素（分别为60.1%对42.0%），并接受直接观察治疗（分别为65.0%对41.0%）；然而，他们完成治疗的可能性较低（分别为76.8%和89.4%）。在囚犯中，58.9%的人在12个月内完成了治疗，而非囚犯的这一比例为73.2%。结论：监狱系统的结核病发病率仍然高于一般人群。与非囚犯相比，患有结核病的囚犯完成治疗的可能性更小。
Objectives: We sought to describe disparities and trends in tuberculosis (TB) risk factors and treatment outcomes between correctional inmate and noninmate populations.Methods: We analyzed data reported to the national TB surveillance system from 1993 through 2003. We compared characteristics between inmate and noninmate men aged 15-64 years.Results: Of the 210976 total US TB cases, 3.8% (7820) were reported from correctional systems. Federal and state prison case rates were 29.4 and 24.2 cases per 100000 inmates, respectively, which were considerably higher than those in the noninmate population (6.7 per 100000 people). Inmates with TB were more likely to have at least 1 TB risk factor compared with noninmates (60.1% vs 42.0%, respectively) and to receive directly observed therapy (65.0% vs 41.0%, respectively); however, they were less likely to complete treatment (76.8% vs 89.4%, respectively). Among inmates, 58.9% completed treatment within 12 months compared with 73.2% of noninmates.Conclusions: Tuberculosis case rates in prison systems remain higher than in the general population. Inmates with TB are less likely than noninmates to complete treatment.