Burden of HIV, Syphilis, and Hepatitis B and C Among Inmates in a Prison State System in Mexico
| Autor: | Juan Sierra-Madero, Pablo F. Belaunzarán-Zamudio, Macías-Hernández Ae, Juan L. Mosqueda-Gómez, Chris Beyrer, Sonia Rodríguez-Ramírez |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study Hepatitis C virus Immunology HIV Infections medicine.disease_cause Young Adult 03 medical and health sciences Risk-Taking 0302 clinical medicine Surveys and Questionnaires Virology Internal medicine Prevalence Humans Medicine Syphilis 030212 general & internal medicine Young adult Mexico Aged Hepatitis B virus 030505 public health business.industry Prisoners virus diseases Hepatitis C Middle Aged Hepatitis B medicine.disease Confidence interval Cross-Sectional Studies Infectious Diseases Prisons Female 0305 other medical science business |
| Zdroj: | AIDS Research and Human Retroviruses. 33:524-533 |
| ISSN: | 1931-8405 0889-2229 |
| DOI: | 10.1089/aid.2016.0271 |
| Popis: | We studied the prevalence of HIV, syphilis, hepatitis B virus (HBV), and hepatitis C virus (HCV) infection and associated risk behaviors in the prison state system of Guanajuato, Mexico between September 2011 and February 2012. Blood samples were drawn from adult inmates in all State prisons who agreed to participate in this cross-sectional study. Data on risk behaviors were collected by using self-administered questionnaires. The prevalence of HIV, syphilis, HBV, and HCV infection was 0.6% [95% confidence interval (CI) = 0.2-1.1], 0.7% (95% CI = 0.4-1.0), 0.4 (95% CI = 0.04-0.74), and 4.8 (95% CI = 3.6-5.9), respectively. Female inmates had a higher prevalence of HIV (1.5% vs. 0.6%, p = .05), whereas male inmates had a higher prevalence of HCV (1% vs. 5%, p = .008). Twenty percent (n = 443, 95% CI = 15-26) of the participants were tattooed during incarceration, and most of them were tattooed with recycled materials. Around 60% (57%, 95% CI = 49-65) used drugs before incarceration, and 9.2% (n = 205) used injected drugs. During incarceration, 30% (95% CI = 23-39) used drugs and 43 continued injecting (20% of users). Consistent condom use was low among men before incarcerations but decreased by half during incarceration. The highest consistent condom use before incarceration was among men who have sex with men (MSM) (17.7%, 95% CI = 14-22), but it decreased (9%, 95% CI = 3-14) during incarceration. The prevalence of HIV, HBV, HCV, and syphilis in these inmates is higher than that of the local adult population. Most inmates had sex in prison, but few used condoms consistently. Access to condoms is apparently harder for MSM. Interventions to increase condom use, reduce use of shared or recycled materials for tattooing and injecting drugs, and treatment for drug abuse are needed. |
| Databáze: | OpenAIRE |
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