Miranda A E, Vargas P M, St Louis M E, Viana M C
Infectious Diseases Unit, Federal University of Espírito Santo State, Brazil.
Sex Transm Dis. 2000 Oct;27(9):491-5. doi: 10.1097/00007435-200010000-00001.
Sexually transmitted diseases (STDs) have become an important medical problem in prisons.
To determine the prevalence of and risk factors for STDs among female inmates in a Brazilian prison.
All female prisoners at the Espírito Santo State Prison were offered enrollment in this cross-sectional study. An interview exploring demographics, criminal charges, and risk behavior was conducted. Blood and genital specimens were collected for STD testing.
Of 122 eligible women, 121 (99%) agreed to participate. Prevalence rates were: HIV 9.9%, human T-cell lymphotrophic virus type I 4.1%, hepatitis B virus 7.4%, hepatitis C virus 19%, syphilis 16%, gonorrhea 7.6%, chlamydial infection 11%, human papillomavirus-related cytologic changes 9.3%, trichomoniasis 30%, and bacterial vaginosis 15%. Previous or current drug abuse (54%), injection drug use (11%), and blood transfusion (16%) were associated with at least one STD. Condom use was infrequent.
The prevalence of STDs and of behaviors leading to ongoing transmission are high among female inmates in Vitória, Brazil, and demonstrate the potential importance of prevention activities targeting this population.
性传播疾病（STDs）已成为监狱中的一个重要医学问题。
确定巴西一所监狱中女性囚犯性传播疾病的患病率及危险因素。
邀请圣埃斯皮里图州立监狱的所有女性囚犯参与这项横断面研究。进行了一项关于人口统计学、刑事指控和风险行为的访谈。采集血液和生殖器标本进行性传播疾病检测。
122名符合条件的女性中，121名（99%）同意参与。患病率分别为：艾滋病毒9.9%，I型人类嗜T细胞病毒4.1%，乙型肝炎病毒7.4%，丙型肝炎病毒19%，梅毒16%，淋病7.6%，衣原体感染11%，人乳头瘤病毒相关细胞学改变9.3%，滴虫病30%，细菌性阴道病15%。既往或当前药物滥用（54%）、注射吸毒（11%）和输血（16%）与至少一种性传播疾病相关。避孕套使用率很低。
在巴西维多利亚的女性囚犯中，性传播疾病以及导致持续传播的行为的患病率很高，这表明针对这一人群开展预防活动具有潜在的重要性。
