Thornton L, Barry J, Long J, Allwright S, Bradley F, Parry J V
Department of Public Health, Eastern Regional Health Authority, Dr Steevens' Hospital, Dublin 8.
Commun Dis Public Health. 2000 Dec;3(4):253-5.
Self-reported hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV infection status was compared with the results of oral fluid assays of antibodies to these viruses in prisoners from nine of the 15 prisons in the Republic of Ireland. A total of 1205 out of 1366 prisoners completed a confidential questionnaire and 1193 provided analysable oral fluid specimens for testing for antibodies to HBV core antigen (anti-HBc), HCV (anti-HCV), and HIV (anti-HIV). The self-reported prevalence of hepatitis infection (hepatitis B: 5%; hepatitis C: 19%) was lower than that derived from oral fluid assays (anti-HBc: 9%; anti-HCV: 37%). The self-reported prevalence of HIV infection was similar to that found by oral fluid assay (2%). Many discrepancies were found between self-reported results and the results of oral fluid assays. Of those who reported being positive for HBV, HCV, or HIV, 48%, 5%, and 58%, respectively, tested negative on the oral fluid assay. Of those who reported a previous negative test result for HBV, HCV, or HIV, 10%, 37%, and 2%, respectively, had positive oral fluid assays. Self-reports of hepatitis and HIV infection status are unreliable and should not be used as a basis for planning preventive and treatment services for prisoners. All prisoners should have the opportunity to be tested for HBV, HCV, and HIV infection.
在爱尔兰共和国15所监狱中的9所监狱里，将囚犯自我报告的乙肝病毒（HBV）、丙肝病毒（HCV）和艾滋病毒感染状况与这些病毒抗体的口腔液检测结果进行了比较。1366名囚犯中有1205人完成了一份保密问卷，1193人提供了可用于检测乙肝核心抗原抗体（抗-HBc）、丙肝病毒抗体（抗-HCV）和艾滋病毒抗体（抗-HIV）的口腔液样本。自我报告的肝炎感染患病率（乙肝：5%；丙肝：19%）低于口腔液检测得出的患病率（抗-HBc：9%；抗-HCV：37%）。自我报告的艾滋病毒感染患病率与口腔液检测结果相似（2%）。自我报告结果与口腔液检测结果之间存在许多差异。在那些报告乙肝、丙肝或艾滋病毒检测呈阳性的人中，分别有48%、5%和58%的人在口腔液检测中呈阴性。在那些报告之前乙肝、丙肝或艾滋病毒检测结果为阴性的人中，分别有10%、37%和2%的人在口腔液检测中呈阳性。肝炎和艾滋病毒感染状况的自我报告不可靠，不应作为为囚犯规划预防和治疗服务的依据。所有囚犯都应有机会接受乙肝、丙肝和艾滋病毒感染检测。
