德克萨斯惩教系统中新入狱囚犯的丙型肝炎血清流行率。

Hepatitis C seroprevalence among newly incarcerated inmates in the Texas correctional system.

作者信息

Baillargeon J, Wu H, Kelley M J, Grady J, Linthicum L, Dunn K

机构信息

Department of Pediatrics, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78284-7802, USA.

出版信息

Public Health. 2003 Jan;117(1):43-8. doi: 10.1016/s0033-3506(02)00009-4.

Abstract

The seroprevalence of hepatitis C (HCV) infection was examined among a sample of incoming inmates in the Texas Department of Criminal Justice (TDCJ) prison system. Rates were compared across demographic factors and three types of prison facilities: substance abuse felony punishment units (SAFPs), state jails and prisons. The study sample consisted of 3712 incoming inmates incarcerated for any duration, dating from 1 November 1998 to 31 May 1999. Among males, inmates entering SAFPs and state jails had comparable HCV infection rates (29.7 and 27.0%, respectively) to those entering prisons (27.3%). Among females, inmates entering prisons had a higher rate of infection (48.6%) than those entering state jails (35.1%) or SAFPs (38.3%). For both genders, blacks exhibited a lower overall infection rate than whites and Hispanics, and HCV seroprevalence increased in a stepwise fashion with age. All subgroups of TDCJ inmates, including those held in alternative correctional facilities, exhibited HCV infection rates that were comparable with previous reports of inmate populations, but dramatically higher than general community samples. Given that most inmates held in alternative facilities will return to the general community in a short period of time, understanding the HCV infection rates in these subgroups holds particular public health relevance.

摘要

在得克萨斯州刑事司法部(TDCJ)监狱系统的一批新入狱囚犯样本中,对丙型肝炎(HCV)感染的血清流行率进行了检测。对不同人口统计学因素以及三种类型的监狱设施(药物滥用重罪惩罚单位(SAFPs)、州立监狱和监狱)的感染率进行了比较。研究样本包括1998年11月1日至1999年5月31日期间被监禁的3712名新入狱囚犯,监禁时长不限。在男性中,进入SAFPs和州立监狱的囚犯丙型肝炎感染率(分别为29.7%和27.0%)与进入监狱的囚犯(27.3%)相当。在女性中,进入监狱的囚犯感染率(48.6%)高于进入州立监狱(35.1%)或SAFPs(38.3%)的囚犯。对于男女两性而言,黑人的总体感染率低于白人和西班牙裔,并且丙型肝炎血清流行率随年龄呈逐步上升趋势。TDCJ所有亚组囚犯,包括那些被关押在替代惩教设施中的囚犯,其丙型肝炎感染率与之前关于囚犯群体的报告相当,但远高于一般社区样本。鉴于大多数被关押在替代设施中的囚犯将在短时间内返回普通社区,了解这些亚组中的丙型肝炎感染率具有特殊的公共卫生意义。

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