David Nelson, Tang A
Department of Genitourinary Medicine, Royal Berkshire Hospital, London Road, Reading RG1 5AN, UK.
Int J STD AIDS. 2003 Aug;14(8):511-3. doi: 10.1258/095646203767869084.
According to the recently published National Strategy for Sexual Health and HIV, prisoners need targeted sexual health information. However, there is a paucity of published data on incidence of sexually transmitted infections (STIs) among prisoners in the UK. The aim of this study was to assess the sexual behaviour and spectrum of STI in a young offenders institution (YOI) in the UK. Case notes of all patients seen in a male YOI in Reading over a one-year period were reviewed. All were either self-referrals or referred by the prison staff. Age- and sex-matched patients attending the genitourinary medicine (GUM) clinic at the Royal Berkshire Hospital Reading during the same period served as a control group. A total of 177 patients aged 17-20 were seen in the YOI during the study period. Ninety (51.72%) had STI vs 95 (54.91%) in the control group (P = 0.5942). Three YOI patients and four GUM attendees declined STI screening. Twenty-nine (16.38%) patients in the YOI had >or=2 sexual partners in the preceding three months vs 41 (23.16%) in the control group (P = 0.0811). Fourteen (7.90%) YOI patients had a previous history of STI vs 25 (14.12%) in the GUM clinic population (P = 0.0618). Thirty-five (20.11%) YOI patients gave a history of having injected drugs vs none amongst GUM clinic attendees. Of the 35 patients with a history of intravenous drug use four were hepatitis C-antibody positive. This study showed high rates of STI in a YOI. Past history of high risk behaviour was common and a significant number had been intravenous drug users. This study strongly supports the need for immediate care, targeted sexual health information and STI prevention in YOI in the UK.
根据最近发布的《性健康与艾滋病毒国家战略》，囚犯需要有针对性的性健康信息。然而，关于英国囚犯中性传播感染（STIs）发病率的已发表数据匮乏。本研究的目的是评估英国一所青少年罪犯教养所（YOI）中的性行为和性传播感染情况。回顾了在雷丁的一所男性青少年罪犯教养所中一年内所有就诊患者的病历。所有患者均为自我转诊或由监狱工作人员转诊。同期在雷丁皇家伯克郡医院泌尿生殖医学（GUM）诊所就诊的年龄和性别匹配的患者作为对照组。在研究期间，青少年罪犯教养所共诊治了177名年龄在17至20岁之间的患者。其中90名（51.72%）患有性传播感染，而对照组为95名（54.91%）（P = 0.5942）。三名青少年罪犯教养所患者和四名GUM诊所就诊者拒绝进行性传播感染筛查。青少年罪犯教养所中有29名（16.38%）患者在过去三个月中有≥2个性伴侣，而对照组为41名（23.16%）（P = 0.0811）。14名（7.90%）青少年罪犯教养所患者有性传播感染病史，而GUM诊所人群中有25名（14.12%）（P = 0.0618）。35名（20.11%）青少年罪犯教养所患者有注射毒品史，而GUM诊所就诊者中无人有此情况。在有静脉吸毒史的35名患者中，有4名丙型肝炎抗体呈阳性。本研究显示青少年罪犯教养所中性传播感染率很高。过去有高危行为的情况很常见，并且有相当数量的人曾是静脉吸毒者。本研究有力地支持了在英国青少年罪犯教养所中提供即时护理、针对性性健康信息和性传播感染预防的必要性。
