Grinstead Olga, Seal David W, Wolitski Richard, Flanigan Timothy, Fitzgerald Christine, Nealey-Moore Jill, Askew John
UCSF-CAPS, 74 New Montgomery St., Suite 600, San Francisco, CA 94105, USA.
AIDS Educ Prev. 2003 Dec;15(6):547-60. doi: 10.1521/aeap.15.7.547.24045.
Because individuals at risk for HIV and STDs are concentrated in prisons and jails, incarceration is an opportunity to provide HIV and STD testing. We interviewed 72 service providers working in U.S. prisons in four states about their experiences with and perceptions regarding HIV and STD testing in prison. Providers' job duties represented administration, education, security, counseling, and medical care. Providers' knowledge of prison procedures and programs related to HIV and STD testing was narrowly limited to their specific job duties, resulting in many missed opportunities for prevention counseling and referral. Suggestions include increasing health care and counseling staff so posttest counseling can be provided for those with negative as well as positive test results, providing additional prevention programs for incarcerated persons, improving staff training about HIV and STD testing, and improving communication among in-prison providers as well as between corrections and public health staff.
由于感染艾滋病毒和性传播疾病风险较高的人群集中在监狱中，监禁成为了提供艾滋病毒和性传播疾病检测的契机。我们采访了美国四个州监狱中的72名服务提供者，了解他们在监狱中进行艾滋病毒和性传播疾病检测的经历及看法。提供者的工作职责涵盖行政、教育、安保、咨询和医疗护理。提供者对与艾滋病毒和性传播疾病检测相关的监狱程序和项目的了解，严格局限于其特定工作职责，导致预防咨询和转诊错失诸多机会。建议包括增加医疗保健和咨询工作人员，以便能为检测结果呈阴性和阳性的人员提供检测后咨询，为被监禁人员提供更多预防项目，改进工作人员关于艾滋病毒和性传播疾病检测的培训，以及改善监狱内提供者之间以及惩教人员与公共卫生工作人员之间的沟通。
