澳大利亚惩教机构中丙型肝炎病毒传播的流行情况及相关风险行为。
The prevalence and the risk behaviours associated with the transmission of hepatitis C virus in Australian correctional facilities.
作者信息
Hellard M E, Hocking J S, Crofts N
机构信息
Epidemiology and Social Research Program, Macfarlane Burnet Institute for Medical Research and Public Health, Melbourne, Victoria, Australia.
出版信息
Epidemiol Infect. 2004 Jun;132(3):409-15. doi: 10.1017/s0950268803001882.
This study measured the prevalence and the risk factors associated with HCV antibody-positive prisoners. A total of 630 prisoners completed a questionnaire about risk behaviours associated with HCV transmission and were tested for HCV antibody from a blood test. Of these 362 (57.5%) prisoners were HCV antibody positive. A total of 436 (68.8%) prisoners reported ever injecting drugs and 332 reported injecting drugs in prison. HCV-positive prisoners were more likely to have injected drugs (OR 29.9) and to have injected drugs in prison during their current incarceration (OR 3.0). Tattooing was an independent risk factor for being HCV positive (OR 2.7). This is the first study conducted on prisoners that has identified having a tattoo in prison as a risk factor for HCV. Injecting drugs whilst in prison during this incarceration was also a risk factor for HCV. Our results show prisoners who injected drugs outside of prison continue to inject in prison but in a less safe manner.
本研究测量了丙型肝炎病毒（HCV）抗体阳性囚犯的患病率及相关风险因素。共有630名囚犯完成了一份关于HCV传播相关风险行为的问卷，并接受了血液检测以检测HCV抗体。在这些囚犯中，362名（57.5%）HCV抗体呈阳性。共有436名（68.8%）囚犯报告曾注射过毒品，332名报告在监狱内注射过毒品。HCV阳性囚犯更有可能曾注射过毒品（比值比[OR]为29.9），且在当前监禁期间在监狱内注射过毒品（OR为3.0）。纹身是HCV阳性的一个独立风险因素（OR为2.7）。这是第一项针对囚犯开展的研究，该研究已确定在监狱纹身是HCV的一个风险因素。在本次监禁期间于监狱内注射毒品也是HCV的一个风险因素。我们的结果表明，在监狱外注射毒品的囚犯在监狱内仍继续注射，但方式更不安全。
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