MacNeil Jessica R, Lobato Mark N, Moore Marisa
Division of Tuberculosis Elimination, National Center for HIV, STD, and TB Prevention, Office of Communications, Centers for Disease Control and Prevention, 1600 Clifton Road, Mail Stop E-06, Atlanta, GA 30333, USA.
Am J Public Health. 2005 Oct;95(10):1800-5. doi: 10.2105/AJPH.2004.055442.
We sought to describe disparities and trends in tuberculosis (TB) risk factors and treatment outcomes between correctional inmate and noninmate populations.
We analyzed data reported to the national TB surveillance system from 1993 through 2003. We compared characteristics between inmate and non-inmate men aged 15-64 years.
Of the 210976 total US TB cases, 3.8% (7820) were reported from correctional systems. Federal and state prison case rates were 29.4 and 24.2 cases per 100000 inmates, respectively, which were considerably higher than those in the noninmate population (6.7 per 100000 people). Inmates with TB were more likely to have at least 1 TB risk factor compared with noninmates (60.1% vs 42.0%, respectively) and to receive directly observed therapy (65.0% vs 41.0%, respectively); however, they were less likely to complete treatment (76.8% vs 89.4%, respectively). Among inmates, 58.9% completed treatment within 12 months compared with 73.2% of noninmates.
Tuberculosis case rates in prison systems remain higher than in the general population. Inmates with TB are less likely than noninmates to complete treatment.
我们试图描述惩教机构在押人员与非在押人员之间结核病（TB）危险因素及治疗结果的差异和趋势。
我们分析了1993年至2003年向国家结核病监测系统报告的数据。我们比较了15至64岁在押男性与非在押男性的特征。
在美国总计210976例结核病病例中，3.8%（7820例）是惩教系统报告的。联邦和州监狱的发病率分别为每10万名在押人员29.4例和24.2例，远高于非在押人群（每10万人6.7例）。与非在押人员相比，结核病在押人员更有可能至少有1个结核病危险因素（分别为60.1%和42.0%），并接受直接观察治疗（分别为65.0%和41.0%）；然而，他们完成治疗的可能性较小（分别为76.8%和89.4%）。在在押人员中，58.9%在12个月内完成治疗，而非在押人员为73.2%。
监狱系统中的结核病发病率仍然高于普通人群。结核病在押人员完成治疗的可能性低于非在押人员。
