Passadouro Rui
Centro de Saúde Dr. Arnaldo Sampaio, Leiria.
Acta Med Port. 2004 Sep-Oct;17(5):381-4. Epub 2004 Dec 20.
The present study emerged due to HIV, Hepatitis B and C test samples that have been taking place in a prison establishment in Leiria. The samples were taken from 788 (77%) of the 1019 prisoners that entered the prison during the periods between February of 1999 to September 2003. A questionnaire was carried to the transmission of HIV, Hepatitis B and C infections and blood samples were also taken to determine the immunologic situation in relationship to the same viruses. Of the 788 prisoners that participated, 699 (89%) were male and 89(11%) were female. The average age was 32.3, the oldest person was 70 and the youngest was 16 years old. 294 (40%) prisoners admitted using injectable drugs and 606 (84%) confirmed they had more than one sexual partner. HIV infection were found in 47 (6%) of the prisoners, HCV infection in 326 (42%), HBsAg in 21 (3%), HBsAc in 309 (40%) and HBcAc in 312 (40%) of the prisoners. Statistics confirm a significant relationship between injectable drugs and the presence of HIV infection and HBcAc and between sexual relationships with an infected partner and the presence of HBcAc, anti-HCV and HIV infection. The prevalence of infected prisoners with HIV was 6%, with HBV 40% and with HCV 42%. Hepatitis B and C infected 70% of the prisoner who used injectable drugs. The prevalence of hepatitis B and C and HIV infection that were found compel for the continuation of prevention.
本研究源于在莱里亚一所监狱机构中进行的艾滋病毒、乙型和丙型肝炎检测样本。这些样本取自1999年2月至2003年9月期间进入该监狱的1019名囚犯中的788名(77%)。针对艾滋病毒、乙型和丙型肝炎感染的传播情况进行了问卷调查,还采集了血样以确定与这些病毒相关的免疫状况。参与的788名囚犯中,699名(89%)为男性,89名(11%)为女性。平均年龄为32.3岁,年龄最大的为70岁,最小的为16岁。294名(40%)囚犯承认使用过注射毒品,606名(84%)确认有不止一个性伴侣。在囚犯中,发现47名(6%)感染艾滋病毒,326名(42%)感染丙型肝炎病毒,21名(3%)乙肝表面抗原阳性,309名(40%)乙肝核心抗体阳性,312名(40%)乙肝核心抗原阳性。统计数据证实,注射毒品与艾滋病毒感染及乙肝核心抗原阳性之间、与感染伴侣发生性关系与乙肝核心抗原阳性、抗丙型肝炎病毒及艾滋病毒感染之间存在显著关联。感染艾滋病毒的囚犯患病率为6%,感染乙肝病毒的为40%,感染丙型肝炎病毒的为42%。感染乙型和丙型肝炎的囚犯中有70%使用过注射毒品。所发现的乙型和丙型肝炎以及艾滋病毒感染的患病率促使预防工作继续开展。