Poulin Céline, Alary Michel, Lambert Gilles, Godin Gaston, Landry Suzanne, Gagnon Hélène, Demers Eric, Morarescu Elena, Rochefort Jean, Claessens Christiane
Unité de recherche en santé des populations, Centre hospitalier universitaire de Québec, Québec, Que.
CMAJ. 2007 Jul 31;177(3):252-6. doi: 10.1503/cmaj.060760.
To determine the prevalence of HIV and hepatitis C virus (HCV) infections and examine risk factors for these infections among inmates in Quebec provincial prisons.
Anonymous cross-sectional data were collected from January to June 2003 for men (n = 1357) and women (n = 250) who agreed to participate in the study and who completed a self-administrated questionnaire and provided saliva samples.
The prevalence of HIV infection was 2.3% among the male participants and 8.8% among the female participants. The corresponding prevalence of HCV infection was 16.6% and 29.2%, respectively. The most important risk factor was injection drug use. The prevalence of HIV infection was 7.2% among the male injection drug users and 0.5% among the male non-users. Among the women, the rate was 20.6% among the injection drug users, whereas none of the non-users was HIV positive. The prevalence of HCV infection was 53.3% among the male injection drug users and 2.6% among the male non-users; the corresponding values among the women were 63.6% and 3.5%.
HIV and HCV infections constitute an important public health problem in prison, where the prevalence is affected mainly by a high percentage of injection drug use among inmates.
确定魁北克省监狱囚犯中艾滋病毒（HIV）和丙型肝炎病毒（HCV）感染的流行情况，并调查这些感染的危险因素。
于2003年1月至6月收集了同意参与研究的男性（n = 1357）和女性（n = 250）的匿名横断面数据，这些参与者完成了一份自我管理的问卷并提供了唾液样本。
男性参与者中HIV感染率为2.3%，女性参与者中为8.8%。HCV感染的相应患病率分别为16.6%和29.2%。最重要的危险因素是注射吸毒。男性注射吸毒者中HIV感染率为7.2%，男性非注射吸毒者中为0.5%。在女性中，注射吸毒者的感染率为20.6%，而非注射吸毒者中无人HIV呈阳性。男性注射吸毒者中HCV感染率为53.3%，男性非注射吸毒者中为2.6%；女性中的相应数值分别为63.6%和3.5%。
HIV和HCV感染在监狱中构成了一个重要的公共卫生问题，其流行情况主要受囚犯中高比例注射吸毒的影响。
