卡杜纳 convict 监狱囚犯对艾滋病毒/艾滋病及相关危险行为的认知评估：对尼日利亚监狱预防方案的启示。需注意，这里的“convict”在原文中可能有误，正确的可能是“correctional”，如果是这样，译文更准确的表述为：卡杜纳惩教所囚犯对艾滋病毒/艾滋病及相关危险行为的认知评估：对尼日利亚监狱预防方案的启示。

An assessment of knowledge of HIV/AIDS and associated risky behavior among inmates of Kaduna convict prison: the implications for Prevention Programmes in Nigerian Prisons.

作者信息

Sabitu K, Iliyasu Z, Joshua I A

机构信息

Department of Community Medicine, Ahmadu Bello University Zaria, Nigeria.

出版信息

Niger J Med. 2009 Jan-Mar;18(1):52-8.

PMID:19485149

Abstract

BACKGROUND

Prisoners worldwide have a significantly higher prevalence of human immunodeficiency virus (HIV). Despite this, little is known of inmates' knowledge, behaviour and access to services, especially in developing countries. This study assessed the characteristics, HIV/AIDS knowledge, attitude and associated risky behavior among inmates of a prison in northern Nigeria.

METHODS

A structured interviewer-administered questionnaire was administered on a cross-section of 374 inmates of Kaduna convict prison in northern Nigeria. Information was elicited on their sociodemographic characteristics, knowledge of HIV/AIDS, attitude and indulgence in risky behaviour.

RESULTS

About 96.1% of the inmates had heard about AIDS. Majority of them (70%) were ignorant of the causative agent; however, knowledge of route of disease transmission was high, with 91%, 67% and 46.7% of inmates mentioning sexual activity, unscreened blood transfusion and sharing unsterilized blades, respectively. They listed abstinence, faithfulness, use of condoms, new needles, syringes and blades as protective measures. Overall, 39.5%, 48.7% and 11.8% of the respondents had good, fair and poor knowledge of HIV/AIDS, respectively. Only 64 (14.9%) inmates reported having sexual intercourse in prison. These sexual encounters were homosexual in 56.2% of cases and heterosexual in 43.8% of cases. Only 28 (43.8%) of the sexually active inmates claimed to have used condoms regularly. Respectively, 72.3% and 70.8% of inmates shared barbing clippers and razor blades. There was a strong association between educational attainment and knowledge of HIV/AIDS (2 = 28.3 df = 6 P < 0.0001).

CONCLUSION

Although more than two thirds of the inmates had adequate knowledge of HIV/AIDS, there were gaps, misconceptions and high-risk behaviour. Well-designed information, education an communication (IEC) programmes on AIDS should be developed for inmates of prisons nationwide.

摘要

背景

全球范围内，囚犯感染人类免疫缺陷病毒（HIV）的比例显著更高。尽管如此，对于囚犯的知识、行为以及获得服务的情况，人们了解甚少，尤其是在发展中国家。本研究评估了尼日利亚北部一所监狱囚犯的特征、HIV/AIDS知识、态度及相关危险行为。

方法

对尼日利亚北部卡杜纳 convict 监狱的374名囚犯进行了横断面调查，采用结构化访谈问卷。收集了他们的社会人口学特征、HIV/AIDS知识、态度以及危险行为情况。

结果

约96.1%的囚犯听说过艾滋病。他们中的大多数（70%）不知道致病因素；然而，对疾病传播途径的知晓率较高，分别有91%、67%和46.7%的囚犯提到性活动、未筛查的输血和共用未消毒的刀片。他们将禁欲、忠诚、使用避孕套、新针头、注射器和刀片列为保护措施。总体而言，分别有39.5%、48.7%和11.8%的受访者对HIV/AIDS有良好、一般和较差的了解。只有64名（14.9%）囚犯报告在监狱中有过性行为。这些性接触中，56.2%为同性恋，43.8%为异性恋。只有28名（43.8%）有性行为的囚犯声称经常使用避孕套。分别有72.3%和70.8%的囚犯共用理发推子和剃须刀片。教育程度与HIV/AIDS知识之间存在很强的关联（卡方 = 28.3，自由度 = 6，P < 0.0001）。