Andrinopoulos K, Kerrigan D, Figueroa J P, Reese R, Gaydos C A, Bennett L, Bloomfield B, Plunkett L, Maru C, Ellen J M
Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
Int J STD AIDS. 2010 Feb;21(2):114-9. doi: 10.1258/ijsa.2009.008416.
The goal of this study is to describe the establishment of an HIV testing and treatment programme in the Jamaican correctional system and to estimate the prevalence of HIV/sexually transmitted disease (STD) among adult incarcerated men in this country. A demonstration project was implemented by the Jamaican Department of Correctional Services and Ministry of Health in the nation's largest correctional centre. All inmates were offered HIV and syphilis testing, and a subset was offered chlamydia, gonorrhoea and trichomoniasis testing. Cross-sectional data from the project were reviewed to determine the prevalence and correlates of HIV/STD. HIV test acceptance was 63% for voluntary testers (n = 1200). The prevalence of HIV was 3.3% (95% confidence interval [CI] 2.33-4.64) (n = 1017) and the prevalence syphilis was 0.7% (95% CI 0.29-1.49) (n = 967). Among the subset tested (n = 396) the prevalence of chlamydia was 2.5% (95% CI 1.22-4.49) and for trichomoniasis it was 1.8% (95% CI 0.01-3.60), but no cases of gonorrhoea were detected (n = 396). The prevalence of HIV was significantly higher at 25% (95% CI 13.64-39.60) for persons located in a separate section where individuals labelled as men who have sex with men (MSM) are separated. HIV/STD testing is important and feasible in Jamaica. A special focus should be placed on providing services to inmates labelled as MSM. Other Caribbean nations may also benefit from similar programmes.
本研究的目的是描述牙买加惩教系统中艾滋病毒检测与治疗项目的建立情况，并估计该国成年在押男性中艾滋病毒/性传播疾病（STD）的流行率。牙买加惩教服务部和卫生部在该国最大的惩教中心实施了一个示范项目。为所有囚犯提供了艾滋病毒和梅毒检测，对一部分人进行了衣原体、淋病和滴虫病检测。对该项目的横断面数据进行了审查，以确定艾滋病毒/性传播疾病的流行率及其相关因素。自愿检测者的艾滋病毒检测接受率为63%（n = 1200）。艾滋病毒的流行率为3.3%（95%置信区间[CI] 2.33 - 4.64）（n = 1017），梅毒的流行率为0.7%（95% CI 0.29 - 1.49）（n = 967）。在接受检测的子集中（n = 396），衣原体的流行率为2.5%（95% CI 1.22 - 4.49），滴虫病的流行率为1.8%（95% CI 0.01 - 3.60），但未检测到淋病病例（n = 396）。在一个单独区域，被标记为男男性行为者（MSM）的人群中，艾滋病毒的流行率显著较高，为25%（95% CI 13.64 - 39.60）。艾滋病毒/性传播疾病检测在牙买加既重要又可行。应特别关注为被标记为男男性行为者的囚犯提供服务。其他加勒比国家也可能从类似项目中受益。
