Wakeman Sarah E, Rich Josiah D
Massachusetts General Hospital, Department of Medicine, Boston, MA, USA.
HIV Ther. 2010 Sep 3;4(4):505-510. doi: 10.2217/hiv.10.35.
Arguably one of the most marginalized populations in our society, prisoners bear a disproportionate burden of infectious diseases, particularly HIV. In addition, groups known to be at an inordinately higher risk of HIV, including minorities, the addicted, the mentally ill and the impoverished are overrepresented among incarcerated populations. This concentration of HIV among groups that have been historically difficult to reach, with limited intersections with healthcare, provides an opportunity for testing, diagnosis, treatment, linkage to care and prevention. Providing HIV care within correctional facilities poses unique challenges. Barriers to confidentiality, access to medication and prior records, and lack of comprehensive discharge planning can serve as obstacles to providing optimal care. This article discusses the public health implications and importance of providing HIV care to prisoners, and also discusses the practicalities of working within an environment that poses particular barriers to care.
可以说，囚犯是我们社会中最边缘化的群体之一，他们承受着不成比例的传染病负担，尤其是艾滋病毒。此外，已知艾滋病毒感染风险极高的群体，包括少数族裔、成瘾者、精神病患者和贫困人口，在被监禁人群中所占比例过高。艾滋病毒在这些历来难以接触、与医疗保健联系有限的群体中的集中，为检测、诊断、治疗、护理联系和预防提供了机会。在惩教设施内提供艾滋病毒护理带来了独特的挑战。保密、获取药物和既往记录的障碍，以及缺乏全面的出院计划，都可能成为提供最佳护理的障碍。本文讨论了为囚犯提供艾滋病毒护理的公共卫生影响和重要性，还讨论了在对护理构成特殊障碍的环境中开展工作的实际情况。
