在刑事司法系统中诊断、治疗和预防 HIV 的机会。
Opportunities to diagnose, treat, and prevent HIV in the criminal justice system.
机构信息
Department of Medicine, The Alpert Medical School of Brown University, Providence, RI, USA.
出版信息
J Acquir Immune Defic Syndr. 2010 Dec;55 Suppl 1(Suppl 1):S49-55. doi: 10.1097/QAI.0b013e3181f9c0f7.
Abstract
Persons involved with the criminal justice system are at risk for HIV and other transmissible diseases due to substance use and related risk behaviors. Incarceration provides a public health opportunity to test for HIV, viral hepatitis, and other sexually transmitted infections, provide treatment such as highly active antiretroviral therapy, and link infected persons to longitudinal comprehensive HIV care upon their release for such comorbidities as addiction and mental illness. Delivering health interventions inside prisons and jails can be challenging, yet the challenges pale in comparison to the benefits of interventions for inmates and their communities. This article reviews the current state of delivering HIV testing, prevention, treatment, and transition services to incarcerated populations in the United States. It concludes with summary recommendations for research and practice to improve the health of inmates and their communities.
摘要
由于药物使用和相关的风险行为，参与刑事司法系统的人员有感染艾滋病毒和其他传染病的风险。监禁为检测艾滋病毒、病毒性肝炎和其他性传播感染提供了一个公共卫生机会，提供治疗，如高效抗逆转录病毒疗法，并在感染人员获释时将其与长期全面的艾滋病毒护理联系起来，以治疗成瘾和精神疾病等合并症。在监狱和拘留所内提供卫生干预措施可能具有挑战性，但与干预措施为囚犯及其社区带来的益处相比，这些挑战微不足道。本文回顾了目前在美国向被监禁人群提供艾滋病毒检测、预防、治疗和过渡服务的状况。最后提出了改善囚犯及其社区健康的研究和实践建议。
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