Rodríguez-Díaz Carlos E, Reece Michael, Rivera-Alonso Begoña, Laureano-Landrón Idamar, Dodge Brian, Malow Robert M
1University of Puerto Rico - School of Public Health, San Juan, Puerto Rico.
J Int Assoc Physicians AIDS Care (Chic). 2011 Jul-Aug;10(4):266-72. doi: 10.1177/1545109711398664. Epub 2011 Apr 1.
For those who are incarcerated in jails and prisons, the correctional setting represents a unique context for health care access and utilization. In Puerto Rico, over 16 000 persons pass each year through a correctional facility, approximately 6.9% of the incarcerated population present HIV infection, and 73.8% and 27.1% evidence a previous history of drug and alcohol use, respectively. In addition, HIV-infected populations have comorbidity with other diseases that are associated with substance use. Several approaches have been considered to prevent, treat, and provide a continuum of care for HIV and substance disorders among incarcerated populations. Nearly 30 years of legally regulated practices for correctional health care have produced recommendations for addressing the needs of those with HIV and substance disorders within the correctional facilities in Puerto Rico. These recommendations include making prevention services available, building capacity among health care providers, and understanding the cultural and political contexts.
对于那些被关押在监狱中的人来说，惩教环境是获得和利用医疗保健的独特背景。在波多黎各，每年有超过16000人进出惩教机构，约6.9%的在押人员感染了艾滋病毒，分别有73.8%和27.1%的人有吸毒和酗酒史。此外，艾滋病毒感染人群还合并有与物质使用相关的其他疾病。人们已经考虑了几种方法来预防、治疗和为被监禁人群中的艾滋病毒和物质使用障碍提供连续护理。近30年的惩教医疗合法规范做法产生了一些建议，以满足波多黎各惩教机构中艾滋病毒感染者和物质使用障碍者的需求。这些建议包括提供预防服务、提高医疗保健提供者的能力以及了解文化和政治背景。
