Beckwith Curt G, Bazerman Lauri, Cornwall Alexandra H, Patry Emily, Poshkus Michael, Fu Jeannia, Nunn Amy
Division of Infectious Diseases, Alpert Medical School of Brown University, Providence, RI 02906, USA.
AIDS Educ Prev. 2011 Jun;23(3 Suppl):96-109. doi: 10.1521/aeap.2011.23.3_supp.96.
There is an increased prevalence of HIV among incarcerated populations. We conducted a rapid HIV testing pilot program using oral specimens at the Rhode Island Department of Corrections (RIDOC) jail. Detainees (N = 1,364) were offered rapid testing upon jail entrance and 98% completed testing. Twelve detainees had reactive rapid tests, one of which was a new HIV diagnosis. To evaluate the program qualitatively, we conducted key informant interviews and focus groups with key stakeholders. There was overwhelming support for the oral fluid rapid HIV test. Correctional staff reported improved inmate processing due to the elimination of phlebotomy required with conventional HIV testing. Delivering negative rapid HIV test results in real-time during the jail intake process remained a challenge but completion of confirmatory testing among those with reactive rapid tests was possible. Rapid HIV testing using oral specimens in the RIDOC jail was feasible and preferred by correctional staff.
在被监禁人群中，艾滋病毒的患病率有所上升。我们在罗德岛惩教部（RIDOC）监狱开展了一项使用口腔样本进行快速艾滋病毒检测的试点项目。在入狱时，为1364名被拘留者提供了快速检测，98%的人完成了检测。12名被拘留者的快速检测呈阳性反应，其中1例为新诊断出的艾滋病毒感染。为了对该项目进行定性评估，我们与主要利益相关者进行了关键信息人访谈和焦点小组讨论。对于口腔液快速艾滋病毒检测，各方给予了压倒性的支持。惩教人员报告称，由于无需像传统艾滋病毒检测那样进行静脉穿刺采血，囚犯处理流程得到了改善。在监狱收押过程中实时提供快速艾滋病毒检测阴性结果仍是一项挑战，但对快速检测呈阳性反应者进行确证检测是可行的。在RIDOC监狱使用口腔样本进行快速艾滋病毒检测是可行的，且受到惩教人员的青睐。
