Sannier Olivier, Verfaillie Florent, Lavielle Dorothée
UCSA du Centre Pénitentiaire de Liancourt, Liancourt, France.
Presse Med. 2012 Jul;41(7-8):e375-85. doi: 10.1016/j.lpm.2011.12.015. Epub 2012 Mar 2.
The prison population is drug users. Recent debates around the provision of devices to reduce the risks associated with drug use (syringe exchange programs and snort kit) lead us to question local practices of the prison population.
An anonymous questionnaire was offered to the prison population of the Liancourt penitentiary. The questions addressed the use of drugs before and during incarceration, knowledge of HIV and B and C hepatitis status, taking an opiate substitution treatment and advice on the implementation of syringe exchange programs and snort kit.
A percentage of 54.4 of the prisoners responded to the questionnaire. An amount of 60.1 % of respondents consumed at least one drug before incarceration and 43.6 % of respondents consumed at least one drug during their incarceration. Cannabis was the most consumed drug before and during incarceration. Barely half of respondents reported knowing their HIV and hepatitis B and C status. Over 10 % of respondents said they were interesting in establishing needle exchange programs or snort kit.
The prison concentrate drug users and is not a repressive tool of efficient risk reduction. The strategies implemented by the medical unit of Liancourt prison require adaptations that warrant development of health resources. Then, only new tools to reduce risks associated with drug use can be established.
监狱人口中有吸毒者。近期围绕提供降低吸毒相关风险的设备（注射器交换项目和吸食工具包）展开的辩论促使我们对监狱人口的当地情况提出质疑。
向连court监狱的监狱人口发放了一份匿名问卷。问题涉及监禁前和监禁期间的吸毒情况、对艾滋病毒以及乙型和丙型肝炎状况的了解、接受阿片类药物替代治疗情况以及关于实施注射器交换项目和吸食工具包的建议。
54.4%的囚犯回复了问卷。60.1%的受访者在监禁前至少吸食过一种毒品，43.6%的受访者在监禁期间至少吸食过一种毒品。大麻是监禁前和监禁期间吸食最多的毒品。仅有不到一半的受访者表示知道自己的艾滋病毒以及乙型和丙型肝炎状况。超过10%的受访者表示对设立针头交换项目或吸食工具包感兴趣。
监狱集中了吸毒者，并非有效降低风险的压制工具。连court监狱医疗部门实施的策略需要调整，这就需要开发卫生资源。这样，才能建立起降低吸毒相关风险的新工具。
