Estébanez Estébanez P, Colomo Gómez C, Zunzunegui Pastor M V, Rua Figueroa M, Pérez M, Ortiz C, Heras P, Babin F
Instituto Carlos III, Zona Centro, Ayuntamiento de Madrid.
Gac Sanit. 1990 May-Jun;4(18):100-5. doi: 10.1016/s0213-9111(90)71005-9.
The spread and risk factors for HIV infection were studied in 288 men and 95 women at the prisons of Carabanchel and Yeserias, Madrid. These men and women requested care at the AIDS prevention program in the jails of Madrid, from April to December 1987. Among the men studied at Carabanchel, 55% were positive to HIV (77% seropositivity among intravenous drug users, IVDU). Tattooing (OR = 2.8), and number of times in prison (OR = 4.5 comparing those who had been 8 or more times in prison with those who had been in prison only once) were independent risk factors for infection, after controlling for IVDU. No association was found between seropositive status to HIV and reported anal intercourse. Among the women studied at Yeserias, the proportion of HIV seropositive women was 26% (70% of the IVDUs were seropositive). Tattooing, number of times in prison, history of prostitution and history of syphilis were associated with HIV infection. When controlling for IVDU, number of times in prison and history of prostitution were not independent risk factors for infection. These data indicate that there is a need for control measures to avoid further spread of the HIV infection among the inmate population, in particular through the use of contaminated needles while in prison.
在马德里的卡拉万切尔监狱和耶塞里亚斯监狱，对288名男性和95名女性的艾滋病毒感染传播情况及风险因素进行了研究。这些男性和女性于1987年4月至12月期间在马德里监狱的艾滋病预防项目中寻求护理。在卡拉万切尔监狱研究的男性中，55%的人艾滋病毒检测呈阳性（静脉吸毒者中血清阳性率为77%）。在控制了静脉吸毒因素后，纹身（比值比=2.8）以及入狱次数（将入狱8次或更多次的人与仅入狱一次的人相比，比值比=4.5）是感染的独立风险因素。未发现艾滋病毒血清阳性状态与报告的肛交之间存在关联。在耶塞里亚斯监狱研究的女性中，艾滋病毒血清阳性女性的比例为26%（70%的静脉吸毒者血清呈阳性）。纹身、入狱次数、卖淫史和梅毒史与艾滋病毒感染有关。在控制了静脉吸毒因素后，入狱次数和卖淫史不是感染的独立风险因素。这些数据表明，有必要采取控制措施，以避免艾滋病毒感染在囚犯群体中进一步传播，特别是要避免在狱中使用受污染的针头。
