Rodríguez-Díaz Carlos E, Andrinopoulos Katherine
Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.
P R Health Sci J. 2012 Sep;31(3):161-9.
Worldwide, HIV has disproportionally affected incarcerated populations since early in the epidemic. Current trends in the Caribbean demonstrate that correctional facilities house most at-risk individuals. The experience of incarceration and the HIV epidemic in the Caribbean are as diverse as the region. In this paper we present descriptive information from Puerto Rico and Jamaica as two unique examples of current efforts to address HIV among prisoners. While different, these countries provide a comparison of correctional health care in a sexually driven epidemic versus one where injecting drug use plays a major role, bridging cultural differences, and contrasting approaches in the provision of HIV services relevant for other Caribbean countries. While the evidence of effective interventions within correctional facilities in the Caribbean is limited, the knowledge gained through the services implemented and research completed in different countries can facilitate the process of developing and testing new interventions. The experience of these islands and coordinating lessons learned and innovations from throughout the region can assist in developing a resourceful way forward.
在全球范围内，自艾滋病流行初期以来，艾滋病毒对被监禁人群的影响就尤为严重。加勒比地区目前的趋势表明，惩教设施关押着大多数高危个体。加勒比地区的监禁经历和艾滋病毒流行情况与该地区一样多样。在本文中，我们介绍了来自波多黎各和牙买加的描述性信息，作为当前在囚犯中应对艾滋病毒努力的两个独特例子。虽然有所不同，但这些国家对比了在性传播为主的疫情中与注射吸毒起主要作用的疫情中的惩教医疗保健情况，弥合了文化差异，并对比了与其他加勒比国家相关的艾滋病毒服务提供方式。虽然加勒比地区惩教设施内有效干预措施的证据有限，但通过在不同国家实施的服务和完成的研究获得的知识可以促进新干预措施的开发和测试过程。这些岛屿的经验以及协调从整个地区吸取的经验教训和创新成果，可以帮助找到一条明智的前进道路。
