Rodríguez-Díaz Carlos E, Rivera-Negrón Rosa M, Clatts Michael C, Myers Janet J
Department of Social Sciences, School of Public Health, University of Puerto Rico, San Juan, PR, USA
Clinical Services Division, Correctional Health Services Corporation, Guaynabo, PR, USA.
J Int Assoc Provid AIDS Care. 2014 Nov-Dec;13(6):492-6. doi: 10.1177/2325957414521300. Epub 2014 Jan 30.
This report describes the HIV-related health care practices and associated support service needs of a sample of HIV-positive incarcerated men in Puerto Rico.
Data are derived from a random sample of HIV-positive incarcerated men (n = 37) in Puerto Rico who completed a brief survey. Analysis included descriptive statistics to examine lifetime prevalence of substance use, selected health care practices, receipt of services, and hepatitis C virus (HCV) infection.
Most men (97.3%) reported history of alcohol or drug use, prior incarceration, and drug use as the main risk factors for HIV infection (73.0%). In all, 83.8% of the men reported having had their first HIV screening test in a correctional facility, 55.6% reported intermittent HIV therapy, and most (83.8%) had also been diagnosed with HCV.
Correctional facilities can be important settings for engaging high-risk populations in health care, capturing and enrolling unidentified HIV/HCV infections for clinical care, and engaging in substance abuse treatment. In order for these public health outcomes to be achieved, it is important to consider strategies to optimize care inside prison and in the community.
本报告描述了波多黎各一群感染艾滋病毒的在押男性的艾滋病毒相关医疗保健做法及相关支持服务需求。
数据来自波多黎各一群随机抽取的感染艾滋病毒的在押男性（n = 37），他们完成了一项简短调查。分析包括描述性统计，以检查药物使用的终生患病率、选定的医疗保健做法、服务接受情况以及丙型肝炎病毒（HCV）感染情况。
大多数男性（97.3%）报告有酗酒或吸毒史、曾被监禁，以及吸毒是感染艾滋病毒的主要风险因素（73.0%）。总体而言，83.8%的男性报告他们在惩教机构进行了首次艾滋病毒筛查检测，55.6%报告接受间歇性艾滋病毒治疗，并且大多数（83.8%）也被诊断出感染了丙型肝炎病毒。
惩教机构可以成为促使高危人群接受医疗保健、发现并登记未确诊的艾滋病毒/丙型肝炎病毒感染以便进行临床治疗，以及开展药物滥用治疗的重要场所。为了实现这些公共卫生成果，重要的是要考虑优化监狱内和社区护理的策略。
