Lopez-Corbeto Evelin, Humet Victoria, Leal M Jesús, Teixidó Nuria, Quiroga Teresa, Casabona Jordi
Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Institut Català d'Oncologia (ICO), Agencia de Salut Pública de Catalunya (ASPC), Generalitat de Catalunya, Badalona, Barcelona, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, España; Fundació Institut d'Investigació Germans Trias i Pujol (IGTP), Badalona, Barcelona, España; Programa de Doctorat en Salut Pública i Metodologia de la Recerca Biomèdica, Departament de Pediatria, d'Obstetrícia i Ginecologia i deMedicina Preventiva i Salut Pública, Universidad Autónoma Barcelona, Bellaterra, Cerdanyola, Barcelona, España.
Direcció General de Serveis Penitenciaris de Catalunya, Barcelona, España.
Med Clin (Barc). 2014 Nov 18;143(10):440-3. doi: 10.1016/j.medcli.2013.10.027. Epub 2014 Feb 14.
Young prisoners have high-risk behaviors and socio-economic insecurity that increases vulnerability for Chlamydia trachomatis (CT) acquisition. Monitoring its prevalence will help to reduce infection rates.
Cross-sectional study from a convenience sample of prisoners aged 18-25 years. Urine samples were obtained to determine CT. A standardized and anonymous questionnaire was used to collect the study variables.
The overall CT prevalence was 11%, significantly higher in those with less than one year in prison, who also presented higher frequencies in risk behaviors, while these were reduced in those who had been imprisoned for more than a year.
The prevalence values obtained give an idea of the concentration of the population vulnerable to this disease in prisons and underscore the need to continue programs for the prevention and control of sexual transmitted infections (STIs). Being imprisoned longer decreased risk behaviors; therefore, it is important to screen for STIs upon admission because they are more likely to be infected and it would be thus possible to influence at that time in sex education because, at that time, risk behaviors occur more commonly, which are most likely done when they were free.
年轻囚犯存在高风险行为且社会经济状况不稳定，这增加了感染沙眼衣原体（CT）的易感性。监测其流行情况将有助于降低感染率。
对18至25岁的囚犯便利样本进行横断面研究。采集尿液样本以检测CT。使用标准化匿名问卷收集研究变量。
CT总体流行率为11%，在入狱不到一年的人群中显著更高，这些人在风险行为方面的频率也更高，而在入狱超过一年的人群中这些行为有所减少。
所获得的流行率数据反映了监狱中易感染该疾病人群的集中情况，并强调需要继续开展性传播感染（STIs）的预防和控制项目。入狱时间较长会降低风险行为；因此，在入狱时筛查性传播感染很重要，因为他们更有可能被感染，而且此时有可能对性教育产生影响，因为此时风险行为更常见，而这些行为很可能是在他们自由时发生的。
