Javanbakht Marjan, Boudov Melina, Anderson Laura J, Malek Mark, Smith Lisa V, Chien Michael, Guerry Sarah
Marjan Javanbakht, Laura J. Anderson, and Lisa V. Smith are with Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles. L. V. Smith is also with Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, Los Angeles. Melina Boudov, Michael Chien, and Sarah Guerry are with Division of HIV and STD Programs, Los Angeles County Department of Public Health. Mark Malek is with Infection Control and Epidemiology Unit, Medical Services Bureau, Los Angeles County Sheriff's Department, Los Angeles.
Am J Public Health. 2014 Nov;104(11):e103-9. doi: 10.2105/AJPH.2014.302186. Epub 2014 Sep 11.
We describe and report findings from a screening program to identify sexually transmitted infections (STIs) and HIV among female inmates in Los Angeles County Jail.
Chlamydia and gonorrhea screening was offered to entering female inmates. Women were eligible if they were (1) aged 30 years or younger, or (2) pregnant or possibly pregnant, or (3) booked on prostitution or sex-related charges. Voluntary syphilis and HIV testing was offered to all women between 2006 and 2009. This analysis reports on data collected from 2002 through 2012.
A total of 76,207 women participated in the program. Chlamydia prevalence was 11.4% and gonorrhea was 3.1%. Early syphilis was identified in 1.4% (141 of 9733) and the overall prevalence of HIV was 1.1% (83 of 7448). Treatment levels for early syphilis and HIV were high (99% and 100%, respectively), but only 56% of chlamydia and 58% of gonorrhea cases were treated.
Screening incarcerated women in Los Angeles County revealed a high prevalence of STIs and HIV. These inmates represent a unique opportunity for the identification of STIs and HIV, although strategies to improve chlamydia and gonorrhea treatment rates are needed.
我们描述并报告了一项筛查项目的结果，该项目旨在识别洛杉矶县监狱女性囚犯中的性传播感染（STIs）和艾滋病毒。
为入狱的女性囚犯提供衣原体和淋病筛查。符合以下条件的女性可参与：（1）年龄在30岁及以下；（2）怀孕或可能怀孕；（3）因卖淫或与性相关指控被关押。在2006年至2009年期间，为所有女性提供了自愿梅毒和艾滋病毒检测。本分析报告了2002年至2012年收集的数据。
共有76,207名女性参与了该项目。衣原体感染率为11.4%，淋病感染率为3.1%。早期梅毒的检出率为1.4%（9733例中有141例），艾滋病毒的总体感染率为1.1%（7448例中有83例）。早期梅毒和艾滋病毒的治疗率很高（分别为99%和100%），但只有56%的衣原体感染病例和58%的淋病感染病例得到了治疗。
对洛杉矶县被监禁女性的筛查显示，性传播感染和艾滋病毒的患病率很高。这些囚犯是识别性传播感染和艾滋病毒的独特机会，不过需要采取策略提高衣原体和淋病的治疗率。
