Forrest Garry, Boonwaat Leng, Douglas Jenny, Awofeso Niyi
Population Health Unit, Justice Health, Long Bay Correctional Complex, PO Box 150, NSW 2036, Australia.
Int J Prison Health. 2009;5(4):233-40. doi: 10.1080/17449200903343274.
Chlamydia is currently the most frequently notified infectious disease in New South Wales (NSW). Published articles relating to chlamydia prevalence in Australian prison settings are sparse, but studies from the United Kingdom and the United States indicate relatively high chlamydia prevalence among young incarcerated individuals. This article reports on findings from an enhanced chlamydia surveillance programme in NSW prisons between 2005 and 2007. The authors report a relatively low chlamydia prevalence among the general population of NSW prisoners (compared with figures from the United Kingdom and United States), which by the end of 2007 was 4%. The average crude chlamydia notification rate for the NSW prison population during the review period was about four times that of the general NSW community - 716/100,000 during the review period compared with 175/100,000 in the NSW general community. The average crude chlamydia notification rate for Aboriginal prisoners during the review period was 1262/100,000, compared with 1470/100,000 in the general Australian Aboriginal population. The authors grapple with the dilemma of expanding chlamydia screening and treatment services for the sexual health benefits of prison populations with static prison health budgets on one hand, and limited evidence of cost-effectiveness of such an expensive intervention on the other.
衣原体感染是目前新南威尔士州（NSW）通报最为频繁的传染病。关于澳大利亚监狱环境中衣原体感染率的已发表文章较少，但来自英国和美国的研究表明，年轻在押人员中的衣原体感染率相对较高。本文报告了2005年至2007年新南威尔士州监狱加强衣原体监测项目的结果。作者报告称，新南威尔士州囚犯总体人群中的衣原体感染率相对较低（与英国和美国的数据相比），到2007年底为4%。在审查期间，新南威尔士州监狱人群的衣原体平均粗通报率约为新南威尔士州普通社区的四倍——审查期间为716/10万，而新南威尔士州普通社区为175/10万。审查期间，原住民囚犯的衣原体平均粗通报率为1262/10万，而澳大利亚原住民总体人群为1470/10万。作者一方面面临着在监狱健康预算不变的情况下，为监狱人群的性健康利益扩大衣原体筛查和治疗服务的困境，另一方面，这种昂贵干预措施的成本效益证据有限。
