Zhang Lei, Yap Lorraine, Reekie Joanne, Liu Wei, Chen Yi, Wu Zunyou, Wand Handan, Butler Tony
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia.
Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia.
Int J Environ Res Public Health. 2015 Apr 23;12(5):4502-19. doi: 10.3390/ijerph120504502.
This study describes HIV disease burden and patterns of drug use before and during incarceration among detainees in Re-education-Through-Labour-Camps (RTLCs) in China. A cross-sectional survey of 576 men and 179 women from three RTLCs was conducted in Guangxi Province, China. Over three-quarters of study participants were detained due to drug-related offences. Over half of the women (n = 313, 54.3%) and two-thirds of men (n = 119, 66.5%) had been previously been incarcerated in a compulsory detoxification treatment centre (CDTC), and around one-third (men n = 159, 27.6%; women n = 50, 27.9%) in a RTLC. Of those surveyed, 49 men (8.5%) and one (0.6%) woman reported ever using drugs while in a CDTC and/or RTLC. Previous incarceration in CDTCs and RTLCs were associated with HIV infection among both male (OR = 2.15 [1.11-4.15]) and female (OR = 3.87 [1.86-9.04]) detainees. Being married/cohabiting with a partner (OR = 0.53, [0.30-0.93]) and being employed (OR = 0.46, [0.22-0.95]) were associated with a reduced odds of HIV infection among male detainees. A significant proportion of RTLC detainees had a history of drug use and a limited number of inmates had used illegal substances whilst in custody. Repeat incarcerations in CDTCs/RTLCs were associated with higher risks of HIV infection.
本研究描述了中国劳教所被拘留者在监禁前及监禁期间的艾滋病毒疾病负担和吸毒模式。在中国广西，对来自三个劳教所的576名男性和179名女性进行了一项横断面调查。超过四分之三的研究参与者因与毒品相关的罪行被拘留。超过半数的女性（n = 313，54.3%）和三分之二的男性（n = 119，66.5%）曾被关押在强制戒毒治疗中心（CDTC），约三分之一（男性n = 159，27.6%；女性n = 50，27.9%）曾被关押在劳教所。在接受调查的人中，49名男性（8.5%）和1名女性（0.6%）报告在CDTC和/或劳教所期间曾使用过毒品。男性（OR = 2.15 [1.11 - 4.15]）和女性（OR = 3.87 [1.86 - 9.04]）被拘留者中，之前被关押在CDTC和劳教所与艾滋病毒感染有关。已婚/与伴侣同居（OR = 0.53，[0.30 - 0.93]）和有工作（OR = 0.46，[0.22 - 0.95]）与男性被拘留者感染艾滋病毒的几率降低有关。相当一部分劳教所被拘留者有吸毒史，少数被拘留者在被拘留期间使用过非法药物。多次被关押在CDTC/劳教所与感染艾滋病毒的较高风险有关。
