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[智利阿里卡预防性拘留中心在押人员中艾滋病毒、乙型肝炎病毒和梅毒螺旋体的流行情况]

[Prevalence of HIV, hepatitis B virus and Treponema pallidum in inmates in the Preventive Detention Center of Arica, Chile].

作者信息

Bórquez Celia, Lobato Ismelda, Gazmuri Paola, Hurtado Romina, Llanqui Valerie, Vivanco Mauricio, Reyes Teresa, Villanueva Hilda, Salgado Katherine, Martínez M Angélica, Vega Juan

机构信息

Departamento de Tecnología Médica, Facultad de Ciencias de la Salud, Universidad de Tarapacá, Arica, Chile.

Departamento de Obstetricia, Universidad de Tarapacá, Arica, Chile.

出版信息

Rev Chilena Infectol. 2017 Oct;34(5):453-457. doi: 10.4067/S0716-10182017000500453.

DOI:10.4067/S0716-10182017000500453
PMID:29488587
Abstract

BACKGROUND

The risk groups for sexual transmitted diseases (STDs) are sex workers, drug addicts, young people in early sexual initiation, and population in prison.

AIM

To determine the prevalence of HIV, Treponema pallidum and hepatitis B Virus (HBV) in male inmates at the Preventive Detention Center (CDP) of Arica.

METHODS

The study was conducted in 140 inmates, with informed consent. Epidemiological survey and blood sampling was conducted. The positive tests were sent to the Hospital Regional of Arica for confirmation and the National Reference Laboratory for confirmation.

RESULTS

STD prevalence was 13.6%. The most prevalent was VDRL positive (7.1%) followed by HIV infection (5.7%) and HBV (2.9%). The highest rate (57.9%) occurred in individuals under 31 years old. 63.2% were in an overcrowded situation, 42.1% of cases corresponded to those whose age of sexual activity onset of was before age 15 and 94.7% used drugs.

CONCLUSIONS

The study reasserts the predisposing factors for the transmission of STDs as age, early sexual debut, drug abuse and overcrowding, noting that prisons are highly vulnerable environments where overcrowding, sexual condition, early sexual initiation, high drug abuse and the lacking spouses visits provide an epidemiological context favorable for increased STD.

摘要

背景

性传播疾病(STD)的风险群体包括性工作者、吸毒者、过早开始性行为的年轻人以及监狱中的人群。

目的

确定阿里卡预防性拘留中心(CDP)男性囚犯中艾滋病毒、梅毒螺旋体和乙型肝炎病毒(HBV)的流行情况。

方法

该研究在140名囚犯中进行,获得了知情同意。进行了流行病学调查和血液采样。阳性检测结果被送往阿里卡地区医院进行确认,并送往国家参考实验室进行确认。

结果

性传播疾病患病率为13.6%。最常见的是性病研究实验室玻片试验阳性(7.1%),其次是艾滋病毒感染(5.7%)和乙肝病毒(2.9%)。最高发病率(57.9%)出现在31岁以下的个体中。63.2%的人处于拥挤状态,42.1%的病例对应于性活动开始年龄在15岁之前的人,94.7%的人使用过毒品。

结论

该研究重申了性传播疾病传播的易感因素,如年龄、过早开始性行为、药物滥用和拥挤,指出监狱是高度脆弱的环境,拥挤、性状况、过早开始性行为、高药物滥用率以及缺乏配偶探访提供了有利于性传播疾病增加的流行病学背景。

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