Nijhawan Ank E, Iroh Princess A, Porsa Esmaeil
1 Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
2 Parkland Health & Hospital System, Dallas, TX, USA.
J Correct Health Care. 2018 Apr;24(2):120-126. doi: 10.1177/1078345818762107. Epub 2018 Mar 15.
Incarcerated individuals are at high risk of HIV and tuberculosis (TB), though combined screening in the criminal justice system is limited. Newer blood tests for TB provide a unique opportunity to combine HIV and TB testing in corrections. Entering jail inmates were offered routine opt-out HIV testing along with TB screening, both via blood draw. Of the 529 individuals enrolled, 524 (99%) agreed to HIV testing. Testing identified 13 (2.5%) previously diagnosed HIV infections and one new positive. One quarter (138, 26%) of participants had never been tested for HIV and were more likely to be young, Hispanic, born outside of the United States, and incarcerated for the first time. Combined HIV/TB testing had high acceptability among individuals entering jail.
被监禁者感染艾滋病毒和结核病(TB)的风险很高,尽管刑事司法系统中的联合筛查有限。新型结核病血液检测为在惩教机构中联合进行艾滋病毒和结核病检测提供了独特机会。对入狱囚犯提供常规的非强制性艾滋病毒检测以及结核病筛查,均通过抽血进行。在登记的529人中,524人(99%)同意进行艾滋病毒检测。检测发现13例(2.5%)先前诊断的艾滋病毒感染病例和1例新的阳性病例。四分之一(138人,26%)的参与者从未接受过艾滋病毒检测,他们更有可能是年轻人、西班牙裔、在美国境外出生且首次被监禁。艾滋病毒/结核病联合检测在入狱人员中具有很高的可接受性。