Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Av. Bandeirantes 3900, Vila Monte Alegre. 14040-902 Ribeirão Preto SP Brasil.
Cien Saude Colet. 2021 Jan;26(1):169-178. doi: 10.1590/1413-81232020261.38442020. Epub 2020 Oct 27.
Given the rapid spread of new coronavirus within the prison system, this study's objective was to identify spatial clusters for the occurrence of COVID-19 in the incarcerated population and analyze temporal trends of confirmed cases in the Brazilian prison system. This ecological study considered the five Brazilian macro-regions to be units of analysis, with its 26 states and the Federal District. The population was composed of all COVID-19 cases confirmed from April 14th to August 31st, 2020. The source used to collect data was the COVID-19 Monitoring Panel from the National Prison Department. Descriptive analysis, scan statistics, and time series were performed. A total of 18,767 COVID-19 cases were reported among the incarcerated population, 4,724 in São Paulo. The scan statistic analysis resulted in 14 spatial risk clusters for COVID-19 among persons deprived of liberty; the highest-risk cluster was in the Federal District. Although the country ends the series with a decreasing behavior, a growing trend was verified in most of the study period. The conclusion is that there is a need to implement mass testing among the incarcerated population while continually monitoring and recording COVID-19 cases.
鉴于新冠病毒在监狱系统内迅速传播，本研究旨在确定巴西监狱系统中被监禁人群中 COVID-19 的发生空间聚集，并分析确诊病例的时间趋势。这项生态研究将巴西的五个大区域作为分析单位，包括其 26 个州和联邦区。该人群由 2020 年 4 月 14 日至 8 月 31 日期间确诊的所有 COVID-19 病例组成。用于收集数据的来源是国家监狱署的 COVID-19 监测小组。进行了描述性分析、扫描统计和时间序列分析。在被监禁人群中报告了 18767 例 COVID-19 病例，其中圣保罗有 4724 例。扫描统计分析结果显示，被剥夺自由的人中存在 14 个 COVID-19 空间风险聚集；风险最高的聚集区在联邦区。尽管该国在系列结束时呈下降趋势，但在研究期间的大部分时间里，都发现了增长趋势。结论是，有必要对被监禁人群进行大规模检测，同时持续监测和记录 COVID-19 病例。
