Pashangzadeh Salar, SeyedAlinaghi SeyedAhmad, Dadras Omid, Pashaei Zahra, Soleymanzadeh Mahdi, Barzegary Alireza, Mirzapour Pegah, Vahedi Farzin, Fakhfouri Amirata, Noori Tayebeh, Hossein Irani Seyed Mohammad, Mehraeen Esmaeil, Jahanfar Shayesteh
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Section Global Health and Rehabilitation, Western Norway University and Applied Sciences, Bergen, Norway.
Infect Disord Drug Targets. 2022;22(8):61-72. doi: 10.2174/1871526522666220620115006.
Prisoners represent high-risk behaviors such as injecting drug use, sharing syringes, tattooing, and unprotected sexual intercourse. The authors aimed to study the prevalence of hepatitis B, hepatitis C, and hepatitis D in the prisoners.
We conducted a systematic search using the keywords in online databases of PubMed, Web of Science, Scopus, and Science Direct. Two independent researchers examined the quality of the articles and the probable risk of bias. The most relevant articles by title and abstract were retrieved. Finally, the full text of selected articles was read, and the critical findings were extracted.
Reviews of 23 studies showed that most prisoners are susceptible to hepatitis B and hepatitis C. One study also indicated that prisoners could be infected with hepatitis A and hepatitis E. The most common routes of hepatitis transmission in prisons were intravenous drug use, needle sharing, tattooing, and unsafe sex with multiple sexual partners.
High-risk sexual behaviors, shared contaminated needles for IV drug injection, and tattooing are the principal routes of hepatitis transmission among prison inmates. Hepatitis treatment is feasible and could be useful for infected prisoners undergoing a well-designed treatment program.
囚犯存在诸如注射吸毒、共用注射器、纹身和无保护性行为等高风险行为。作者旨在研究囚犯中乙型肝炎、丙型肝炎和丁型肝炎的患病率。
我们使用关键词在PubMed、Web of Science、Scopus和Science Direct等在线数据库中进行了系统检索。两名独立研究人员检查了文章的质量和可能的偏倚风险。通过标题和摘要检索出最相关的文章。最后，阅读所选文章的全文，并提取关键发现。
对23项研究的综述表明，大多数囚犯易感染乙型肝炎和丙型肝炎。一项研究还表明，囚犯可能感染甲型肝炎和戊型肝炎。监狱中肝炎传播的最常见途径是静脉吸毒、共用针头、纹身以及与多个性伴侣进行不安全的性行为。
高风险性行为、共用受污染的静脉注射吸毒针头以及纹身是监狱囚犯中肝炎传播的主要途径。肝炎治疗是可行的，对于接受精心设计治疗方案的感染囚犯可能会有帮助。
