Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Strategic Information, National AIDS Control Organisation, New Delhi, India.
Int J Prison Health. 2023 Jul 31;ahead-of-print(ahead-of-print):699-708. doi: 10.1108/IJPH-03-2022-0021.
Prisoners are at a higher risk of HIV infection compared to the general population. The purpose of this study is to estimate the prevalence of HIV and related risk behaviours among inmates of the Central Prisons in four states of North India.
DESIGN/METHODOLOGY/APPROACH: The HIV sentinel surveillance was conducted in seven Central Prisons in four states of North India from February to April 2019. Four hundred inmates were included from each prison. The interviews were conducted at the Integrated Counselling and Testing Centre located within the prison premises. The Ethics Committee of the National AIDS Control Organization, New Delhi, granted ethical approval before the start of the surveillance.
Overall, 2,721 inmates were enrolled in this study. The mean (SD) age was 38.9 (13.9) years. One-third of prison inmates had comprehensive knowledge about HIV/AIDS. The proportion of convict (54%) and undertrial (46%) inmates was almost equal. The overall prevalence of HIV infection among inmates was 0.96% (95% CI 0.65-1.40). The odds of being HIV positive were significantly higher in never married inmates, undertrials, inmates who were in the prison for more than three months to one year, inmates incarcerated for multiple times, inmates with history of injecting drug use and inmates with history of intercourse with a commercial sex worker.
ORIGINALITY/VALUE: The findings from the very first HIV sentinel surveillance in central prisons in North India have been presented in this paper. This has huge implications for future policy decisions.
与普通人群相比，囚犯感染艾滋病毒的风险更高。本研究的目的是估计印度北部四个邦的中央监狱囚犯中艾滋病毒的流行率和相关风险行为。
设计/方法/途径：2019 年 2 月至 4 月，在印度北部四个邦的七所中央监狱中进行了艾滋病毒哨点监测。每个监狱纳入 400 名囚犯。访谈在监狱内的综合咨询和检测中心进行。新德里国家艾滋病控制组织的伦理委员会在监测开始前批准了伦理批准。
总体而言，本研究共纳入 2721 名囚犯。平均（SD）年龄为 38.9（13.9）岁。三分之一的监狱囚犯对艾滋病毒/艾滋病有全面的了解。罪犯（54%）和未决囚犯（46%）的比例几乎相等。囚犯中艾滋病毒感染的总流行率为 0.96%（95%CI 0.65-1.40）。从未结婚的囚犯、未决囚犯、在监狱中服刑超过三个月至一年的囚犯、多次入狱的囚犯、有注射吸毒史的囚犯和有与性工作者发生性关系史的囚犯中，艾滋病毒阳性的可能性显著更高。
原创性/价值：本文介绍了印度北部中央监狱首次艾滋病毒哨点监测的结果。这对未来的政策决策具有重要意义。
