Culquichicón Carlos, Zapata-Castro Luis E, Soto-Becerra Percy, Silva-Santisteban Alfonso, Konda Kelika A, Lescano Andrés G
CI-Emerge, Center of Emerging Diseases and Climate Change Research, Universidad Nacional de Piura, Piura, Peru.
School of Health Sciences, Universidad Nacional de Piura, Piura, Peru.
Front Public Health. 2023 Sep 25;11:1241042. doi: 10.3389/fpubh.2023.1241042. eCollection 2023.
Worldwide, prisons are high-risk settings for the transmission of infectious diseases such as HIV. There is a need to understand the health conditions of prisoners to improve and implement timely strategies for HIV diagnosis and control. Hence, we aimed to identify factors associated with self-reported HIV (srHIV) among Peruvian inmates.
This study is a secondary data analysis of the First Peruvian Prison Census conducted in 2016. We estimated the prevalence of srHIV in prisoners who were male at birth and the association of srHIV with other social conditions, criminal records, and prevalent health conditions. Nested models identified a multivariable parsimonious model for factors associated with srHIV and yielding prevalence ratios adjusted by the included parameters.
The census surveyed 71,087 male inmates of whom 0.4% reported srHIV ( = 305), and 82% of whom were receiving antiretroviral treatment ( = 220). In our final multivariable model, srHIV was independently associated with age between 36 and 55 years old vs. >55 years old [parsimonious prevalence ratio (pPR) = 1.98, 95% CI, 0.96-4.08], having a stable partner out of prison (pPR = 1.64, 95% CI, 1.24-2.19), being homosexual (pPR = 4.16, 95% CI, 2.50-6.90), self-report of prevalent tuberculosis co-infection (pPR = 2.55, 95% CI, 1.82-3.58), self-report of prevalent sexually transmitted infections (pPR = 34.49, 95% CI, 24.94-47.70), and self-report of prevalent illicit drug use 30 days before the survey (pPR = 1.91, 95% CI, 1.43-2.56).
Self-reported HIV is associated with multiple social, health and prison risks among Peruvian inmates. Deeply understanding these factors would help to design HIV prevention and control strategies in Peruvian prisons.
在全球范围内，监狱是艾滋病毒等传染病传播的高风险场所。有必要了解囚犯的健康状况，以改进并及时实施艾滋病毒诊断和控制策略。因此，我们旨在确定秘鲁囚犯中与自我报告的艾滋病毒（srHIV）相关的因素。
本研究是对2016年进行的首次秘鲁监狱普查的二次数据分析。我们估计了出生时为男性的囚犯中srHIV的患病率，以及srHIV与其他社会状况、犯罪记录和普遍存在的健康状况之间的关联。嵌套模型确定了与srHIV相关因素的多变量简约模型，并得出经纳入参数调整后的患病率比值。
普查共调查了71087名男性囚犯，其中0.4%报告感染了srHIV（n = 305），82%正在接受抗逆转录病毒治疗（n = 220）。在我们最终的多变量模型中，srHIV与36至55岁年龄段相比>55岁独立相关[简约患病率比值（pPR）= 1.98，95%置信区间，0.96 - 4.08]，在狱外有固定伴侣（pPR = 1.64，95%置信区间，1.24 - 2.19），为同性恋者（pPR = 4.16，95%置信区间，2.50 - 6.90），自我报告患有普遍存在的结核病合并感染（pPR = 2.55，95%置信区间，1.82 - 3.58），自我报告患有普遍存在的性传播感染（pPR = 34.49，95%置信区间，24.94 - 47.70），以及在调查前30天自我报告有普遍存在的非法药物使用情况（pPR = 1.91，95%置信区间，1.43 - 2.56）。
自我报告的艾滋病毒与秘鲁囚犯中的多种社会、健康和监狱风险相关。深入了解这些因素将有助于设计秘鲁监狱中的艾滋病毒预防和控制策略。
