Alshowair Abdulmajeed, Assiri Abdullah M, Balfas Abdullah Hussein, Alkhattabi Rakan, Eltegani Tilal Abdalla, Altowairib Sara, Almalki Abdullah Hamed, Alharbi Eman Ahmed, Alotai Suad, Alobaid Fahad, Altowiher Najeeb Saud S
Community Health Excellence, Riyadh First Health Cluster Ministry of Health, Riyadh, Saudi Arabia.
Preventive Health, Ministry of Health, Riyadh, Saudi Arabia.
Int J Gen Med. 2024 Oct 2;17:4475-4483. doi: 10.2147/IJGM.S472710. eCollection 2024.
To estimate the prevalence and determinants of latent tuberculosis (LTBI) among inmates of four correctional facilities in Saudi Arabia.
This is a retrospective review of health records. All inmates of four correctional facilities in Saudi Arabia were screened for tuberculosis in 2022. Their LTBI status was defined as more than 10mm Mantoux test result and negative X-ray chest result. The prevalence of LTBI and their determinants like age, gender, country of origin, location of the prison, and human immunodeficiency viruses (HIV) status were studied.
We reviewed screening data of 10,042 inmates in four Saudi prisons. The prevalence of LTBI was 7.4%. The risk difference of LTBI was significantly higher in males compared to female inmates (P < 0.001). The highest prevalence of LTBI was noticed among males (7.7%), those older than 60 years old (26.9%), and African expatriates (12.1%). None of the female inmates or those with HIV had LTBI. The binomial regression analysis revealed a highly significant effect of older age on the risk of having LTBI.
The prevalence of LTBI was low among inmates at Saudi correctional facilities. The males, old age, and persons from African and Asian countries had a higher risk of LTBI. The prevalence of LTBI among inmates of Saudi prisons could be predicted by knowing their age group.
评估沙特阿拉伯四个惩教设施中在押人员潜伏性结核病（LTBI）的患病率及其决定因素。
这是一项对健康记录的回顾性研究。2022年，对沙特阿拉伯四个惩教设施的所有在押人员进行了结核病筛查。他们的LTBI状态定义为结核菌素皮肤试验（Mantoux test）结果超过10毫米且胸部X光结果为阴性。研究了LTBI的患病率及其决定因素，如年龄、性别、原籍国、监狱位置和人类免疫缺陷病毒（HIV）状态。
我们回顾了沙特四座监狱10,042名在押人员的筛查数据。LTBI的患病率为7.4%。与女性在押人员相比，男性LTBI的风险差异显著更高（P < 0.001）。LTBI患病率最高的是男性（7.7%）、60岁以上的人（26.9%）和非洲外籍人员（12.1%）。女性在押人员或HIV感染者均未患LTBI。二项式回归分析显示，年龄较大对患LTBI风险有高度显著影响。
沙特惩教设施中在押人员的LTBI患病率较低。男性、老年人以及来自非洲和亚洲国家的人患LTBI的风险较高。通过了解沙特监狱在押人员的年龄组，可以预测LTBI的患病率。
