伊拉克库尔德地区杜胡克市囚犯中人类免疫缺陷病毒和梅毒的危险因素及流行率

Risk factors and prevalence of Human Immunodeficiency Virus and Syphilis, among prisoners in Duhok city, Kurdistan Region, Iraq.

作者信息

Abdulrahman Masood Abdulkareem, Shahab Farhad Ismail, Abdullah Ibrahim Mohammed, Tahir Arazoo Issa, Khaleel Bland Bayar, Abdulkarim Nazik Abdulraheem

机构信息

Public Health Department, College of Health and Medical Technology, Shekhan/ Duhok Polytechnic University, 61 Zakho Road, Mazi Qr, Duhok Governorate, Kurdistan Region, Duhok, Shekhan, 1006, Iraq.

Medical Laboratory Technology Department, College of Health and Medical Technology, Shekhan/ Duhok Polytechnic University, Duhok Governorate, Kurdistan Region, 61 Zakho Road, Mazi Qr, Duhok, 1006, Iraq.

出版信息

BMC Infect Dis. 2025 Jul 1;25(1):869. doi: 10.1186/s12879-025-11240-7.

DOI:10.1186/s12879-025-11240-7

PMID:40597725

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12219918/

Abstract

BACKGROUND

It is well recognized that jails are high-risk settings for the transmission of Sexually Transmitted Infections (STIs) like HIV and Syphilis. This study was done to detect the prevalence and risk factors of HIV and Syphilis among inmates.

METHODS

A cross-sectional survey was carried out among inmates in two main jails inside Duhok City. A total of 1033 inmates were investigated between January and February 2024. Participants filled out a personal risk factor questionnaire. Serum samples were tested for HIV1 + 2 and syphilis antibodies using a qualitative ELISA method.

RESULTS

The average age of the participants was 35.9 ± 10.62 years, with a range of 13-82 years. Out of the 1013 prisoners, 963 (95.1%) were men. Ever married inmates constituted (66.34)%, and (56.1%) of the prisoners were urban dwellers. Regarding their nationality, almost all of the participants were Iraqis (97.0%). It was reported that 68.11% of individuals were self-employed, and 62.8% of them were smokers.Only six cases of Syphilis were detected among male inmates. So, the prevalence rate was 0.59%. Four cases were above 51 years. Age groups were significantly (P =.001) associated with Syphilis cases, while there was no significant statistical association with other demographic characteristics (sex P =.850, residency P =.990, nationality = 0.165, extramarital status P =.187, occupation P =.261), and there was no significant statistical association between infected intimates with all studied risk factors (drug abuse P =.990, homosexuality P =.470, extramarital sex P =.118, blood transfusion P =.990, surgical operations P =.425, tattooing P =.990. The prevalence of HIV was zero.

CONCLUSIONS

Inmates in Duhok City had a low prevalence rate of syphilis and no HIV infections were recorded. Since inmates are a vulnerable group that frequently enters and exits the general population, health data on this population is crucial.

摘要

背景

众所周知，监狱是艾滋病毒和梅毒等性传播感染（STIs）传播的高风险场所。本研究旨在检测囚犯中艾滋病毒和梅毒的流行率及风险因素。

方法

在杜胡克市的两所主要监狱对囚犯进行了横断面调查。2024年1月至2月期间，共调查了1033名囚犯。参与者填写了个人风险因素问卷。使用定性酶联免疫吸附测定法对血清样本进行艾滋病毒1+2和梅毒抗体检测。

结果

参与者的平均年龄为35.9±10.62岁，年龄范围为13 - 82岁。在1013名囚犯中，963名（95.1%）为男性。已婚囚犯占（66.34）%，56.1%的囚犯为城市居民。关于他们的国籍，几乎所有参与者都是伊拉克人（97.0%）。据报告，68.11%的人是自营职业者，62.8%的人吸烟。在男性囚犯中仅检测到6例梅毒。因此，患病率为0.59%。4例年龄在51岁以上。年龄组与梅毒病例有显著（P = 0.001）相关性，而与其他人口统计学特征无显著统计学关联（性别P = 0.850，居住情况P = 0.990，国籍 = 0.165，婚外状况P = 0.187，职业P = 0.261），并且感染的囚犯与所有研究的风险因素之间无显著统计学关联（药物滥用P = 0.990，同性恋P = 0.470，婚外性行为P = 0.118，输血P = 0.990，外科手术P = 0.425，纹身P = 0.990）。艾滋病毒的患病率为零。