Dixon P S, Flanigan T P, DeBuono B A, Laurie J J, De Ciantis M L, Hoy J, Stein M, Scott H D, Carpenter C C
Brown University, Providence, RI.
Am J Med. 1993 Dec;95(6):629-35. doi: 10.1016/0002-9343(93)90359-w.
The magnitude and the scope of health care problems posed by human prison inmates seropositive for the human immunodeficiency virus (HIV) are enormous. Prisoners represent a substantial proportion of HIV-infected individuals in North America. A high proportion of prisoners are intravenous drug users who often have not received appropriate health care or HIV-directed services prior to incarceration. Health care of HIV-seropositive prisoners and follow-up medical care after prison release has often been less than optimal. Among inmates at the prison facility in Rhode Island, 4% of the men and 12% of the women are HIV seropositive. The Brown University medical community, in conjunction with the Rhode Island Department of Health and Corrections, has developed an effective program for the health care of such prisoners, both during incarceration and after release from prison. Academic medical centers are uniquely poised to assume the leading role in meeting this obligation. We believe that this general approach, with region-specific modifications, may be effectively applied in many correctional institutions in North America.
感染人类免疫缺陷病毒（HIV）呈血清阳性的监狱服刑人员所带来的医疗保健问题的规模和范围是巨大的。在北美，囚犯占HIV感染者的很大比例。很大一部分囚犯是静脉注射吸毒者，他们在入狱前往往没有得到适当的医疗保健或针对HIV的服务。HIV血清阳性囚犯的医疗保健以及出狱后的后续医疗护理往往不尽如人意。在罗德岛监狱设施中的囚犯中，4%的男性和12%的女性HIV血清呈阳性。布朗大学医学界与罗德岛州卫生与惩教部合作，制定了一项针对此类囚犯在监禁期间和出狱后的有效医疗保健计划。学术医疗中心在履行这一义务方面具有独特的优势，能够发挥主导作用。我们认为，这种总体方法经过针对不同地区的调整后，可能会在北美的许多惩教机构中得到有效应用。
