评论:肯尼亚监狱囚犯中结核病和艾滋病毒合并感染的流行率和风险因素。

IF 3.6 Q1 TROPICAL MEDICINE
Muhammad Hamza, Zil-E-Huma Jalil, Abid Jan Abdul Sattar, Hamnah Sohail, Malik Olatunde Oduoye
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引用次数: 0

摘要

Mwatenga 等人的研究发现,在囚犯中,结核病(TB)发病率为 10.2%,艾滋病毒(HIV)发病率为 19.1%,所有结核病病例都同时感染了艾滋病毒。教育水平、吸烟史和药物使用是预测合并感染的关键因素。尽管该研究信息丰富,但其单一中心的设计和对痰样本的依赖可能无法满足某些患者群体的需求,从而可能影响诊断的准确性。将研究范围扩大到多个监狱并采用更多的诊断程序可能会提高可靠性和推广能力。报告还指出,对于监狱中更广泛的社会经济变量和医疗保健的结构性障碍缺乏讨论,而这些对于了解囚犯的健康挑战至关重要。过度拥挤、营养不良和糟糕的医疗保健系统都是环境因素的例子,这些因素可能会导致结核病的传播,并使艾滋病毒的管理变得更加困难。此外,人们对囚犯的饮食习惯和其他健康状况(如糖尿病或精神健康)的了解还不够,而这些可能会对艾滋病和结核病的病程产生影响。未来的研究应考虑到这些额外的特征,以制定更全面的方法来控制监狱人群中的艾滋病病毒并发感染和结核病。这将有助于建立更有效的疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comments on: prevalence and risk factors for tuberculosis and HIV coinfections in Kenyan prison inmates.

The study by Mwatenga et al. found a tuberculosis (TB) prevalence of 10.2% and an HIV prevalence of 19.1% among inmates, with all TB cases co-infected with HIV. Education level, smoking history, and substance use are key predictors of coinfections. Although informative, its single-centred design and reliance on sputum samples may be insufficient for some patient groups, potentially compromising diagnostic accuracy. Expanding the study to include several jails and employing more diagnostic procedures may increase reliability and the ability to generalize. The report also notes the lack of debate on broader socioeconomic variables and structural barriers to healthcare in jails, which are crucial to understanding inmates' health challenges. Overcrowding, malnutrition, and a poor healthcare system are examples of environmental factors that probably contribute to the spread of tuberculosis and make managing HIV more difficult. Additionally, not enough is known about the dietary habits of prisoners and other health conditions like diabetes or mental health, which may have an impact on the course of HIV and TB. Future studies should take these extra characteristics into account to create more comprehensive approaches to controlling HIV coinfections and TB in prison populations. This will help build more effective therapies.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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