检查秘鲁监狱中男性囚犯感染艾滋病毒的危险因素:利用全国囚犯普查数据进行的横断面研究。

Q3 Medicine
Jean Franco Quispe-Cañari, Roberto Maximiliano Carrasco-Navarro
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引用次数: 0

摘要

导言:秘鲁的监狱人口超过9万人,其中许多人面临着更容易感染人类免疫缺陷病毒(艾滋病毒)的条件,例如接触非法药物、危险的性行为和歧视。材料和方法:利用2016年全国监狱人口普查的数据进行了二次分析,以确定秘鲁服刑人口中与艾滋病毒风险相关的因素。共有来自全国各地监狱的75,613名男性囚犯参与了调查,他们回答了一份包含405个项目的综合问卷。采用多变量回归泊松模型计算校正患病率(aPR)和95%置信区间(CI)。结果:性取向与HIV风险有显著相关性,同性恋者(aPR: 5.50;CI: 2.62-11.56)和双性恋(aPR: 4.92;95% CI: 2.26-10.72)个体的风险更高。此外,肺结核史(aPR: 2.82;95% CI: 1.75-4.56)和性传播疾病(aPR 48.14;95% CI: 31.07-74.56)与HIV风险增加密切相关。在原始和调整后的回归模型中,婚姻状况,特别是丧偶、离婚、分居或单身,也显示出与HIV感染有统计学意义的关联。讨论:我们的研究突出了秘鲁男性监狱人口中艾滋病毒感染的重要危险因素。已确定的协会将为制定有效的卫生政策提供信息,旨在查明和处理该国监狱内的艾滋病毒传播问题。此外,我们的研究结果为未来在类似环境下的男性监狱人口概况的研究提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining risk factors for HIV infection amongst male inmates in Peruvian prisons: a cross-sectional study using national prisoner census data.

Introduction: The prison population in Peru exceeds 90,000 individuals, many of whom face conditions that increase their vulnerability to human immunodeficiency virus (HIV), such as exposure to illicit substances, risky sexual behaviors, and discrimination.

Materials and methods: A secondary analysis was carried out, using data from the 2016 national prison population census to identify factors associated with HIV risk in the incarcerated population of Peru. A total of 75,613 male inmates from prisons across the country participated, answering a comprehensive questionnaire consisting of 405 items. Multivariable regression Poisson models were used to calculate adjusted prevalence ratios (aPR) and 95% confidence intervals (CI).

Results: Our findings revealed significant associations between HIV risk and sexual orientation, with homosexual (aPR: 5.50; CI: 2.62-11.56) and bisexual (aPR: 4.92; 95% CI: 2.26-10.72) individuals being at higher risk. Additionally, a history of tuberculosis (aPR: 2.82; 95% CI: 1.75-4.56) and sexually transmitted diseases (aPR 48.14; 95% CI: 31.07-74.56) were strongly correlated with increased HIV risk. Marital status, specifically being widowed, divorced, separated, or single, also showed a statistically significant association with HIV infection in both raw and adjusted regression models.

Discussion: Our study highlights important risk factors for HIV infection among the male prison population in Peru. The identified associations will inform the development of effective health policies aimed at identifying and addressing HIV transmission within the country's prisons. Furthermore, our findings provide a basis for future research in similar settings with a comparable male prison population profile.

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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
11
审稿时长
15 weeks
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