Blood-borne and sexually transmitted infections: a cross-sectional study in a Swiss prison

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Version: author
License: CC BY 4.0
Serval ID
serval:BIB_8B8779CFC77D
Type
Article: article from journal or magazin.
Collection
Publications
Title
Blood-borne and sexually transmitted infections: a cross-sectional study in a Swiss prison
Journal
BMC Infect Dis
Author(s)
Chacowry Pala K., Baggio S., Tran N. T., Girardin F., Wolff H., Getaz L.
ISSN
1471-2334 (Electronic)
ISSN-L
1471-2334
Publication state
Published
Issued date
2018
Volume
18
Number
1
Pages
539
Language
english
Notes
Chacowry Pala, Komal
Baggio, Stephanie
Tran, Nguyen Toan
Girardin, Francois
Wolff, Hans
Getaz, Laurent
eng
09.003678/Federal Office of Public Health
England
BMC Infect Dis. 2018 Oct 29;18(1):539. doi: 10.1186/s12879-018-3445-6.
Abstract
BACKGROUND: Incarcerated people carry a high burden of infection, including blood-borne diseases (BBDs). It is also known that one million people contract a sexually transmitted infection (STI) every day worldwide, which represents a global public health challenge. However, data regarding the prevalence of STIs and the risk factors among incarcerated populations are lacking. The objective of this study was to determine the prevalence and associated factors of BBDs and STIs among detainees in the largest pre-trial prison in Switzerland. METHODS: In a cross-sectional study conducted at the Champ-Dollon pre-trial prison, 273 male detainees answered a standardized questionnaire and were screened for syphilis, herpes simplex virus 2 (HSV-2), HIV, and hepatitis C (HCV). Prevalence rates and associations of BBDs and STIs with risk factors were computed. RESULTS: Most participants (90.9%) were migrants from outside Western Europe, and 5.9% were injecting drug users. HCV was diagnosed among 6.2% of participants (antibody prevalence). The prevalence of HCV was higher among injecting drug users (81.2%) than non-injectors (1.6%). The prevalence of HIV, syphilis, and HSV-2 was 0.4%, 1.1%, and 22.4%, respectively. HCV was associated with a history of injecting drug use and HSV-2 with a lower education level and being older than 26 years. CONCLUSIONS: This study showed the infection prevalence of 2-9 times higher among detainees than in the Swiss community. It also illustrated that these infections are associated with sociodemographic and risk factors. Therefore, the prison environment offers an opportunity to strengthen infectious disease control programs targeting specific subgroups of at-risk people. Such programs would benefit both the prison population and broader society.
Keywords
Adolescent, Adult, Cross-Sectional Studies, HIV Infections/diagnosis/epidemiology, Hepatitis C/complications/diagnosis/epidemiology, Herpes Genitalis/diagnosis/epidemiology, Humans, Male, Middle Aged, Odds Ratio, Prevalence, Prisoners/*statistics & numerical data, Risk Factors, Sexually Transmitted Diseases/diagnosis/*epidemiology, Substance-Related Disorders/complications/diagnosis, Surveys and Questionnaires, Switzerland/epidemiology, Syphilis/diagnosis/epidemiology, Young Adult, Epidemiology, Hiv, Hepatitis C, Herpesvirus 2, human, Prison, Syphilis
Pubmed
Create date
10/02/2021 11:32
Last modification date
24/10/2022 12:34
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