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Seroconversion to human immunodeficiency virus in prison inmates.

C R Horsburgh1, J Q Jarvis, T McArther

  • 1AIDS Program, Centers for Disease Control, Atlanta, GA 30333.

American Journal of Public Health
|February 1, 1990
PubMed
Summary

Human immunodeficiency virus (HIV) infection prevalence in state prison inmates was 2.4%, with higher rates among Black individuals, females, and older adults. HIV seroconversion within the prison was rare, suggesting limited transmission in this setting.

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Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Disease

Background:

  • Correctional facilities are settings where communicable diseases can spread.
  • Understanding human immunodeficiency virus (HIV) prevalence and incidence is crucial for public health interventions within incarcerated populations.

Purpose of the Study:

  • To determine the prevalence and incidence of HIV infection among inmates in a state prison system.
  • To identify demographic factors associated with HIV seropositivity in this population.

Main Methods:

  • A study was conducted on 3,837 inmates within a state prison system.
  • Data on HIV serostatus were collected and analyzed.
  • Incidence was assessed by monitoring seroconversion rates over a three-year period.

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Main Results:

  • The overall prevalence of HIV infection was 2.4% (92 inmates).
  • Higher HIV prevalence was observed in Black inmates (5.4%), females, and individuals aged 30 years or older.
  • The incidence of HIV seroconversion within the prison was low (1 per 604 person-years), with only two cases identified.

Conclusions:

  • HIV infection is present in the state prison population, with specific demographic groups showing higher prevalence.
  • Seroconversion within the prison environment appears to be infrequent, indicating limited in-prison transmission.
  • Public health strategies should consider the demographics of incarcerated individuals for targeted HIV prevention and care efforts.