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Related Experiment Videos

HIV testing in prisoners: is mandatory testing mandatory?

J K Andrus1, D W Fleming, C Knox

  • 1Division of Field Services, Center for Disease Control, Atlanta, Georgia 30333.

American Journal of Public Health
|July 1, 1989
PubMed
Summary
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Voluntary human immunodeficiency virus antibody (HIVAb) testing and counseling in prisons is effective. Most inmates, including those at risk, preferred voluntary programs, suggesting a focus on education for HIV prevention.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Background:

  • The prevalence of human immunodeficiency virus (HIV) in correctional facilities is a significant public health concern.
  • Understanding inmate risk factors and testing preferences is crucial for effective HIV prevention strategies.

Purpose of the Study:

  • To compare the effectiveness of voluntary versus mandatory HIV antibody (HIVAb) testing in newly incarcerated Oregon inmates.
  • To assess the prevalence of HIV infection and identify at-risk populations within the prison setting.

Main Methods:

  • A study of 977 newly incarcerated inmates in Oregon.
  • Offered voluntary HIVAb counseling and testing to all inmates.
  • Tested blood samples from inmates who declined voluntary testing for HIVAb using anonymized samples.
Keywords:
Empirical ApproachHealth Care and Public Health

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Main Results:

  • Only 1.2% of inmates tested positive for HIV.
  • A significant proportion (62.5%) of inmates were identified as at-risk for HIV infection.
  • The ratio of at-risk, uninfected inmates to infected inmates was 53:1.
  • Two-thirds of all inmates opted for voluntary counseling and testing.

Conclusions:

  • Voluntary HIVAb testing and counseling programs are well-utilized by inmates.
  • Incarcerated populations with a high proportion of at-risk, uninfected individuals may benefit more from voluntary HIV prevention programs emphasizing education and counseling over mandatory testing.