越来越多的结核病发生在监狱囚犯群体中. 与艾滋病毒感染的关联
M M Braun1, B I Truman, B Maguire
1Bureau of Communicable Disease Control, New York State Department of Health, Albany, NY 12237.
JAMA
|January 20, 1989
概括
结核病 (TB) 发病率在纽约监狱激增,大多数病例与艾滋病毒感染有关. 街头毒品使用显著增加了结核病风险,突出了加强监狱结核病控制措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 在1976-1978年至1986年期间,纽约州监狱中的结核病 (TB) 发病率急剧上升.
- 囚犯中的大量结核病例与获得性免疫缺陷综合征 (艾滋病) 或人类免疫缺陷病毒 (艾滋病毒) 共感染.
研究的目的:
- 为了调查国家监狱系统中结核病发病率的增加.
- 确定与囚犯结核病发展相关的风险因素.
- 探索结核病在监狱人口中的潜在传播动态.
主要方法:
- 采用了病例控制研究设计,将结核病囚犯与没有结核病的匹配对照进行了比较.
- 结核病和艾滋病登记册被匹配,以评估共感染率.
- 菌体类型被用于分析Mycobacterium结核病分离物.
主要成果:
- 报告使用街头毒品的囚犯患结核病的可能性明显更高 (几率比率9.7).
- 1985-1986年大多数结核病例与艾滋病毒感染有关.
- 在至少一个实例中,菌体类型表明了潜在的囚犯对囚犯的结核病传播.
结论:
- 艾滋病毒感染是加剧结核病风险的关键因素,在监狱环境中.
- 街头毒品使用是囚犯结核病发展的重要危险因素.
- 加强结核病控制措施在惩教设施内至关重要,以减轻日益增加的风险.
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