在巴拉圭监禁期间和监禁后患结核病的风险过高:回顾性队列研究
Guillermo Sequera1,2, Gladys Estigarribia-Sanabria3,4, Sarita Aguirre5
1Cátedra de Salud Pública, Universidad Nacional de Asunción (UNA), Paraguay.
Lancet regional health. Americas
|March 19, 2024
概括
在巴拉圭被剥夺自由的人群中,结核病 (TB) 的风险很高,在释放后仍然存在. 对于被监禁和以前被监禁的人来说,需要采取紧急的结核病控制措施.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 监狱医学 监狱医学
背景情况:
- 由于个人和机构因素,被剥夺自由的人 (PDL) 面临高结核病 (TB) 风险.
- 巴拉圭的一项研究检查了在监禁期间和释放后在PDL中结核病风险.
研究的目的:
- 描述巴拉圭被剥夺自由的人群中结核病的风险.
- 在监禁期间和监禁后识别结核病的危险因素.
主要方法:
- 来自巴拉圭5个监狱的PDL队列进行了跟踪.
- 国家监狱人口普查数据 (2013) 与结核病计划记录 (2010-2021) 有关.
- 多变量考克斯回归模型用于分析结核病风险和相关因素.
主要成果:
- 在2996名PDL中,451人 (15.1%) 被诊断患有结核病,58.1%在监禁期间,41.9%在释放后.
- 结核病风险随着监禁时间的增加而增加,在36个月后达到2.78的危险比率.
- 整体结核病通知率为每10万人/年2940人,随着服役时间的增加而显著上升.
结论:
- 巴拉圭的监狱环境具有令人担忧的结核病风险.
- 这种风险延伸到监禁后的几年.
- 有效的结核病控制策略对于PDL在释放期间和释放后至关重要.
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