报价还不够:试图在马萨诸塞州的一个大型县监狱增加传染病检测
Emily D Grussing1,2, Taisuke Sato1, Alyssa Cabrera3
1Department of Medicine, Division of Geographic Medicine and Infectious Disease, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.
Health & justice
|March 15, 2025
概括
在监狱入狱时提供传染病检测并没有显著增加检测率. 需要全面的战略来改善检测的访问和完成型肝炎病毒 (HCV),艾滋病毒和性传播感染在惩戒设施.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 惩戒医疗保健 惩戒医疗保健 惩戒医疗保健
背景情况:
- 监狱为基础的传染病流行病控制需要强大的测试,预防和治疗资源.
- 2022年CDC指南建议在入狱时提供型肝炎病毒 (HCV),艾滋病毒和性传播感染 (STI) 测试.
- 有限的现实世界数据存在于提供监狱入学测试作为独立策略的影响.
研究的目的:
- 评估将传染病测试问题纳入监狱入狱过程的影响.
- 评估普利斯县惩戒设施干预前后测试频率的变化.
主要方法:
- 对每月传染病检测完成率的比较分析.
- 从2022年2月至4月 (干预前) 和2022年5月至2023年6月 (干预后) 收集的数据.
- 艾滋病毒检测方法的比较 (快速与静脉穿刺) 和尿液和血液检测体积的评估.
主要成果:
- 在提供摄入时测试后,没有观察到测试完成的重大趋势.
- 每月尿液检测的中位数从39个下降到28个.
- 每月血液检测的中位数从21个下降到15个.
结论:
- 仅仅在监狱入狱时提供传染病检测并没有明显增加检测频率.
- 有效的监狱测试需要综合策略,包括瘤切除,简化患者移动和减少耻辱感.
- 需要进行进一步的研究,以优化在惩戒机构的传染病查.
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