威斯康星州监狱中的C型肝炎:监禁期间检测和治疗的障碍
Emily Hacker1,2, Kailynn Mitchell3, Caroline Mohr3
1University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
概括
在威斯康星州的监狱中,C型肝炎病毒 (HCV) 检测和治疗是有限的. 障碍包括成本,人员和短暂的刑期,阻碍了司法涉及个人的消除努力.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 参与司法工作的个人经历了型肝炎病毒 (HCV) 感染的高率.
- 威斯康星州的病毒性肝炎消除计划针对这种高风险人群.
- 了解监狱的HCV检测和治疗能力至关重要.
研究的目的:
- 评估威斯康星州惩戒设施内目前的HCV检测和治疗能力.
- 确定在监狱中提供全面的HCV服务的障碍.
主要方法:
- 一项调查分发给71个县监狱和1个部落拘留设施的管理人员.
- 该调查评估了当前的HCV检测和治疗实践以及感知到的障碍.
- 用描述性统计数据分析了响应数据.
主要成果:
- 只有41.7%的设施回应了调查.
- 在33.3%的回应监狱中,HCV检测可用,在51.7%的监狱中,治疗可用.
- 主要障碍包括缺乏合同服务,人员短缺,财务限制和短暂的监禁时间.
结论:
- 在威斯康星州监狱内,HCV检测和治疗能力存在重大差距.
- 有效的HCV疗法和医疗补助覆盖范围尚未转化为广泛的监狱服务.
- 需要与卫生部门的合作和政策改革,以加强被监禁人口的HCV护理机会.
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