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Infecciones de transmisión sexual en hombres internos en prisión: riesgo de desarrollo de nuevas infecciones

Overview of attention for article published in Gaceta Sanitaria, March 2016
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Title
Infecciones de transmisión sexual en hombres internos en prisión: riesgo de desarrollo de nuevas infecciones
Published in
Gaceta Sanitaria, March 2016
DOI 10.1016/j.gaceta.2016.01.010
Pubmed ID
Authors

Raquel Sánchez Recio, Juan Pablo Alonso Pérez de Ágreda, Javier Santabárbara Serrano

Abstract

To measure incidence and main risk factors related to sexually transmitted infections (STIs) in Daroca Prison (Zaragoza, Spain). A retrospective cohort study (2005-2013) to measure the incidence of STI and a cross-sectional study to measure risk factors. Of the 203 inmates, 79 developed an STI, 37 had a previous STI, 55.2% lacked knowledge on STI prevention, and 28.9% showed behaviours unfavourable for STI prevention. The incidence rate was 6.5 STIs per 1,000 inmates-year. The most frequent STIs were hepatitis B (39.7%), Ureaplasma urealyticum (19.1%), herpes simplex (16.2%) and HIV (8.8%). The risk (hazard ratio, HR) of acquiring a new STI was significantly higher in inmates with a history of previous STI (HR=2.61; 95%CI: 1.01 to 6.69), and was at the limit of significance for non-preventive behaviour (HR=2.10; 95%CI: 0.98 to 4.53), but not in knowledge related to STIs (HR=1.33; 95%CI: 0.58 to 3.07). The most important risk factors in prison are behaviours related to STIs and previous history of STIs. Other factors are being a repeat offender, injecting drug use, or being in a methadone programme. Health personnel and peer education can facilitate prevention and control.

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Geographical breakdown

Country Count As %
Unknown 34 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 9 26%
Student > Doctoral Student 4 12%
Researcher 4 12%
Professor 3 9%
Other 2 6%
Other 5 15%
Unknown 7 21%
Readers by discipline Count As %
Medicine and Dentistry 10 29%
Nursing and Health Professions 4 12%
Business, Management and Accounting 3 9%
Biochemistry, Genetics and Molecular Biology 3 9%
Engineering 2 6%
Other 4 12%
Unknown 8 24%