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The infectious disease profile of Texas prison inmates.

机译:德州监狱囚犯的传染病概况。

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PURPOSE: Prison inmates present with higher rates of disease morbidity and mortality than the general population. The rates of certain infectious diseases such as hepatitis C, HIV/AIDS, and tuberculosis are reported to be particularly elevated in prison systems. Scarce information, however, exists on the overall infectious disease profile of inmate populations. The present study examined the prevalence of major infectious diseases in one of the nation's largest prison populations. METHODS: The study population consisted of 336,668 Texas Department of Criminal Justice (TDCJ) inmates who were incarcerated for any duration between January 1, 1999 and December 31, 2001. Information on medical conditions, sentencing factors, and sociodemographic factors was obtained from an institution-wide medical information system. RESULTS: Latent tuberculosis infection constituted the most prevalent infectious disease reported among inmates. This was followed in frequency by hepatitis C, HIV/AIDS, and syphilis. Prevalence estimates for most of the infectious diseases under study exhibited substantial differences across gender, age, and ethnicity. CONCLUSION: The present study shows that the prison population had prevalence rates that were substantially higher for latent TB, HIV/AIDS, and hepatitis C than those reported for the general population and some incarcerated populations. The rate of active TB among TDCJ inmates, however, was comparable to that of the general population and other incarcerated populations.
机译:目的:监狱囚犯的疾病发病率和死亡率比普通人群更高。据报道,某些传染病如丙型肝炎,艾滋病毒/艾滋病和结核病的发病率在监狱系统中特别高。但是,关于囚犯总体传染病特征的信息很少。本研究调查了美国最大的监狱人口之一中的主要传染病的患病率。方法:研究人群包括336,668名德克萨斯州刑事司法部(TDCJ)囚犯,他们在1999年1月1日至2001年12月31日期间的任何时间内被监禁。有关医疗状况,判刑因素和社会人口统计学因素的信息是从一家机构获得的范围的医疗信息系统。结果:潜伏性结核感染是囚犯中报告的最普遍的传染病。其次是丙型肝炎,艾滋病毒/艾滋病和梅毒。对所研究的大多数传染病的患病率估计值在性别,年龄和种族之间显示出显着差异。结论:本研究表明,监狱人群的潜在结核病,艾滋病毒/艾滋病和丙型肝炎患病率大大高于一般人群和一些被监禁人群的报告患病率。然而,TDCJ囚犯中活动性结核病的发生率与普通人群和其他被监禁人群的活动率相当。

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