Prevalence of HIV and hepatitis C virus infections among inmates of Quebec provincial prisons
- PMID: 17664448
- PMCID: PMC1930200
- DOI: 10.1503/cmaj.060760
Prevalence of HIV and hepatitis C virus infections among inmates of Quebec provincial prisons
Abstract
Background: To determine the prevalence of HIV and hepatitis C virus (HCV) infections and examine risk factors for these infections among inmates in Quebec provincial prisons.
Methods: Anonymous cross-sectional data were collected from January to June 2003 for men (n = 1357) and women (n = 250) who agreed to participate in the study and who completed a self-administrated questionnaire and provided saliva samples.
Results: The prevalence of HIV infection was 2.3% among the male participants and 8.8% among the female participants. The corresponding prevalence of HCV infection was 16.6% and 29.2%, respectively. The most important risk factor was injection drug use. The prevalence of HIV infection was 7.2% among the male injection drug users and 0.5% among the male non-users. Among the women, the rate was 20.6% among the injection drug users, whereas none of the non-users was HIV positive. The prevalence of HCV infection was 53.3% among the male injection drug users and 2.6% among the male non-users; the corresponding values among the women were 63.6% and 3.5%.
Interpretation: HIV and HCV infections constitute an important public health problem in prison, where the prevalence is affected mainly by a high percentage of injection drug use among inmates.
Comment in
-
Deadly disregard: government refusal to implement evidence-based measures to prevent HIV and hepatitis C virus infections in prisons.CMAJ. 2007 Jul 31;177(3):262-4. doi: 10.1503/cmaj.070854. CMAJ. 2007. PMID: 17664450 Free PMC article. No abstract available.
References
-
- Stratégie québécoise de lutte contre l'infection par le VIH et le sida, l'infection par le VHC et les infections transmissibles sexuellement: orientations 2003–2009. Québec: Direction des communications, Ministère de la Santé et des Services sociaux; 2004. p. 56. Available: http://publications.msss.gouv.qc.ca/acrobat/f/documentation/2003/03-320-... (accessed 2007 Mar 20).
-
- Substitution maintenance therapy in the management of opioid dependence and HIV/AIDS prevention: position paper. Geneva: World Health Organization, United Nations Office on Drugs and Crime, Joint United Nationals Programme on HIV/AIDS; 2004. Available: www.who.int/substance_abuse/publications/en/PositionPaper_English.pdf (accessed 2007 Mar 20).
-
- Kerr T, Jurgens R, Canadian HIV/AIDS Legal Network. Syringe exchange programs in prisons: reviewing the evidence. Toronto: Canadian HIV/AIDS Legal Network, 2004. Available: www.aidslaw.ca/publications/interfaces/downloadFile.php?ref=166 (accessed 2007 Mar 20).
-
- Dufour A, Alary M, Poulin C, et al. Prevalence and risk behaviours for HIV infection among inmates of a provincial prison in Quebec City. AIDS 1996;10:1009-15. - PubMed