Insufficient access to harm reduction measures in prisons in 5 countries (PRIDE Europe): a shared European public health concern

被引：24

作者：

Michel, Laurent ^{[1
,2
,3
,4
]}

Lions, Caroline ^{[5
,6
,7
]}

Van Malderen, Sara ^{[8
]}

Schiltz, Julie ^{[9
]}

Vanderplasschen, Wouter ^{[9
]}

Holm, Karina ^{[10
]}

Kolind, Torsten ^{[10
]}

Nava, Felice ^{[11
]}

Weltzien, Nadja ^{[12
]}

Moser, Andrea ^{[12
]}

Jauffret-Roustide, Marie ^{[13
]}

Maguet, Olivier ^{[14
]}

Carrieri, Patrizia M. ^{[5
,6
,7
]}

Brentari, Cinzia ^{[15
]}

Stoever, Heino ^{[15
]}

机构：

[1] INSERM, U1178, Paris, France

[2] Univ Paris 11, Paris, France

[3] Univ Paris 05, UMRS1178, Paris, France

[4] French Red Cross, Ctr Pierre Nicole, Paris, France

[5] INSERM, SESSTIM U912, F-13258 Marseille, France

[6] Univ Aix Marseille, IRD, UMR S912, Marseille, France

[7] ORS PACA, Marseille, France

[8] Penitentiary Adm, Brussels, Belgium

[9] Univ Ghent, Dept Special Educ, B-9000 Ghent, Belgium

[10] Aarhus Univ, Ctr Alcohol & Drug Res, Aarhus, Denmark

[11] Federserd, Padua, Italy

[12] Penitentiary Adm, Vienna, Austria

[13] INSERM, U988, Paris, France

[14] Med Monde, Paris, France

[15] Univ Appl Sci, Frankfurt, Germany

来源：

BMC PUBLIC HEALTH | 2015年 / 15卷

关键词：

Prison; Prevention; HIV; HCV; Infectious diseases; Public health; Recommendations; Policy; HEPATITIS-C-VIRUS; INJECTION-DRUG USERS; HIV PREVENTION; CARE; INFECTION; IMPACT; THERAPY; PEOPLE; POLICY; METAANALYSIS;

D O I：

10.1186/s12889-015-2421-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Prisoners constitute a high-risk population, particularly for infectious diseases. The aim of this study was to estimate the level of infectious risk in the prisons of five different European countries by measuring to what extent the prison system adheres to WHO/UNODC recommendations. Methods: Following the methodology used in a previous French survey, a postal/electronic questionnaire was sent to all prisons in Austria, Belgium, Denmark and Italy to collect data on the availability of several recommended HIV-HCV prevention interventions and HBV vaccination for prisoners. A score was built to compare adherence to WHO/UNODC recommendations (considered a proxy of environmental infectious risk) in those 4 countries. It ranged from 0 (no adherence) to 12 (full adherence). A second score (0 to 9) was built to include data from a previous French survey, thereby creating a 5-country comparison. Results: A majority of prisons answered in Austria (100 %), France (66 %) and Denmark (58 %), half in Belgium (50 %) and few in Italy (17 %), representing 100, 74, 89, 47 and 23 % coverage of the prison populations, respectively. Availability of prevention measures was low, with median adherence scores ranging from 3.5 to 4.5 at the national level. These results were confirmed when using the second score which included France in the inter-country comparison. Overall, the adherence score was inversely associated with prison overpopulation rates (p = 0.08). Conclusions: Using a score of adherence to WHO/UNODC recommendations, the estimated environmental infectious risk remains extremely high in the prisons of the 5 European countries assessed. Public health strategies should be adjusted to comply with the principle of equivalence of care and prevention with the general community.

引用

页数：12

共 35 条

[1] Effectiveness of Structural-Level Needle/Syringe Programs to Reduce HCV and HIV Infection Among People Who Inject Drugs: A Systematic Review [J].