Virus de l'immunodéficience humaine, hépatite B et hépatite C dans une prison indonésienne: prévalence, facteurs de risque et implications dans le dépistage du VIH

Translated title of the contribution: Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: Prevalence, risk factors and implications of HIV screening

Erni Juwita, Reinout Van Crevel, Bachti Alisjahbana, Agnes K. Indrati, Reiva F. Dwiyana, Nisaa Nuralam, Herdiman T. Pohan, Ilham Jaya, Andre Meheus, Andre Van Der Ven

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

Summary: Objective To determine the prevalence and behavioural correlates of HIV, HBV and HCV infections among Indonesian prisoners and to examine the impact of voluntary counselling and testing for all incoming prisoners on access to antiretroviral treatment (ART).Methods In a non-anonymous survey in an Indonesian prison for drug-related offences, all incoming prisoners and symptomatic resident prisoners were counselled and offered testing for HIV, hepatitis B and C.Results Screening was performed in 679 incoming prisoners, of whom 639 (94.1%) agreed to be tested, revealing a seroprevalence of 7.2% (95% CI 5.2-9.2) for HIV, 5.8% (95% CI 3.9-7.6) for HBsAg and 18.6% (95% CI 15.5-21.6) for HCV. Of 57 resident prisoners tested, 29.8% were HIV-positive. HIV infection was strongly associated with injecting drug use (IDU; P < 0.001), but not with a history of unsafe sex. Screening of incoming prisoners was responsible for diagnosing and treating HIV in 73.0%, respectively, and 68.0% of HIV-positive individuals.Conclusions HIV and HCV are highly prevalent among incoming Indonesian prisoners and almost entirely explained by IDU. Our study is the first to show that voluntary HIV counselling and testing during the intake process in prison may greatly improve access to ART in a developing country.

Translated title of the contributionHuman immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: Prevalence, risk factors and implications of HIV screening
Original languageFrench
Pages (from-to)1491-1498
Number of pages8
JournalTropical Medicine and International Health
Volume15
Issue number12
DOIs
Publication statusPublished - Dec 2010

Keywords

  • Epidemiology
  • HIV infections
  • Hepatitis
  • Human
  • Indonesia
  • Intravenous
  • Prisons
  • Substance abuse
  • Therapy
  • Viral

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