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Contributing factors for self-reported HIV in male Peruvian inmates: results of the 2016 prison census

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dc.contributor.author Culquichicón Sanchez, Carlos Guillermo
dc.contributor.author Zapata-Castro, Luis E.
dc.contributor.author Soto Becerra, Percy
dc.contributor.author Silva-Santisteban Portella, Alfonso Alberto
dc.contributor.author Konda, Kelika Anne
dc.contributor.author Lescano Guevara, Andres Guillermo
dc.date.accessioned 2023-12-05T17:47:59Z
dc.date.available 2023-12-05T17:47:59Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14620
dc.description.abstract Introduction: Worldwide, prisons are high-risk settings for the transmission of infectious diseases such as HIV. There is a need to understand the health conditions of prisoners to improve and implement timely strategies for HIV diagnosis and control. Hence, we aimed to identify factors associated with self-reported HIV (srHIV) among Peruvian inmates. Methods: This study is a secondary data analysis of the First Peruvian Prison Census conducted in 2016. We estimated the prevalence of srHIV in prisoners who were male at birth and the association of srHIV with other social conditions, criminal records, and prevalent health conditions. Nested models identified a multivariable parsimonious model for factors associated with srHIV and yielding prevalence ratios adjusted by the included parameters. Results: The census surveyed 71,087 male inmates of whom 0.4% reported srHIV (n = 305), and 82% of whom were receiving antiretroviral treatment (n = 220). In our final multivariable model, srHIV was independently associated with age between 36 and 55 years old vs. >55 years old [parsimonious prevalence ratio (pPR) = 1.98, 95% CI, 0.96–4.08], having a stable partner out of prison (pPR = 1.64, 95% CI, 1.24–2.19), being homosexual (pPR = 4.16, 95% CI, 2.50–6.90), self-report of prevalent tuberculosis co-infection (pPR = 2.55, 95% CI, 1.82–3.58), self-report of prevalent sexually transmitted infections (pPR = 34.49, 95% CI, 24.94–47.70), and self-report of prevalent illicit drug use 30 days before the survey (pPR = 1.91, 95% CI, 1.43–2.56). Conclusion: Self-reported HIV is associated with multiple social, health and prison risks among Peruvian inmates. Deeply understanding these factors would help to design HIV prevention and control strategies in Peruvian prisons. en_US
dc.language.iso eng
dc.publisher Frontiers
dc.relation.ispartofseries Frontiers in Public Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject HIV en_US
dc.subject Inmates en_US
dc.subject Peru en_US
dc.subject Treatment en_US
dc.subject Public health en_US
dc.subject.mesh VIH
dc.subject.mesh Prisioneros
dc.subject.mesh Perú
dc.subject.mesh Terapéutica
dc.subject.mesh Salud Pública
dc.title Contributing factors for self-reported HIV in male Peruvian inmates: results of the 2016 prison census en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.3389/fpubh.2023.1241042
dc.relation.issn 2296-2565


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