Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: prevalence, risk factors and implications of HIV screening
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 In...
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| Veröffentlicht in: | Tropical medicine & international health 2010-12, Vol.15 (12), p.1491-1498 |
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| creator | Nelwan, Erni J Van Crevel, Reinout Alisjahbana, Bachti Indrati, Agnes K Dwiyana, Reiva F Nuralam, Nisaa Pohan, Herdiman T Jaya, Ilham Meheus, Andre Van Der Ven, Andre |
| description | 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 |
| doi_str_mv | 10.1111/j.1365-3156.2010.02655.x |
| format | Article |
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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.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/j.1365-3156.2010.02655.x</identifier><identifier>PMID: 20955370</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anti-HIV Agents - therapeutic use ; Biological and medical sciences ; CD4 Lymphocyte Count ; Counseling ; Epidemiologic Methods ; epidemiology ; Female ; General aspects ; Hepatitis ; Hepatitis B ; Hepatitis B - epidemiology ; Hepatitis B - transmission ; Hepatitis B virus ; Hepatitis C ; Hepatitis C - epidemiology ; Hepatitis C - transmission ; Hepatitis C virus ; HIV ; HIV infections ; HIV Infections - diagnosis ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; HIV Infections - transmission ; human ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Indonesia ; Indonesia - epidemiology ; Infectious diseases ; intravenous ; Male ; Medical sciences ; Medical screening ; Middle Aged ; Prisons ; Prisons - statistics & numerical data ; Risk factors ; Risk-Taking ; Sexual Behavior - statistics & numerical data ; substance abuse ; Substance Abuse, Intravenous - complications ; Substance Abuse, Intravenous - epidemiology ; therapy ; viral ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Viral hepatitis ; Virus Diseases - epidemiology ; Virus Diseases - transmission ; Young Adult</subject><ispartof>Tropical medicine & international health, 2010-12, Vol.15 (12), p.1491-1498</ispartof><rights>2010 Blackwell Publishing Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2010 Blackwell Publishing Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4285-6e22702bd9d90b85d0cf2e92a2501dcf715dcae62de96bf6f270c52e5845fb443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-3156.2010.02655.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-3156.2010.02655.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23432076$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20955370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nelwan, Erni J</creatorcontrib><creatorcontrib>Van Crevel, Reinout</creatorcontrib><creatorcontrib>Alisjahbana, Bachti</creatorcontrib><creatorcontrib>Indrati, Agnes K</creatorcontrib><creatorcontrib>Dwiyana, Reiva F</creatorcontrib><creatorcontrib>Nuralam, Nisaa</creatorcontrib><creatorcontrib>Pohan, Herdiman T</creatorcontrib><creatorcontrib>Jaya, Ilham</creatorcontrib><creatorcontrib>Meheus, Andre</creatorcontrib><creatorcontrib>Van Der Ven, Andre</creatorcontrib><title>Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: prevalence, risk factors and implications of HIV screening</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>CD4 Lymphocyte Count</subject><subject>Counseling</subject><subject>Epidemiologic Methods</subject><subject>epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis B - transmission</subject><subject>Hepatitis B virus</subject><subject>Hepatitis C</subject><subject>Hepatitis C - epidemiology</subject><subject>Hepatitis C - transmission</subject><subject>Hepatitis C virus</subject><subject>HIV</subject><subject>HIV infections</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - transmission</subject><subject>human</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Indonesia - epidemiology</subject><subject>Infectious diseases</subject><subject>intravenous</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Prisons</subject><subject>Prisons - statistics & numerical data</subject><subject>Risk factors</subject><subject>Risk-Taking</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>substance abuse</subject><subject>Substance Abuse, Intravenous - complications</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>therapy</subject><subject>viral</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Viral hepatitis</subject><subject>Virus Diseases - epidemiology</subject><subject>Virus Diseases - transmission</subject><subject>Young Adult</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksFu1DAQhi0EoqXwCmAhoV6axXZiJ67Ega6AXamIAy1Xy7HHxUtiL_GmdB-Cd8bZXQrigi8zHn_zS-P5EcKUzGg-r1czWgpelJSLGSO5SpjgfHb3AB3fPzzc5aRgrBZH6ElKK0JIVXHxGB0xIjkva3KMfi7GXgfs-34M0YLzxkMwW3zrhzGd4a-w1hu_8QlfYB3sX_c59iGX8DLYGCD5nK4Hn2I4zxFudZdl4Azn0jfstNnEIe0UfL_uvMkiMSQcHV4sv-BkBoDgw81T9MjpLsGzQzxB1-_fXc0XxeWnD8v528vCVKzhhYA8FGGtlVaStuGWGMdAMs04oda4mnJrNAhmQYrWCZdpwxnwpuKuraryBJ3udddD_D5C2qjeJwNdpwPEMamG00qImsj_k5RLUUnWZPLlP-QqjkPIY6iGsKYpqZjknh-gse3BqvxlvR626vdCMvDqAOhkdOcGHYxPf7iyKhmpRebe7LkfvoPt_TslajKIWqnJB2rygZoMonYGUXfq6uNyynL_i32_01Hpm7wmdf05kyWhknIuWfkLlDy3kA</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Nelwan, Erni J</creator><creator>Van Crevel, Reinout</creator><creator>Alisjahbana, Bachti</creator><creator>Indrati, Agnes K</creator><creator>Dwiyana, Reiva F</creator><creator>Nuralam, Nisaa</creator><creator>Pohan, Herdiman T</creator><creator>Jaya, Ilham</creator><creator>Meheus, Andre</creator><creator>Van Der Ven, Andre</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>7T5</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>201012</creationdate><title>Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: prevalence, risk factors and implications of HIV screening</title><author>Nelwan, Erni J ; Van Crevel, Reinout ; Alisjahbana, Bachti ; Indrati, Agnes K ; Dwiyana, Reiva F ; Nuralam, Nisaa ; Pohan, Herdiman T ; Jaya, Ilham ; Meheus, Andre ; Van Der Ven, Andre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4285-6e22702bd9d90b85d0cf2e92a2501dcf715dcae62de96bf6f270c52e5845fb443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>CD4 Lymphocyte Count</topic><topic>Counseling</topic><topic>Epidemiologic Methods</topic><topic>epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B - epidemiology</topic><topic>Hepatitis B - transmission</topic><topic>Hepatitis B virus</topic><topic>Hepatitis C</topic><topic>Hepatitis C - epidemiology</topic><topic>Hepatitis C - transmission</topic><topic>Hepatitis C virus</topic><topic>HIV</topic><topic>HIV infections</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - transmission</topic><topic>human</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Indonesia</topic><topic>Indonesia - epidemiology</topic><topic>Infectious diseases</topic><topic>intravenous</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Prisons</topic><topic>Prisons - statistics & numerical data</topic><topic>Risk factors</topic><topic>Risk-Taking</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>substance abuse</topic><topic>Substance Abuse, Intravenous - complications</topic><topic>Substance Abuse, Intravenous - epidemiology</topic><topic>therapy</topic><topic>viral</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Viral hepatitis</topic><topic>Virus Diseases - epidemiology</topic><topic>Virus Diseases - transmission</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nelwan, Erni J</creatorcontrib><creatorcontrib>Van Crevel, Reinout</creatorcontrib><creatorcontrib>Alisjahbana, Bachti</creatorcontrib><creatorcontrib>Indrati, Agnes K</creatorcontrib><creatorcontrib>Dwiyana, Reiva F</creatorcontrib><creatorcontrib>Nuralam, Nisaa</creatorcontrib><creatorcontrib>Pohan, Herdiman T</creatorcontrib><creatorcontrib>Jaya, Ilham</creatorcontrib><creatorcontrib>Meheus, Andre</creatorcontrib><creatorcontrib>Van Der Ven, Andre</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nelwan, Erni J</au><au>Van Crevel, Reinout</au><au>Alisjahbana, Bachti</au><au>Indrati, Agnes K</au><au>Dwiyana, Reiva F</au><au>Nuralam, Nisaa</au><au>Pohan, Herdiman T</au><au>Jaya, Ilham</au><au>Meheus, Andre</au><au>Van Der Ven, Andre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: prevalence, risk factors and implications of HIV screening</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2010-12</date><risdate>2010</risdate><volume>15</volume><issue>12</issue><spage>1491</spage><epage>1498</epage><pages>1491-1498</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20955370</pmid><doi>10.1111/j.1365-3156.2010.02655.x</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Anti-HIV Agents - therapeutic use Biological and medical sciences CD4 Lymphocyte Count Counseling Epidemiologic Methods epidemiology Female General aspects Hepatitis Hepatitis B Hepatitis B - epidemiology Hepatitis B - transmission Hepatitis B virus Hepatitis C Hepatitis C - epidemiology Hepatitis C - transmission Hepatitis C virus HIV HIV infections HIV Infections - diagnosis HIV Infections - drug therapy HIV Infections - epidemiology HIV Infections - transmission human Human immunodeficiency virus Human viral diseases Humans Indonesia Indonesia - epidemiology Infectious diseases intravenous Male Medical sciences Medical screening Middle Aged Prisons Prisons - statistics & numerical data Risk factors Risk-Taking Sexual Behavior - statistics & numerical data substance abuse Substance Abuse, Intravenous - complications Substance Abuse, Intravenous - epidemiology therapy viral Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Viral hepatitis Virus Diseases - epidemiology Virus Diseases - transmission Young Adult |
| title | Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: prevalence, risk factors and implications of HIV screening |
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