Cited by 9HIV/AIDS Research and InterventionsReproductive tract infections researchCriminal Justice and Corrections Analysis

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

A cross-sectional evaluation of opt-in testing for sexually transmitted and blood-borne infections in three Canadian provincial correctional facilities: a missed opportunity for public health?

Gratrix, Jennifer, Smyczek, Petra, Bertholet, Lindsay, Lee, M.C., Pyne, Diane, Woods, Dan, Courtney, Keith, Ahmed, Rabia·2019·International Journal of Prisoner Health

Abstract

Purpose Incarceration provides an opportunity for screening and treatment of sexually transmitted and blood-borne infections (STBBIs) in high-risk groups. The purpose of this paper is to determine positivity rates of STBBI screening within correctional facilities using opt-in strategies and estimate the proportion of admissions tested. Design/methodology/approach A cross-sectional, retrospective review of testing data from January 2012 to August 2015 from three provincial correctional facilities located in Alberta, Canada was completed. Analysis variables included STBBI, gender, facility, collection year and age. STBBI-stratified analysis was performed to identify correlates for positivity using univariate and logistic regressions. Findings Overall prevalence of chlamydia was 11.2 percent and gonorrhea was 3.5 percent; correlates for both were younger age and facility type. The syphilis prevalence rate was 3.2 percent; correlates included being female, older age, adult facilities, with later years being protective. In total, 14 (0.3 percent) newly diagnosed HIV cases were found, prevalence increased with age. HBV prevalence was 1.7 percent with no significant correlations. Nearly one-tenth (n=422) of those screened for HCV antibody were positive; all variables were significantly correlated. Overall estimates of the proportion of admissions tested by STBBI were low and ranged from 4.8 to 16.1 percent. Originality/value This study found high rates of STBBI in correctional facilities and showed that only a small proportion of the population was tested using an opt-in strategy. Shifting to an “opt-out” strategy may be warranted.

Overview

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Crossref · 10.1108/ijph-07-2018-0043

Cites

26 of 26 references verified0 citation errors · 0 not checkable

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  1. 2009, HIV/AIDS, and hepatitis services in Illinois county jails, Sexually Transmitted Diseases, 36, S37

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Metadata

Authors
Gratrix, J., Smyczek, P., Bertholet, L., Lee, M. C., Pyne, D., Woods, D., Courtney, K., & Ahmed, R.
Affiliations
  • Alberta Health Services (CA)
  • University of Alberta (CA)
Venue
International Journal of Prisoner Health
Publisher
Emerald
Published
2019-08-29
Volume
15
Issue
3
Pages
273-281
ISSN
1744-9200 (ISSN-L)
OpenAlex
W2947614125
Cited by
9
References
26
Citations by year
2026: 2 · 2025: 2 · 2022: 2 · 2021: 3
FWCI
0.96
Type
journal article
Language
en
Open access
closed
Locations
  • International Journal of Prisoner Health (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
Keywords
sexually transmitted and blood-borne infections, prison population, chlamydia, gonorrhea, syphilis, HIV, hepatitis B, hepatitis C, opt-out testing
MeSH terms
Adolescent, Adult, Age Factors, Canada, Cross-Sectional Studies, Female, Hepatitis, Humans, Male, Mass Screening, Middle Aged, Prisons, Public Health, Retrospective Studies, Sex Factors, Sexually Transmitted Diseases, HIV Infections, Blood-Borne Pathogens, Young Adult

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