A systematic review and meta-analysis of the prevalence of chlamydia, gonorrhoea and syphilis in incarcerated persons.
Abstract
Communicable diseases are common in people who are incarcerated. We aimed to define the prevalence of chlamydia, gonorrhoea and syphilis in people who are incarcerated and to identify subgroups with the highest risk of infection. We searched for prevalence studies of chlamydia, gonorrhoea or syphilis in incarcerated populations. Pooled estimates were generated, and meta-regression was conducted. Random effects models yielded pooled prevalence estimates of 5.75% (95% confidence interval [CI] 5.01, 6.48) and 12.31% (95% CI 10.61, 14.01) for chlamydia in men and women, 1.4% (95% CI 1.09, 1.70) and 5.73% (4.76, 6.69) for gonorrhoea in men and women, and 2.45% (95% CI 2.08, 2.82) and 6.10% (95% CI 4.75, 7.46) for syphilis in men and women, respectively. Each infection was associated with female gender in meta-regression models. Chlamydia, gonorrhoea and syphilis are highly prevalent in these populations. Primary and secondary prevention efforts could improve individual and population health.
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Persons entering correctional facilities have a high prevalence of STIs, HIV, and viral hepatitis, especially those aged ≤35 years.
“Multiple studies have demonstrated that persons entering correctional facilities have a high prevalence of STIs, HIV, and viral hepatitis, especially those aged ≤35 years (141,372,373).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [373]
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References 72 · Cited by 61
- Authors
- Kouyoumdjian, F. G., Leto, D., John, S., Henein, H., & Bondy, S.
- Affiliations
- University of Toronto (CA)
- McMaster University (CA)
- Ain Shams University (EG)
- Venue
- International Journal of STD & AIDS
- Publisher
- SAGE Publications
- Published
- 2012-04
- Volume
- 23
- Issue
- 4
- Pages
- 248-254
- ISSN
- 0956-4624 (ISSN-L)
- 1758-1052
- OpenAlex
- W1982286500
- Cited by
- 61
- References
- 72
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 1 · 2023: 3 · 2022: 8 · 2021: 10 · 2020: 5 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 7 · 2015: 3 · 2014: 4 · 2013: 1
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of STD & AIDS (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
- Keywords
- chlamydia, gonorrhea, syphilis, sexually transmitted infections, incarcerated individuals, prison population, prevalence, gender differences, risk factors, infection control
- MeSH terms
- Adolescent, Adult, Chlamydia Infections, Female, Gonorrhea, Humans, Male, Prisoners, Prisons, Syphilis, Prevalence, Young Adult
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