Substitution treatment and HCV/HIV-infection in a sample of 31 German prisons for sentenced inmates

International Journal of Prisoner Health
B SchulteJ Reimer

Abstract

Injection drug use (IDU) and IDU-related infectious diseases such as hepatitis C virus (HCV) and human immunodeficiency virus (HIV) infections are highly prevalent among prisoners worldwide. However, little is known about the prevalence of IDUs, HCV/HIV and the availability of respective treatment options in German prisons. Data provided by prison physicians of 31 prisons, representing 14,537 inmates, were included in this analysis. The proportion of IDUs among all prisoners was 21.9%. Substitution treatment was available in three out of four prisons (74.2%). Overall, 1137 substitution treatments were provided annually with a wide range of treatment aims. The prevalence rate was 14.3% for HCV and 1.2% for HIV. Around 5.5% of all HCV-infected prisoners were in antiviral treatment annually, 86.5% of all HIV-positive inmates in antiretroviral HIV-treatment. Generally, substitution treatment, and HCV and HIV testing and treatment are available. However, due to abstinence-orientated treatment aims, substitution treatment is rarely available as maintenance treatment, and HCV/HIV-treatment is mainly provided for patients with an existing treatment before imprisonment. The inconsistent data quality necessitates changes in prison-relate...Continue Reading

References

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Citations

Feb 4, 2009·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·I I MichelsH Stöver
Jan 20, 2010·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·K KepplerJ Reimer
Jan 1, 2012·International Journal of Prisoner Health·Marc Lehmann
Jun 9, 2012·Substance Use & Misuse·Ingo Ilja Michels, Heino Stöver
Mar 10, 2020·PloS One·Gyde SteffenSandra Dudareva
Oct 6, 2020·Frontiers in Public Health·Ida SperleSandra Dudareva
Mar 12, 2020·Substance Abuse Treatment, Prevention, and Policy·Kathrin BöhmerNorbert Scherbaum
Jan 16, 2019·Deutsches Ärzteblatt International·Annette Opitz-WelkeNorbert Konrad
Jun 18, 2021·Health Science Reports·Christoph SarrazinMarcus-Alexander Wörns
Nov 27, 2021·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Annemarie Rinder StengaardDorthe Raben

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