Establishment of an HIV/sexually transmitted disease programme and prevalence of infection among incarcerated men in Jamaica

K. Andrinopoulos, D. Kerrigan, J. P. Figueroa, R. Reese, C. A. Gaydos, L. Bennett, B. Bloomfield, L. Plunkett, C. Maru, J. M. Ellen

Research output: Contribution to journalArticle

Abstract

The goal of this study is to describe the establishment of an HIV testing and treatment programme in the Jamaican correctional system and to estimate the prevalence of HIV/sexually transmitted disease (STD) among adult incarcerated men in this country. A demonstration project was implemented by the Jamaican Department of Correctional Services and Ministry of Health in the nation's largest correctional centre. All inmates were offered HIV and syphilis testing, and a subset was offered chlamydia, gonorrhoea and trichomoniasis testing. Cross-sectional data from the project were reviewed to determine the prevalence and correlates of HIV/STD. HIV test acceptance was 63% for voluntary testers (n = 1200). The prevalence of HIV was 3.3% (95% confidence interval [CI] 2.33-4.64) (n = 1017) and the prevalence syphilis was 0.7% (95% CI 0.29-1.49) (n = 967). Among the subset tested (n = 396) the prevalence of chlamydia was 2.5% (95% CI 1.22-4.49) and for trichomoniasis it was 1.8% (95% CI 0.01-3.60), but no cases of gonorrhoea were detected (n = 396). The prevalence of HIV was significantly higher at 25% (95% CI 13.64-39.60) for persons located in a separate section where individuals labelled as men who have sex with men (MSM) are separated. HIV/STD testing is important and feasible in Jamaica. A special focus should be placed on providing services to inmates labelled as MSM. Other Caribbean nations may also benefit from similar programmes.

Original languageEnglish (US)
Pages (from-to)114-119
Number of pages6
JournalInternational Journal of STD and AIDS
Volume21
Issue number2
DOIs
StatePublished - Feb 4 2010

Keywords

  • HIV/STD testing
  • Homosexual men
  • Jamaica
  • Prisons
  • Seroprevalence

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

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