Prevalence and incidence of HIV, hepatitis B virus, and hepatitis C virus infections among males in Rhode Island prisons

Grace E. Macalino, David Vlahov, Stephanie Sanford-Colby, Sarju Patel, Keith Sabin, Christopher Salas, Josiah D. Rich

    Research output: Contribution to journalArticle

    Abstract

    Objectives. We evaluated prevalence and intraprison incidence of HIV, hepatitis B virus, and hepatitis C virus infections among male prison inmates. Methods. We observed intake prevalence for 4269 sentenced inmates at the Rhode Island Adult Correctional Institute between 1998 and 2000 and incidence among 446 continuously incarcerated inmates (incarcerated for 12 months or more). Results. HIV, hepatitis B virus, and hepatitis C virus prevalences were 1.8%, 20.2%, and 23.1%, respectively. Infections were significantly associated with injection drug use (odds ratio = 10.1, 7.9, and 32.4). Incidence per 100 person-years was 0 for HIV, 2.7 for HBV, and 0.4 for HCV. Conclusions. High infection prevalence among inmates represents a significant community health issue. General disease prevention efforts must include prevention within correctional facilities. The high observed intraprison incidence of HBV underscores the need to vaccinate prison populations.

    Original languageEnglish (US)
    Pages (from-to)1218-1223
    Number of pages6
    JournalAmerican journal of public health
    Volume94
    Issue number7
    DOIs
    StatePublished - Jul 2004

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health

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