Socio-Economic Characteristics of HIV in a South African Prison

Gow, Jeff; Grant, Bligh; Colvin, Mark

doi:10.5539/ijbm.v7n5p31

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…The overall prevalence in this sample is lower than the 2015 South African general population's HIV prevalence of 19.2% among people 15 to 49 years of age [1], and lower than the findings of a 2012 paper that described a 29.6% prevalence in one South African prison [14]. It is possible that intensive investment of resources within DCS and beyond has resulted in a lowered HIV prevalence and incidence, as has been demonstrated in other settings [15,16], though given that the majority of HIV diagnoses in the study population were unknown prior to this screening campaign, it is unlikely that the lower prevalence compared to the general population is the result of such an investment.…”

Section: Discussioncontrasting

confidence: 67%

HIV prevalence and the cascade of care in five South African correctional facilities

et al. 2020

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Background South Africa is home to the world's largest HIV epidemic. Throughout the world, incarcerated individuals have a higher prevalence of HIV than the general public, and South Africa has one of the highest rates of incarceration in sub-Saharan Africa. In spite of this, little has been published about the burden of HIV and how care is delivered in South African correctional facilities. Objective To estimate the prevalence of people living with HIV and identify initiation and retention in the HIV cascade of care across five correctional facilities. Methods Cross-sectional retrospective analysis of 30,571 adult inmates who participated in a tuberculosis screening and HIV counseling and testing campaign in South African correctional facilities (January 1, 2014-January 31, 2015). Descriptive statistics were used to estimate the proportion and 95% confidence intervals of HIV. Proportions of persons retained and lost at each step in the HIV cascade of care under this intervention were calculated. Poisson regression with robust variance estimates were used, and clustering by facility was accounted for in all analyses. Results Results of the screening campaign found previously undiagnosed HIV among 13.0% of those consenting to screening, with a total estimated HIV prevalence of 17.7% (n = 3,184, 95% CI: 17.2-18.3%) in the sample. When examining the overall cascade of care, 48.3% of those with HIV initiated care, and overall 45.6% of persons who entered care qualified for ART initiated treatment. A Poisson regression accounting for clustering by facility found HIV high risk groups within the population such as women (aRR = 1.72, 95% CI: 1.57, 1.89),

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Section: Discussioncontrasting

confidence: 67%

HIV prevalence and the cascade of care in five South African correctional facilities

et al. 2020

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“…Recent research done at Westville Correctional Services centre showed an HIV sero-prevalence rate of almost 30%. 13 This high prevalence of HIV in prisons is an area of great concern due to the fact that HIV is readily transmissible in prisons (due to factors such as overcrowding, gangsterism, etc) and because HIV is implicated as an aetiological agent in major mental disorders. 14 …”

Section: Prevalence Ratesmentioning

confidence: 99%

Prevalence of mental disorders in a prison population in Durban, South Africa

Naidoo

Mkize

2012

Afr. J. Psych

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Objective: The aim of this study was to determine the prevalence of serious mental disorders in a prison population in Durban, South Africa, one of the largest prisons in the Southern hemisphere. Method: 193 prisoners were interviewed using the Mini Neuro-psychiatric Interview, a screening questionnaire and a demographic questionnaire. Results: The study demonstrated that 55.4% of prisoners had an Axis 1 disorder. The commonest disorder being substance and alcohol use disorders ( 42.0%). 23.3% of prisoners were diagnosed with current psychotic, bipolar, depressive and anxiety disorders. 46.1% were diagnosed with antisocial personality disorder. The majority of prisoners diagnosed as having an Axis 1 disorder in this study, were neither diagnosed nor treated in prison. Conclusion: There is a high prevalence of mental disorders among prisoners in a prison population in Durban, South Africa. The majority of these prisoners are untreated in prison, related to non detection of the mental disorder. Greater mental health awareness and provision of mental health services focusing on staff training programmes to detect mental illnesses are needed and further research is recommended throughout South Africa.

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Socio-Economic Characteristics of HIV in a South African Prison

Cited by 2 publications

References 2 publications

HIV prevalence and the cascade of care in five South African correctional facilities

HIV prevalence and the cascade of care in five South African correctional facilities

Prevalence of mental disorders in a prison population in Durban, South Africa

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