Abstract
Prisons context has the potential for the spread of infectious diseases, like HIV and tuberculosis, which prevalence is higher in the people deprived of liberty compared to the general population. to analyze which are the determinants of coinfection tuberculosis and HIV in prisons. Case-control study conducted in the state of São Paulo, Brazil. New cases of tuberculosis in the population deprived of liberty in the period between 2015 and 2017 were considered. Data were obtained through the notification and monitoring system for tuberculosis cases in the state of São Paulo and included sociodemographic and clinical variables and diagnosis and treatment information. The data were analyzed through frequency distribution and bivariate analysis, testing the association of the dependent variable (tuberculosis/HIV coinfection vs. tuberculosis/HIV non-coinfection) with independent variables (sociodemographic, clinical and diagnostics variables) by calculating the odds ratio and p-value. Among the determinants of tuberculosis/HIV coinfection in prisons, we identified: age between 26-35, 36-55 and 56-84 years, notification in hospitals, negative sputum smear microscopy and culture, X-ray suggestive of another pathology, extrapulmonary and mixed clinical form, and alcoholism. A high percentage of death was also identified among coinfected people. identifying the determinants of the tuberculosis/HIV coinfected individual can assist in the development and implementation of guidelines aimed at controlling both infections in the prison environment.
Highlights
Prisons context has the potential for the spread of infectious diseases, like HIV and tuberculosis, which prevalence is higher in the people deprived of liberty compared to the general population
Since there are gaps in the production of knowledge on the subject in question and prison units experience the phenomenon of mass incarceration [11] with potential for the spread of infectious diseases, the aim of this study was to analyze which are the determinants of coinfection tuberculosis and HIV in prisons
The definition of cases for the present study included all new cases of TB / HIV coinfection in the population deprived of liberty (PDL) of prison units in the state of São Paulo
Summary
Prisons context has the potential for the spread of infectious diseases, like HIV and tuberculosis, which prevalence is higher in the people deprived of liberty compared to the general population. The profile of the PDL is characterized by people in situations of social vulnerability, subjected to innumerable risks related to the lack of social and educational coverage and no access to health services and actions [2]. This fact can impact the quality of life of these individuals and lead to the occurrence of infectious diseases, such as tuberculosis (TB) and HIV, thereby causing illness and death [3,4]. People living with HIV are 28 times more likely to contract TB, which is a substantial risk to the health of the PDL [8]
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