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Sexually transmitted infection and blood-borne virus screening in juvenile correctional facilities: a review of the literature and recommendations for Australian centres.
- Source :
-
Journal of clinical forensic medicine [J Clin Forensic Med] 2006 Jan; Vol. 13 (1), pp. 30-6. Date of Electronic Publication: 2005 Aug 05. - Publication Year :
- 2006
-
Abstract
- Background: Juveniles in custody are disproportionately affected by sexually transmitted infections (STI) and blood-borne viruses (BBV) due to high rates of risk behaviours.<br />Methods: A literature review was undertaken with the aim of providing evidence-based recommendations on STI/BBV screening in Australian juvenile correctional facilities. Relevant research was identified using Premedline and Medline databases, followed by a manual search of reference lists in relevant articles identified in the database search. A total of 36 relevant publications were identified and reviewed.<br />Results: STI/BBV knowledge in incarcerated youth is poor and accompanied by high rates of sexual and blood-borne risk behaviours. The prevalence of these infections is considerable. High rates of asymptomatic gonococcal and chlamydial infections exist, which can be easily diagnosed on self-collected specimens using new nucleic acid amplification technology. HIV infections are rare although continued vigilance is needed in view of substantial risk factors for infection. Hepatitis C prevalence is high, although much lower than that of adult prisoners, signifying a possible window of opportunity for Hepatitis C prevention. Many remain at risk of Hepatitis B, and it is important to assess the need for vaccination in this group.<br />Conclusion: Screening for STI/BBV in incarcerated juveniles is of major public health importance and all individuals should be offered screening in conjunction with risk-reduction education during their admission to juvenile detention centres.
- Subjects :
- Adolescent
Adolescent Behavior
Adolescent Health Services
Adult
Female
HIV Infections blood
HIV Infections epidemiology
HIV Infections etiology
HIV Infections prevention & control
Hepatitis B blood
Hepatitis B epidemiology
Hepatitis B etiology
Hepatitis B prevention & control
Hepatitis C blood
Hepatitis C epidemiology
Hepatitis C etiology
Hepatitis C prevention & control
Humans
Male
New South Wales epidemiology
Practice Guidelines as Topic
Prevalence
Risk-Taking
Sexually Transmitted Diseases blood
Sexually Transmitted Diseases etiology
Mass Screening methods
Prisoners
Sexually Transmitted Diseases epidemiology
Sexually Transmitted Diseases prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1353-1131
- Volume :
- 13
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of clinical forensic medicine
- Publication Type :
- Academic Journal
- Accession number :
- 16084746
- Full Text :
- https://doi.org/10.1016/j.jcfm.2005.05.007