|Titre :||Limited access to HIV prevention in French prisons (ANRS PRI²DE): implications for public health and drug policy (2011)|
|Auteurs :||L. MICHEL ; M. JAUFFRET-ROUSTIDE ; J. BLANCHE ; O. MAGUET ; C. CALDERON ; J. COHEN ; M. P. CARRIERI ; Groupe de travail ANRS PRI²DE / ANRS PRI²DE Study group|
|Type de document :||Article : Périodique|
|Dans :||BMC Public Health (Vol.11, n°400, 2011)|
|Article en page(s) :||8 p.|
|Discipline :||MAL (Maladies infectieuses / Infectious diseases)|
Thésaurus TOXIBASEPRISON ; VIH ; PREVENTION ; ENQUETE ; TRAITEMENT DE MAINTENANCE ; REDUCTION DES RISQUES ET DES DOMMAGES ; EAU DE JAVEL ; RECOMMANDATION ; ACCES AUX SOINS
BACKGROUND: Overpopulation, poor hygiene and disease prevention conditions in prisons are major structural determinants of increased infectious risk within prison settings but evidence-based national and WHO guidelines provide clear indications on how to reduce this risk. We sought to estimate the level of infectious risk by measuring how French prisons adhere to national and WHO guidelines.
METHODS: A nationwide survey targeting the heads of medical (all French prisons) and psychiatric (26 French prisons) units was conducted using a postal questionnaire and a phone interview mainly focusing on access to prevention interventions, i.e. bleach, opioid substitution treatment (OST), HBV vaccination and post-exposure prophylaxis (PEP) for French prisoners. Two scores were built reflecting adherence to national and WHO international guidelines, ranging from 0 (no adherence) to 10 (maximum adherence) and 0 to 9 respectively.
RESULTS: A majority (N = 113 (66%)) of the 171 prisons answered the questionnaires, representing 74% coverage (46,786 prisoners) of the French prison population: 108 were medical units and 12 were psychiatric units. Inmate access to prevention was poor. The median[IQR] score measuring adherence to national guidelines was quite low (4.5[2.5; 5.5]) but adherence to WHO guidelines was even lower 2.5[1.5; 3.5]; PEP was absent despite reported risky practices. Unsuitable OST delivery practices were frequently observed.
CONCLUSIONS: A wide gap exists between HIV prevention policies and their application in prisons. Similar assessments in other countries may be needed to guide a global policy reform in prison settings. Adequate funding together with innovative interventions able to remove structural and ideological barriers to HIV prevention are now needed to motivate those in charge of prison health, to improve their working environment and to relieve French prisoners from their currently debilitating conditions.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||22|
|Affiliation :||Health and Medical Research National Institute (Inserm), Research Unit 669, Paris, France|
|URL :||Voir aussi : "Appel pour une véritable politique de réduction des risques infectieux liés à l'usage de drogues en milieu carcéral ?" (30/05/2011)|