STD testing policies and practices in U.S. city and county jails.
Background and Objectives
Studies have shown that sexually transmitted disease (STD) rates are high in the incarcerated population.
However, little is known about STD testing policies or practices in jails.
Goal : To assess STD testing policies and practices in jails.
The Division of STD Prevention developed and distributed an e-mail survey to 94 counties reporting more than 40 primary and secondary cases in 1996 or having cities with more than 200,000 persons.
State and local STD program managers completed the assessment in collaboration with health departments and the main jail facilities in the selected counties.
Most facilities (52-77%) had a policy for STD screening based only on symptoms or by arrestee request, and in these facilities, 0.2% to 6% of arrestees were tested.
Facilities having a policy of offering routine testing tested only 3% to 45% of arrestees.
Large facilities, facilities using public providers, and facilities routinely testing for syphilis using Stat RPR tested significantly more arrestees (P<0.05).
Approximately half of the arrestees were released within 48 hours after intake, whereas 45% of facilities did not have STD testing results until after 48 hours.
Most facilities had a policy for STD screening based only on symptoms or by arrestee request.
Facilities having a policy of routine STD testing are not testing most of the arrestees. (...)
Mots-clés Pascal : Politique sanitaire, Lutte sanitaire, Maladie sexuellement transmissible, Milieu carcéral, Etats Unis, Amérique du Nord, Amérique, Homme, Epidémiologie
Mots-clés Pascal anglais : Health policy, Sanitary control, Sexually transmitted disease, Carceral environment, United States, North America, America, Human, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0464291
Code Inist : 002B30A03B. Création : 22/03/2000.