Drug Use and HIV Infection Status of Detainees in Re-Education through Labour Camps in Guangxi Province, China.
This study describes HIV disease burden and patterns of drug use before and during incarceration among detainees in Re-education-Through-Labour-Camps (RTLCs) in China. A cross-sectional survey of 576 men and 179 women from three RTLCs was conducted in Guangxi Province, China. Over three-quarters of study participants were detained due to drug-related offences. Over half of the women (n = 313, 54.3%) and two-thirds of men (n = 119, 66.5%) had been previously been incarcerated in a compulsory detoxification treatment centre (CDTC), and around one-third (men n = 159, 27.6%; women n = 50, 27.9%) in a RTLC. Of those surveyed, 49 men (8.5%) and one (0.6%) woman reported ever using drugs while in a CDTC and/or RTLC. Previous incarceration in CDTCs and RTLCs were associated with HIV infection among both male (OR = 2.15 [1.11-4.15]) and female (OR = 3.87 [1.86-9.04]) detainees. Being married/cohabiting with a partner (OR = 0.53, [0.30-0.93]) and being employed (OR = 0.46, [0.22-0.95]) were associated with a reduced odds of HIV infection among male detainees. A significant proportion of RTLC detainees had a history of drug use and a limited number of inmates had used illegal substances whilst in custody. Repeat incarcerations in CDTCs/RTLCs were associated with higher risks of HIV infection.
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia. lzhang@kirby.unsw.edu.au.|Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia. lzhang@kirby.unsw.edu.au.|Research Center for Public Health, School of Medicine, Tsinghua University, 100064 Beijing, China. lzhang@kirby.unsw.edu.au.
Lei
L
Zhang
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia. l.yap@unsw.edu.au.
Lorraine
L
Yap
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia. jreekie@kirby.unsw.edu.au.
Joanne
J
Reekie
Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China. lw_gx@126.com.
Wei
W
Liu
Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China. chenyi1109@gmail.com.
Yi
Y
Chen
National Center for AIDS/STD Control and Prevention, China CDC, Beijing 102206, China. wuzunyou@chinaaids.cn.
Zunyou
Z
Wu
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia. Hwand@kirby.unsw.edu.au.
Handan
H
Wand
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia. tbutler@kirby.unsw.edu.au.
Tony
T
Butler
D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055030:Drug Users / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000150:complications / Q000453:epidemiology*; D006801:Humans; D008297:Male; D058850:Opiate Substitution Treatment / Q000706:statistics & numerical data; D015995:Prevalence; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000150:complications*; D011795:Surveys and Questionnaires; D014937:Work