Publicación:
High prevalence of self-reported tuberculosis and associated factors in a nation-wide census among prison inmates in Peru

dc.contributor.author Salazar-De La Cuba A.L. es_PE
dc.contributor.author Ardiles-Paredes D.F. es_PE
dc.contributor.author Araujo-Castillo R.V. es_PE
dc.contributor.author Maguiña J.L. es_PE
dc.date.accessioned 2024-05-30T23:13:38Z
dc.date.available 2024-05-30T23:13:38Z
dc.date.issued 2019
dc.description.abstract Objective: To estimate the prevalence of self-reported tuberculosis TB diagnosed at Peruvian correctional facilities (CFs), and their associated factors. Methods: Cross-sectional study based on secondary analysis of the National Census held in all Peruvian CFs in 2016. Outcome was defined as self-reported TB diagnosed by a healthcare professional intra-penitentiary. A descriptive bivariate analysis was carried out, followed by multivariate analysis using Poisson regression in order to calculate the adjusted prevalence ratios (PRa). Additionally, a mixed effects multilevel model adjusted by CFs as clusters was performed. Results: Of 77 086 prison inmates in 66 CFs participated in the original census, of which 69 890 were included. Of these, 1754 self-reported TB diagnosed intra-penitentiary, yielding a prevalence of 2510/100 000 PDL. In the final model, self-reported TB was associated with younger age, male gender, lower educational level, not having a stable partner, having prison readmissions and having relatives in prison. There was also strong association with HIV/AIDS (PRa 2.77; 1.84–4.18), STIs (PRa 2.13; 1.46–3.10), DM (PRa 1.99; 1.59–2.50) and recreational drugs use (PRa 1.41; 1.23–1.61). The mixed model showed significant variance for belonging to different CFs (2.13; 1.02–4.44) and CF overcrowding (3.25; 1.37–7.71). Conclusions: Self-reported TB prevalence found was higher than reported by other lower/lower-middle income countries. Demographic factors, individual clinical features and overcrowding increases the likelihood of self-reported TB. © 2018 John Wiley & Sons Ltd
dc.description.sponsorship Fondo Nacional de Desarrollo Científico y Tecnológico - Fondecyt
dc.identifier.doi https://doi.org/10.1111/tmi.13199
dc.identifier.scopus 2-s2.0-85059935626
dc.identifier.uri https://hdl.handle.net/20.500.12390/2718
dc.language.iso eng
dc.publisher Blackwell Publishing Ltd
dc.relation.ispartof Tropical Medicine and International Health
dc.rights info:eu-repo/semantics/openAccess
dc.subject vulnerable populations
dc.subject Peru es_PE
dc.subject prisons es_PE
dc.subject self-report es_PE
dc.subject tuberculosis es_PE
dc.subject.ocde http://purl.org/pe-repo/ocde/ford#3.03.08
dc.title High prevalence of self-reported tuberculosis and associated factors in a nation-wide census among prison inmates in Peru
dc.type info:eu-repo/semantics/article
dspace.entity.type Publication
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