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Drug Use and HIV Infection Status of Detainees in Re-Education through Labour Camps in Guangxi Province, China

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  • Lei Zhang

    (The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia
    Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia
    Research Center for Public Health, School of Medicine, Tsinghua University, 100064 Beijing, China)

  • Lorraine Yap

    (The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia)

  • Joanne Reekie

    (The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia)

  • Wei Liu

    (Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China)

  • Yi Chen

    (Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China)

  • Zunyou Wu

    (National Center for AIDS/STD Control and Prevention, China CDC, Beijing 102206, China)

  • Handan Wand

    (The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia)

  • Tony Butler

    (The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia)

Abstract

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.

Suggested Citation

  • Lei Zhang & Lorraine Yap & Joanne Reekie & Wei Liu & Yi Chen & Zunyou Wu & Handan Wand & Tony Butler, 2015. "Drug Use and HIV Infection Status of Detainees in Re-Education through Labour Camps in Guangxi Province, China," IJERPH, MDPI, vol. 12(5), pages 1-18, April.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:5:p:4502-4519:d:48654
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    References listed on IDEAS

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    1. Lei Zhang & Eric P F Chow & Xun Zhuang & Yanxian Liang & Yafei Wang & Caiyun Tang & Li Ling & Joseph D Tucker & David P Wilson, 2013. "Methadone Maintenance Treatment Participant Retention and Behavioural Effectiveness in China: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-1, July.
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