Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador
Background: Sexually transmitted and blood borne infection (STBBI) testing is recommended for people who are incarcerated (PWAI). We sought to determine the rate of STBBI testing during admissions to provincial correctional institutions in Newfoundland and Labrador (NL). Methods: This retrospective...
Published in: | Journal of the Association of Medical Microbiology and Infectious Disease Canada |
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2023
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Online Access: | http://dx.doi.org/10.3138/jammi-2022-0036 https://jammi.utpjournals.press/doi/pdf/10.3138/jammi-2022-0036 |
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crunivtoronpr:10.3138/jammi-2022-0036 2023-12-31T10:19:22+01:00 Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador Whitten, Cindy Turner, Alison Howell, Brittany Sparkes, Brooklyn Ricciardelli, Rosemary Daley, Peter 2023 http://dx.doi.org/10.3138/jammi-2022-0036 https://jammi.utpjournals.press/doi/pdf/10.3138/jammi-2022-0036 en eng University of Toronto Press Inc. (UTPress) Journal of the Association of Medical Microbiology and Infectious Disease Canada volume 8, issue 2, page 141-149 ISSN 2371-0888 2371-0888 Infectious Diseases Microbiology (medical) journal-article 2023 crunivtoronpr https://doi.org/10.3138/jammi-2022-0036 2023-12-01T08:18:17Z Background: Sexually transmitted and blood borne infection (STBBI) testing is recommended for people who are incarcerated (PWAI). We sought to determine the rate of STBBI testing during admissions to provincial correctional institutions in Newfoundland and Labrador (NL). Methods: This retrospective cohort study collected the identification of all admissions records in provincial correctional facilities in NL between July 1, 2020 and June 31, 2021 using the Provincial Corrections Offender Maintenance System database. Admissions to provincial detention centers were excluded. Records were linked with STBBI results, when available, within the electronic medical record (Meditech) using demographics. Testing rates, STBBI positivity rates, and univariate analysis of predictors for STBBI testing were completed. Results: Of the 1,824 admissions identified, 1,716 were available for linkage to laboratory results. Admissions to detention centers ( n = 105) were excluded. Any STBBI test result was available for 72 (4.5%) of admissions. No admission had complete testing for all STBBI. Facility testing rates ranged from 1.9 to 11.2% and 37.5% of STBBI tests had any positive results. Sixteen out of the 21 (76.2%) hepatitis C virus (HCV) antibody positives received HCV RNA testing, and 11/16 (88.8%) were HCV RNA positive. Institution ( p = 0.001) and sex ( p = 0.004) were found to be significant predictors of STBBI testing, while age was not significant ( p = 0.496). Conclusions: STBBI testing rates were low in provincial correctional facilities in NL, and STBBI prevalence, especially for HCV, was high among those tested. Strategies to increase the rate of testing could contribute to STBBI control in corrections facilities. Article in Journal/Newspaper Newfoundland University of Toronto Press (U Toronto Press - via Crossref) Journal of the Association of Medical Microbiology and Infectious Disease Canada 8 2 141 149 |
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University of Toronto Press (U Toronto Press - via Crossref) |
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language |
English |
topic |
Infectious Diseases Microbiology (medical) |
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Infectious Diseases Microbiology (medical) Whitten, Cindy Turner, Alison Howell, Brittany Sparkes, Brooklyn Ricciardelli, Rosemary Daley, Peter Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador |
topic_facet |
Infectious Diseases Microbiology (medical) |
description |
Background: Sexually transmitted and blood borne infection (STBBI) testing is recommended for people who are incarcerated (PWAI). We sought to determine the rate of STBBI testing during admissions to provincial correctional institutions in Newfoundland and Labrador (NL). Methods: This retrospective cohort study collected the identification of all admissions records in provincial correctional facilities in NL between July 1, 2020 and June 31, 2021 using the Provincial Corrections Offender Maintenance System database. Admissions to provincial detention centers were excluded. Records were linked with STBBI results, when available, within the electronic medical record (Meditech) using demographics. Testing rates, STBBI positivity rates, and univariate analysis of predictors for STBBI testing were completed. Results: Of the 1,824 admissions identified, 1,716 were available for linkage to laboratory results. Admissions to detention centers ( n = 105) were excluded. Any STBBI test result was available for 72 (4.5%) of admissions. No admission had complete testing for all STBBI. Facility testing rates ranged from 1.9 to 11.2% and 37.5% of STBBI tests had any positive results. Sixteen out of the 21 (76.2%) hepatitis C virus (HCV) antibody positives received HCV RNA testing, and 11/16 (88.8%) were HCV RNA positive. Institution ( p = 0.001) and sex ( p = 0.004) were found to be significant predictors of STBBI testing, while age was not significant ( p = 0.496). Conclusions: STBBI testing rates were low in provincial correctional facilities in NL, and STBBI prevalence, especially for HCV, was high among those tested. Strategies to increase the rate of testing could contribute to STBBI control in corrections facilities. |
format |
Article in Journal/Newspaper |
author |
Whitten, Cindy Turner, Alison Howell, Brittany Sparkes, Brooklyn Ricciardelli, Rosemary Daley, Peter |
author_facet |
Whitten, Cindy Turner, Alison Howell, Brittany Sparkes, Brooklyn Ricciardelli, Rosemary Daley, Peter |
author_sort |
Whitten, Cindy |
title |
Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador |
title_short |
Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador |
title_full |
Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador |
title_fullStr |
Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador |
title_full_unstemmed |
Retrospective review of rates of sexually transmitted and blood-borne infection (STBBI) testing in provincial corrections facilities in Newfoundland and Labrador |
title_sort |
retrospective review of rates of sexually transmitted and blood-borne infection (stbbi) testing in provincial corrections facilities in newfoundland and labrador |
publisher |
University of Toronto Press Inc. (UTPress) |
publishDate |
2023 |
url |
http://dx.doi.org/10.3138/jammi-2022-0036 https://jammi.utpjournals.press/doi/pdf/10.3138/jammi-2022-0036 |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Journal of the Association of Medical Microbiology and Infectious Disease Canada volume 8, issue 2, page 141-149 ISSN 2371-0888 2371-0888 |
op_doi |
https://doi.org/10.3138/jammi-2022-0036 |
container_title |
Journal of the Association of Medical Microbiology and Infectious Disease Canada |
container_volume |
8 |
container_issue |
2 |
container_start_page |
141 |
op_container_end_page |
149 |
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1786825338214416384 |