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Int. J. Environ. Res. Public Health 2015, 12(5), 4502-4519; doi:10.3390/ijerph120504502

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

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
Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China
National Center for AIDS/STD Control and Prevention, China CDC, Beijing 102206, China
Author to whom correspondence should be addressed.
Academic Editor: Janet Seeley
Received: 22 January 2015 / Revised: 6 April 2015 / Accepted: 13 April 2015 / Published: 23 April 2015
(This article belongs to the Special Issue HIV/AIDS: Social Perspectives)
View Full-Text   |   Download PDF [707 KB, uploaded 23 April 2015]


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. View Full-Text
Keywords: drug use behaviour; incarceration; HIV; re-education through labour camps; China drug use behaviour; incarceration; HIV; re-education through labour camps; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Zhang, L.; Yap, L.; Reekie, J.; Liu, W.; Chen, Y.; Wu, Z.; Wand, H.; Butler, T. Drug Use and HIV Infection Status of Detainees in Re-Education through Labour Camps in Guangxi Province, China. Int. J. Environ. Res. Public Health 2015, 12, 4502-4519.

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