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Open AccessArticle

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

1
The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia
2
Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3800, Australia
3
Research Center for Public Health, School of Medicine, Tsinghua University, 100064 Beijing, China
4
Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China
5
National Center for AIDS/STD Control and Prevention, China CDC, Beijing 102206, China
*
Author to whom correspondence should be addressed.
Academic Editor: Janet Seeley
Int. J. Environ. Res. Public Health 2015, 12(5), 4502-4519; https://doi.org/10.3390/ijerph120504502
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)
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
MDPI and ACS Style

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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