absence of antiretroviral therapy and other risk factors for morbidity and mortality in malaysian compulsory drug detention and rehabilitation centers没有抗逆转录病毒疗法和其他风险因素的发病率和死亡率在马来西亚强制戒毒拘留和康复中心.pdfVIP

absence of antiretroviral therapy and other risk factors for morbidity and mortality in malaysian compulsory drug detention and rehabilitation centers没有抗逆转录病毒疗法和其他风险因素的发病率和死亡率在马来西亚强制戒毒拘留和康复中心.pdf

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absence of antiretroviral therapy and other risk factors for morbidity and mortality in malaysian compulsory drug detention and rehabilitation centers没有抗逆转录病毒疗法和其他风险因素的发病率和死亡率在马来西亚强制戒毒拘留和康复中心

Absence of Antiretroviral Therapy and Other Risk Factors for Morbidity and Mortality in Malaysian Compulsory Drug Detention and Rehabilitation Centers 1,3 1,2,3 1,2,3 4 Jeannia J. Fu , Alexander R. Bazazi , Frederick L. Altice *, Mahmood N. Mohamed , Adeeba Kamarulzaman1,3 1 Yale School of Medicine, Department of Internal Medicine, Section of Infectious Diseases, AIDS Program, New Haven, Connecticut, United States of America, 2 Yale School of Public Health, Division of Epidemiology of Microbial Diseases, New Haven, Connecticut, United States of America, 3 Centre of Excellence for Research in AIDS (CERiA), University Malaya Medical Centre, Kuala Lumpur, Malaysia, 4 Universiti Utara Malaysia, Sintok, Kedah, Malaysia Abstract Background: Throughout Asia, people who use drugs are confined in facilities referred to as compulsory drug detention and rehabilitation centers. The limited transparency and accessibility of these centers has posed a significant challenge to evaluating detainees and detention conditions directly. Despite HIV being highly prevalent in this type of confined setting, direct evaluation of detainees with HIV and their access to medical care has yet to be reported in the literature. Methods: We evaluated the health status of 100 adult male detainees with HIV and their access to medical care in the two largest Malaysian compulsory drug detention and rehabilitation centers holding HIV-infected individuals. Results: Approximately 80% of all detainees with HIV were surveyed in each detention center. Most participants reported multiple untreated medical conditions. None reported being able to access antiretroviral therapy during detention and only 9% reported receiving any HIV-related clinical assessment

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