Risk of Tuberculosis among Prisoners: A Case Control Study in Narcotics Prison Class II A Jakarta
Abstract
This study aimed to determine the risk factors for tuberculosis in prisons. A case control study conducted at narcotics prison class II.A Jakarta with data collection conducted from December 2013 to February 2014. Seventy-six prisoners who tested positive for tuberculosis and 152 control healthy prisoners were identified. Multivariate logistic regression was applied to determine the risk factors. The results show that significant risk factors for tuberculosis among prisoners were the presence of a person or persons with tuberculosis in the same room, the length of detention, being HIV positive, and no use of antiretrovirals among HIV positive persons. The presence of people with tuberculosis in the same room was the most significant risk factor for
acquiring tuberculosis in prison (OR = 13.0, 95% CI 4.4—38.4). Detention for three or more years increased an inmate’s risk of acquiring tuberculosis by 3.7 times (95% CI 1.4–9.5). Those who were HIV positive had a 4.7-times higher risk of tuberculosis (95% CI 1.4–9.5). Those who were HIV positive and did not use antiretrovirals had 5.8 times the risk of contracting tuberculosis compared to controls (95% CI 1.1–31.2).
Improvements and modifications, such as isolating those infected with tuberculosis and routine testing for HIV and tuberculosis, can be used in efforts to prevent tuberculosis transmission in prison.
Keywords: tuberculosis; prisons; case control
References
[1] Direktorat Jenderal Pemasyarakatan, Departemen Hukum dan Hak Asasi Manusia RI. (2007). Perencanaan Strategik Penanggulangan TB di Lapas/Rutan Seluruh Indonesia. Jakarta.
[2] Hussain, H., Akhtar, S., & Nanan, D. (2003). Prevalence of and risk factors associated with Mycobacterium tuberculosis infection in prisoners, North West Frontier Province, Pakistan. International Journal of Epidemiology 22 (5): 794–799.
[3] Lienhardt, C., Fielding, K., Sillah, J. S., & McAdam, K. (2005). Investigation of the risk factors for tuberculosis: A case-control study in three countries in West Africa. International Journal of Epidemiology 34 (4): 914–923.
[4] Masalah kesehatan serius yang ditimbulkan penyakit TB paru. Retrieved from http://www.indonesian-publichealth.com/2012/08/ masalah-kesehatan-serius-yang-ditimbulkan-penyakit-TB-paru.html. [Accessed Oct. 17, 2015].
[5] Nopi. (2013). Risiko Morbiditas dan Mortalitas TB/HIV pada Penasun di Lapas tahun 2013.Tesis FKM UI.
[6] Perkumpulan Pemberantasan Tuberkulosis Indonesia (PPTI). TBC di Indonesia peringkat ke-4. Retrieved from http://www.ppti.info/2012/09/ TBc-di-indonesia-peringkat-ke-5.html. [Accessed Oct. 17, 2015].
[7] Sistem Database Pemasyarakatan. (2013). Technical operational unit report. Retrieved from http://smslap.ditjenpas.go.id/public/krl/detail/monthly/ upt/db5d3000-6bd1-1bd1-ef71 313134333039/year/2013 [Accessed Oct. 3, 2015].
[8] WHO. (1998). Tuberculosis in prisons. Geneva: World Health Organization.
[9] WHO. (2000). Tuberculosis control in prisons. Netherlands: World Health Organization.
[10] World Health Organization (WHO). (2002). Tuberculosis, epidemiology and control. New Delhi, India: World Health Organization.