Evidence-based Review of the Intervention Strategies on the TB Prevention and Treatment among Prisoners in China_Chinese Journal of Evidence-Based Medicine

Authors：

1. The school of public health,Chongqing Medcial Uniersity, Chongqing 400016, China;2. UK University of Liverpool School of Tropical Medicine;

Corresponding author：

Keywords：

TB control; Prisoners; Literature quality assessment; Live interview

DOI：

10.7507/1672-2531.20090195

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Objective 　To investigate and analyze the past and on-going pro-poor programs related to health equity, and the relevant policies, documents, interventions measures, etc. to improve the China prisoners’ accessibility and utilization of tuberculosis (TB) control services in TB control programs, then evaluate their impacts and influences to provide evidences and suggestions for the further work of TB prevention and treatment.
Methods 　Retrieve published documents about TB prevention and treatment of transient population dating from 1998 to 2008 from MEDLINE, PubMed, CNKI, CBMdisc CDDB and VIP with computers. Simultaneously, a series of interviews was conducted after we got the agreement of the interview people by using non-probability statistics methods.
Results 　A total of 23 documents were retrieved, and they were consonant with the criteria, among which 8 were published and 5 were policy documents. The study on the second document showed the measures that presently applied on TB patients among prisoners in China: find patients through surveys, inspect every prisons and patients going to visit doctors with symptoms; concerning differences between various groups of prisoners, the measure of “classify and instruction, enroll together and treat” was applied; carry out health education in the prisons and so on. After the implement of various measures, the knowledge awareness, discovery rate, accomplishment ratio, cure rate and so on were all improved. The results of the qualitative interviews showed: the TB patients and the doubts among prisoners could be well gotten together and isolated to receive DOTS; doctors were able to receive trainings on TB treatment and take appointment with certificate.
Conclusion 　According to the results of qualitative interviews, the published and the secondary documents, it could be seen that DOTS are well implemented with remarkable effects.

Citation： CHEN Tao,WANG Yang,TANG Xiaojun,ZENG Huan,LIU Xiaoxue,LIU Qin,LONG Qian,ZHANG Fan,Kadale Consultants,Rachael Thomson. Evidence-based Review of the Intervention Strategies on the TB Prevention and Treatment among Prisoners in China. Chinese Journal of Evidence-Based Medicine, 2009, 09(10): 1110-1114. doi: 10.7507/1672-2531.20090195 Copy

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1. 陈丽萍, 苏文, 胡永峰, 等. 1997-2003年湖北省武昌监狱肺结核病控制效果分析. 中国防痨杂志, 2005, 27(3): 148-150.
2. 陈奕君. 对劳教人员应用现代结核病控制策略效果评价. 中国热带医学, 2006, 6(4): 601-602.
3. 冯卫国. 湖北省襄北监狱结核病患病情况调查分析. 中华医学与健康, 2007, 8(8): 12-13.
4. 毛国伟, 蒋世钊, 杨怀文. 湖南省某监狱犯人肺结核病流行的调查. 中华综合临床医学杂志, 2003, 5(2): 14-15.
5. 陈奕君. 加强监狱结核病防治工作探讨, 中国热带医学, 2007, 7(10): 1858, 1909.
6. 李尚伦, 傅衍勇, 邹逸伟, 等. 天津市监狱系统推行现代结核病控制技术规范效果分析. 中国防痨杂志, 2007, 29(1): 44-47.
7. 周利, 李健康, 乐国琴, 等. 武汉市汉阳区监狱服刑肺结核病人实施直接面视下短程化疗效果报告. 中国防痨杂志, 2007, 29(3): 284-285.
8. 蒋世钊, 唐冰清, 徐善松, 等. 永州市某监狱犯人肺结核病流行病学调查. 实用预防医学, 2006, 13(5): 1248-1249.
9. 中华人民共和国第八届全国人民代表大会常务委员会第十一次会议. 中华人民共和国监狱法, 1994.
10. 中华人民共和国司法部、卫生部. 全国劳教场所结核病预防与控制实施办法. 2004, [155]号.
11. 安徽省卫生厅、司法厅. 安徽省监狱劳教所结核病防治管理实施办法. 2006.
12. 杭州市疾控中心. 杭州市学校和监狱结核病预警和筛查方案. 2007.
13. 重庆市卫生局、监狱局、劳教局. 重庆市卫生局、监狱局、劳教局关于加强监狱劳教所结核病防治工作的通知. 2003.

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Evidence-based Review of the Intervention Strategies on the TB Prevention and Treatment among Prisoners in China

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