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

Lei Zhang, Lorraine Yap, Joanne Reekie, Wei Liu, Yi Chen, Zunyou Wu, Handan Wand and Tony Butler
Additional contact information
Lei Zhang: The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia
Lorraine Yap: The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia
Joanne Reekie: The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia
Wei Liu: Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China
Yi Chen: Division of AIDS/STD, Guangxi Center for Disease Control and Prevention, Nanning 530011, Guangxi, China
Zunyou Wu: National Center for AIDS/STD Control and Prevention, China CDC, Beijing 102206, China
Handan Wand: The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia
Tony Butler: The Kirby Institute, University of New South Wales, Sydney, NSW 2052, Australia

IJERPH, 2015, vol. 12, issue 5, 1-18

Abstract: 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.

Keywords: drug use behaviour; incarceration; HIV; re-education through labour camps; China (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
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