PDF(Pubmed)
Abstract：
BACKGROUND: Scabies is a widespread issue in prisons due to overcrowded living conditions and limited healthcare resources. A recent study published in the Journal of Infection and Public Health discovered that the prevalence of scabies varies greatly among prisoners in different regions and facilities. This review aimed to determine the global prevalence and predictors of scabies among prisoners by conducting a systematic review and meta-analysis.
METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist to report the findings of our systematic review and meta-analysis. Relevant databases including PubMed, Cochrane Library, ScienceDirect, and other grey literature databases were used to search and retrieve articles. The study included both published and unpublished research written in English languages for studies reporting the prevalence of human scabies among prisoners. This review has been registered on PROSPERO. The heterogeneity of the data was evaluated using the I2 statistic. A meta-analysis was conducted using STATA 17 software, with a 95% confidence interval. The researchers also conducted publication bias and sensitivity analysis.
RESULTS: The review included 7 studies involving 1, 309,323 prisoners. All included studies involved cross-sectional study design. The prevalence of scabies among prisoners ranges from 0.72% in Italy to 41.01% in Cameroon. The global pooled prevalence of human scabies among prisoners was found to be 6.57% (95% CI; 2.16-19.94). According to subgroup analysis, the overall prevalence of scabies among African prisoners was 19.55% (95% CI; 9.44-40.45), while the prevalence among prisoners outside of Africa was 1.57% (95% CI; 0.77-3.19). The length of time spent in prison, sharing of clothing or beds, and hygiene practices were found to be factors that were significantly associated with the likelihood of prisoners developing human scabies.
CONCLUSIONS: The overall prevalence of human scabies is high among prisoners worldwide. Prisoners who spent more time in prison shared clothing or beds, and had poor hygiene practices were more likely to develop human scabies. Thus, efforts should be made by policymakers and program administrators to decrease the prevalence of scabies in prisons. The protocol for this systematic review and meta-analysis was registered in the International Prospective Register of Systematic Reviews with registration number CRD42024516064.
METHODS: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist to report the findings of our systematic review and meta-analysis. Relevant databases including PubMed, Cochrane Library, ScienceDirect, and other grey literature databases were used to search and retrieve articles. The study included both published and unpublished research written in English languages for studies reporting the prevalence of human scabies among prisoners. This review has been registered on PROSPERO. The heterogeneity of the data was evaluated using the I2 statistic. A meta-analysis was conducted using STATA 17 software, with a 95% confidence interval. The researchers also conducted publication bias and sensitivity analysis.
RESULTS: The review included 7 studies involving 1, 309,323 prisoners. All included studies involved cross-sectional study design. The prevalence of scabies among prisoners ranges from 0.72% in Italy to 41.01% in Cameroon. The global pooled prevalence of human scabies among prisoners was found to be 6.57% (95% CI; 2.16-19.94). According to subgroup analysis, the overall prevalence of scabies among African prisoners was 19.55% (95% CI; 9.44-40.45), while the prevalence among prisoners outside of Africa was 1.57% (95% CI; 0.77-3.19). The length of time spent in prison, sharing of clothing or beds, and hygiene practices were found to be factors that were significantly associated with the likelihood of prisoners developing human scabies.
CONCLUSIONS: The overall prevalence of human scabies is high among prisoners worldwide. Prisoners who spent more time in prison shared clothing or beds, and had poor hygiene practices were more likely to develop human scabies. Thus, efforts should be made by policymakers and program administrators to decrease the prevalence of scabies in prisons. The protocol for this systematic review and meta-analysis was registered in the International Prospective Register of Systematic Reviews with registration number CRD42024516064.
摘要：
背景：由于过分拥挤的生活条件和有限的医疗保健资源，在监狱中，镰刀是一个普遍存在的问题。最近发表在《感染与公共卫生杂志》上的一项研究发现，在不同地区和设施的囚犯中，sc疮的患病率差异很大。本综述旨在通过进行系统评价和荟萃分析来确定囚犯中sc疮的全球患病率和预测因素。
方法：我们遵循系统评价和荟萃分析检查表的首选报告项目来报告我们的系统评价和荟萃分析的结果。相关数据库，包括PubMed,科克伦图书馆,ScienceDirect,和其他灰色文献数据库被用来搜索和检索文章。该研究包括以英语编写的已发表和未发表的研究，用于报告囚犯中人sc疮的患病率。此评论已在PROSPERO上注册。使用I2统计量评估数据的异质性。使用STATA17软件进行荟萃分析，95%的置信区间。研究人员还进行了发表偏倚和敏感性分析。
结果：该综述包括7项研究，涉及1,309,323名囚犯。所有纳入的研究都涉及横断面研究设计。囚犯中sc疮的患病率从意大利的0.72％到喀麦隆的41.01%不等。囚犯中人类sc疮的全球合并患病率为6.57％（95％CI;2.16-19.94）。根据亚组分析，非洲囚犯sc疮的总体患病率为19.55％（95％CI;9.44-40.45），而非洲以外囚犯的患病率为1.57%(95%CI;0.77-3.19)。在监狱里度过的时间，分享衣服或床，和卫生习惯被发现是与囚犯发展为人类sc疮的可能性显着相关的因素。
结论：在全世界的囚犯中，人类sc疮的总体患病率很高。在监狱里呆更多时间的囚犯共用衣服或床位，卫生习惯差的人更有可能患上sc疮。因此，政策制定者和计划管理者应努力降低监狱中sc疮的患病率。本系统评价和荟萃分析的方案已在国际前瞻性系统评价注册簿中注册，注册号为CRD42024516064。
方法：我们遵循系统评价和荟萃分析检查表的首选报告项目来报告我们的系统评价和荟萃分析的结果。相关数据库，包括PubMed,科克伦图书馆,ScienceDirect,和其他灰色文献数据库被用来搜索和检索文章。该研究包括以英语编写的已发表和未发表的研究，用于报告囚犯中人sc疮的患病率。此评论已在PROSPERO上注册。使用I2统计量评估数据的异质性。使用STATA17软件进行荟萃分析，95%的置信区间。研究人员还进行了发表偏倚和敏感性分析。
结果：该综述包括7项研究，涉及1,309,323名囚犯。所有纳入的研究都涉及横断面研究设计。囚犯中sc疮的患病率从意大利的0.72％到喀麦隆的41.01%不等。囚犯中人类sc疮的全球合并患病率为6.57％（95％CI;2.16-19.94）。根据亚组分析，非洲囚犯sc疮的总体患病率为19.55％（95％CI;9.44-40.45），而非洲以外囚犯的患病率为1.57%(95%CI;0.77-3.19)。在监狱里度过的时间，分享衣服或床，和卫生习惯被发现是与囚犯发展为人类sc疮的可能性显着相关的因素。
结论：在全世界的囚犯中，人类sc疮的总体患病率很高。在监狱里呆更多时间的囚犯共用衣服或床位，卫生习惯差的人更有可能患上sc疮。因此，政策制定者和计划管理者应努力降低监狱中sc疮的患病率。本系统评价和荟萃分析的方案已在国际前瞻性系统评价注册簿中注册，注册号为CRD42024516064。
