Prevalence and Management of Sexually Transmitted Infections in Correctional Settings: A Systematic Review

Anne C. Spaulding, Zainab Rabeeah, Myrna Del Mar González-Montalvo, Matthew J. Akiyama, Brenda J. Baker, Heidi M. Bauer, Brent R. Gibson, Ank E. Nijhawan, Farah Parvez, Zoon Wangu, Philip A. Chan, Alyssa Clausen, Samantha R. Levano, Ciara Michel, Lindsay Pett, Jacob A. Pluznik, Danielle Richard, Veena Ramanna, Allie Vega

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Admissions to jails and prisons in the United States number 10 million yearly; persons entering locked correctional facilities have high prevalence of sexually transmitted infections (STIs). These individuals come disproportionately from communities of color, with lower access to care and prevention, compared with the United States as a whole. Following PRISMA guidelines, the authors present results of a systematic review of literature published since 2012 on STIs in US jails, prisons, Immigration and Customs Enforcement detention centers, and juvenile facilities. This updates an earlier review of STIs in short-term facilities. This current review contributed to new recommendations in the Centers for Disease Control and Prevention 2021 treatment guidelines for STIs, advising screening for Trichomonas in women entering correctional facilities. The current review also synthesizes recommendations on screening: in particular, opt-out testing is superior to opt-in protocols. Carceral interventions - managing diagnosed cases and preventing new infections from occurring (eg, by initiating human immunodeficiency virus preexposure prophylaxis before release) - can counteract structural racism in healthcare.

Original languageEnglish (US)
Pages (from-to)S193-S217
JournalClinical Infectious Diseases
StatePublished - Apr 15 2022


  • Detention
  • Jail
  • Juvenile Justice
  • Prison
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases


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