![]() The current review also synthesizes recommendations on screening: in particular, opt-out testing is superior to opt-in protocols. 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. This updates an earlier review of STIs in short-term facilities. 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. These individuals come disproportionately from communities of color, with lower access to care and prevention, compared with the United States as a whole. 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).
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