期刊
AIDS AND BEHAVIOR
卷 17, 期 -, 页码 156-170出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-012-0372-1
关键词
HIV infection; Jail; Retention in care; Adherence; Secondary prevention
资金
- NIAAA NIH HHS [R01 AA018944] Funding Source: Medline
- NIAID NIH HHS [T32 AI007517] Funding Source: Medline
- NIDA NIH HHS [K23 DA033858, K24 DA017072] Funding Source: Medline
- NIMH NIH HHS [T32 MH020031] Funding Source: Medline
Retention in care is key to effective HIV treatment, but half of PLWHA in the US are continuously engaged in care. Incarcerated individuals are an especially challenging population to retain, and empiric data specific to jail detainees is lacking. We prospectively evaluated correlates of retention in care for 867 HIV-infected jail detainees enrolled in a 10-site demonstration project. Sustained retention in care was defined as having a clinic visit during each quarter in the 6 month post-release period. The following were independently associated with retention: being male (AOR = 2.10, p <= 0.01), heroin use (AOR 1.49, p = 0.04), having an HIV provider (AOR 1.67, p = 0.02), and receipt of services: discharge planning (AOR 1.50, p = 0.02) and disease management session (AOR 2.25, p <= 0.01) during incarceration; needs assessment (AOR 1.59, p = 0.02), HIV education (AOR 2.03, p <= 0.01), and transportation assistance (AOR 1.54, p = 0.02) after release. Provision of education and case management services improve retention in HIV care after release from jail.
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