Assessing the Effect of Recent Incarceration in Prison on HIV Care Retention and Viral Suppression in Two States
| العنوان: | Assessing the Effect of Recent Incarceration in Prison on HIV Care Retention and Viral Suppression in Two States |
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| المؤلفون: | Brian T. Montague, David L. Rosen, Chava Zibman, Liza Solomon, Cara J. Sammartino, Josiah D. Rich, Michael A. Costa, Roee Gutman |
| المصدر: | Journal of Urban Health. 95:499-507 |
| بيانات النشر: | Springer Science and Business Media LLC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Health (social science), media_common.quotation_subject, Population, HIV Infections, Prison, Article, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Acquired immunodeficiency syndrome (AIDS), Epidemiology, North Carolina, Retention in Care, Humans, Medicine, 030212 general & internal medicine, education, Psychiatry, Aged, Retrospective Studies, media_common, Aged, 80 and over, education.field_of_study, 030505 public health, business.industry, Prisoners, Public health, Public Health, Environmental and Occupational Health, Rhode Island, virus diseases, Continuity of Patient Care, Middle Aged, Viral Load, medicine.disease, Health equity, Urban Studies, Female, 0305 other medical science, business, Viral load, Cohort study |
| الوصف: | The prevalence of HIV among people in correctional facilities remains much higher than that of the general population. Numerous studies have demonstrated the effectiveness and acceptability of HIV treatment for individuals incarcerated in US prisons and jails. However, the period following incarceration is characterized by significant disruptions in HIV care. These disruptions include failure to link in a timely manner (or at all) to community care post-release, as well as not being retained in care after linking. We used a retrospective, propensity-matched cohort design to compare retention in care between HIV-positive individuals recently released from prison (releasees) who linked to care in Ryan White HIV/AIDS Program (RWHAP) clinics and RWHAP patients without a recent incarceration history (community controls). We also performed analyses comparing viral load suppression of those retained in both groups. This study shows that even for those who do successfully link to care after prison, they are 24 to 29 percentage points less likely to be retained in care than those already in community care. However, we found that for those who did retain in care, there was no disparity in rates of viral suppression. These findings provide valuable insight regarding how best to address challenges associated with ensuring that HIV-positive individuals leaving prison successfully move through the HIV care continuum to become virally suppressed. |
| تدمد: | 1468-2869 1099-3460 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e521bf811a66bdedba0e27f0577224f3 https://doi.org/10.1007/s11524-018-0255-5 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e521bf811a66bdedba0e27f0577224f3 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14682869 10993460 |
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