HIV Care After Jail: Low Rates of Engagement in a Vulnerable Population
HIV Care After Jail: Low Rates of Engagement in a Vulnerable Population
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DOI：
10.1007/s11524-018-0231-0
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发表时间：
2018-08-01
影响因子：
6.6
通讯作者：
Nijhawan, Ank E.
中科院分区：
文献类型：
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作者：
Ammon, Benjamin;Iroh, Princess;Nijhawan, Ank E.
刑事司法系统是改善艾滋病毒结果和减少健康差距的关键领域。我们分析了 2011 年 1 月至 2013 年 11 月期间从达拉斯县监狱释放到社区的艾滋病毒阳性者（1450 名监禁者，1111 名独特个人）的人口统计、监禁、社会经济和临床数据。研究人群中 68% 是黑人，14% 是西班牙裔；释放后 90 天内与护理的总体联系为 34%。在调整后的分析中，西班牙裔比白人更有可能建立联系（aOR 2.33 [95% CI：1.55-3.50]），黑人与白人建立联系的可能性相同（aOR 1.14 [95% CI：0.84-1.56]）。大多数艾滋病毒呈阳性的刑满释放人员在出狱后并没有重新接受艾滋病毒护理，但西班牙裔接受护理的可能性是其他群体的两倍。需要进一步努力改善从监狱到社区艾滋病毒护理的过渡，特别关注住房、精神疾病和药物滥用问题。
The criminal justice system is a critical area of focus to improve HIV outcomes and reduce health disparities. We analyzed demographic, incarceration, socioeconomic, and clinical data for HIV-positive persons released to the community from the Dallas County Jail (1450 incarcerations, 1111 unique individuals) between January 2011 and November 2013. The study population was 68% black and 14% Hispanic; overall linkage to care within 90 days of release was 34%. In adjusted analyses, Hispanics were more likely to link than whites (aOR 2.33 [95% CI: 1.55-3.50]), and blacks were as likely to link as whites (aOR 1.14 [95% CI: 0.84-1.56]). The majority of HIV-positive jail releases did not re-engage in HIV care after release, though Hispanics were twice as likely as other groups to link to care. Further efforts are needed to improve the transition from jail to community HIV care with particular attention to issues of housing, mental illness, and substance use.