Adherence to HIV treatment and care among previously homeless jail detainees.

Adherence to HIV treatment and care among previously homeless jail detainees.
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DOI:
10.1007/s10461-011-0080-2
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发表时间:
2013-10
期刊:
影响因子:
4.4
通讯作者:
Altice, Frederick L.
Altice, Frederick L.
中科院分区:
医学2区
文献类型:
--
作者:
Chen, Nadine E.;Meyer, Jaimie P.;Avery, Ann K.;Draine, Jeffrey;Flanigan, Timothy P.;Lincoln, Thomas;Spaulding, Anne C.;Springer, Sandra A.;Altice, Frederick L.

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进入刑事司法系统(CJS)的艾滋病毒感染者往往经历医疗保健系统的参与和社会不稳定,包括无家可归。我们评估了一项多中心研究的调查,该研究涉及743名艾滋病毒感染的监狱被拘留者,这些被拘留者被规定或有资格接受抗逆转录病毒治疗(ART),以了解监禁前医疗保健参与的相关性,重点关注住房状况的差异。医疗保健参与的因变量是:1)有艾滋病毒提供者,2)服用抗逆转录病毒药物,3)在监禁前一周内坚持(>95%的处方剂量)抗逆转录病毒药物。无家可归的受试者,与他们的住房同行相比,显着不太可能从事医疗保健使用任何措施。尽管瑞安白色资金的可用性,保险覆盖面仍然不足,在那些进入监狱,并有健康保险是最重要的因素与艾滋病毒提供者和采取ART。个人与CJS接口,特别是那些不稳定的住房,需要创新的干预措施,以促进医疗保健的获取和保留。
HIV-infected persons entering the criminal justice system (CJS) often experience suboptimal healthcare system engagement and social instability, including homelessness. We evaluated surveys from a multisite study of 743 HIV-infected jail detainees prescribed or eligible for antiretroviral therapy (ART) to understand correlates of healthcare engagement prior to incarceration, focusing on differences by housing status. Dependent variables of healthcare engagement were: 1) having an HIV provider, 2) taking ART, and 3) being adherent (>95% of prescribed doses) to ART during the week before incarceration. Homeless subjects, compared to their housed counterparts, were significantly less likely to be engaged in healthcare using any measure. Despite Ryan White funding availability, insurance coverage remains insufficient among those entering jails, and having health insurance was the most significant factor correlated with having an HIV provider and taking ART. Individuals interfacing with the CJS, especially those unstably housed, need innovative interventions to facilitate healthcare access and retention.
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