Correlates of retention in HIV care after release from jail: results from a multi-site study.

Correlates of retention in HIV care after release from jail: results from a multi-site study.
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DOI:
10.1007/s10461-012-0372-1
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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:
Althoff, Amy L.;Zelenev, Alexei;Meyer, Jaimie P.;Fu, Jeannia;Brown, Shan-Estelle;Vagenas, Panagiotis;Avery, Ann K.;Cruzado-Quinones, Jacqueline;Spaulding, Anne C.;Altice, Frederick L.

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保持护理是有效治疗艾滋病毒的关键,但美国一半的艾滋病感染者持续接受护理。被监禁的人是一个特别具有挑战性的群体,而且缺乏监狱被拘留者的具体经验数据。我们前瞻性地评估了参与10个地点示范项目的867名感染艾滋病毒的监狱被拘留者留宿的相关因素。持续保留护理被定义为在释放后6个月期间每个季度进行一次诊所访问。与滞留相关的独立因素有:男性(AOR=2.10, p=<0.01)、海洛因使用(AOR 1.49, p=0.04)、有HIV服务提供者(AOR 1.67, p=0.02)和接受服务:监禁期间的出院计划(AOR 1.50, p=0.02)和疾病管理会议(AOR 2.25, p=<0.01);释放后需求评估(AOR 1.59, p=0.02)、艾滋病教育(AOR 2.03, p=<0.01)、交通援助(AOR 1.54, p=0.02)。提供教育和病例管理服务可提高从监狱释放后艾滋病毒护理的保留率。
Retention in care is key to effective HIV treatment, but half of PLWHA in the U.S. 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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发表时间: 2013-10
期刊: AIDS AND BEHAVIOR
影响因子: 4.4
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