Routine Opt-Out HIV Testing Strategies in a Female Jail Setting: A Prospective Controlled Trial
Routine Opt-Out HIV Testing Strategies in a Female Jail Setting: A Prospective Controlled Trial
复制标题
DOI：
10.1371/journal.pone.0007648
复制
发表时间：
2009-11-25
期刊：
影响因子：
3.7
通讯作者：
Altice, Frederick L.
中科院分区：
文献类型：
--
作者：
Kavasery, Ravi;Maru, Duncan Smith-Rohrberg;Altice, Frederick L.
背景：每年有1000万美国人入狱。我们的目标是评估新的疾病预防控制中心的常规选择退出HIV检测的指导方针，并检查最佳的时间来实施常规选择退出HIV检测之间的新被监禁的监狱insufficient.Methods：这一前瞻性的，常规选择退出HIV检测的对照试验进行了323个新被监禁的女囚犯在康涅狄格州唯一的女子监狱。在2007年8月和9月的五周内，323名连续进入女子监狱的人被分配在监禁后的三个点之一进行常规选择退出HIV检测：立即（当天，n = 108），早期（第二天，n = 108），或延迟（7天，n = 107）。主要结果是在每个组中的妇女同意testing.Results的比例：常规选择退出艾滋病毒检测显着最高（73%）之间的早期检测组相比，55%的立即和50%的7天后进入组。其他因素显着（p = 0.01）与艾滋病毒检测是年轻的年龄和低的可能性提前释放从监狱的基础上债券的价值或类型的指控，其中妇女arrested.Conclusions：在这个惩教设施，常规选择退出艾滋病毒检测在监狱环境中是可行的，最高的测试率，如果执行监禁后的第二天。较低的检测率被认为是与立即测试，那里有一个很高的患病率无法或不愿意测试，并与延迟测试，其中从监狱的损耗增加每一天。
Background: Ten million Americans enter jails annually. The objective was to evaluate new CDC guidelines for routine opt-out HIV testing and examine the optimal time to implement routine opt-out HIV testing among newly incarcerated jail detainees.Methods: This prospective, controlled trial of routine opt-out HIV testing was conducted among 323 newly incarcerated female inmates in Connecticut's only women's jail. 323 sequential entrants to the women's jail over a five week period in August and September 2007 were assigned to be offered routine opt-out HIV testing at one of three points after incarceration: immediate (same day, n = 108), early (next day, n = 108), or delayed (7 days, n = 107). The primary outcome was the proportion of women in each group consenting to testing.Results: Routine opt-out HIV testing was significantly highest (73%) among the early testing group compared to 55% for immediate and 50% for 7 days post-entry groups. Other factors significantly (p = 0.01) associated with being HIV tested were younger age and low likelihood of early release from jail based on bond value or type of charge for which women were arrested.Conclusions: In this correctional facility, routine opt-out HIV testing in a jail setting was feasible, with highest rates of testing if performed the day after incarceration. Lower testing rates were seen with immediate testing, where there is a high prevalence of inability or unwillingness to test, and with delayed testing, where attrition from jail increases with each passing day.