The HIV care cascade before, during, and after incarceration: A systematic review and data synthesis

P.A. Iroh, H. Mayo and A.E. Nijhawan

American Journal of Public Health, 2015, vol. 105, issue 7, e5-e16

Abstract: We conducted a systematic literature review of the data on HIV testing, engagement in care, and treatment in incarcerated persons, and estimated the care cascade in this group. We identified 2706 titles in MEDLINE, EBSCO, and Cochrane Library databases for studies indexed to January 13, 2015, and included 92 for analysis. We summarized HIV testing results by type (blinded, opt-out, voluntary); reviewed studies on HIV care engagement, treatment, and virological suppression; and synthesized these results into an HIV care cascade before, during, and after incarceration. The HIV care cascade following diagnosis increased during incarceration and declined substantially after release, often to levels lower thanbeforeincarceration. Incarceration provides an opportunitytoaddressHIVcare in hard-to-reach individuals, though new interventions are needed to improve postrelease care continuity.

Keywords: Canada; HIV Infections; human; organization and management; patient care; prison; prisoner; serodiagnosis; statistics and numerical data; United States, AIDS Serodiagnosis; Canada; Continuity of Patient Care; HIV Infections; Humans; Prisoners; Prisons; United States (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (1)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302635_1

DOI: 10.2105/AJPH.2015.302635

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