Retention in HIV care during the 3 years following release from incarceration: A cohort study

Kelsey B Loeliger, Jaimie P Meyer, Mayur M Desai, Maria M Ciarleglio, Colleen Gallagher and Frederick L Altice

PLOS Medicine, 2018, vol. 15, issue 10, 1-28

Abstract: Background: Sustained retention in HIV care (RIC) and viral suppression (VS) are central to US national HIV prevention strategies, but have not been comprehensively assessed in criminal justice (CJ) populations with known health disparities. The purpose of this study is to identify predictors of RIC and VS following release from prison or jail. Methods and findings: This is a retrospective cohort study of all adult people living with HIV (PLWH) incarcerated in Connecticut, US, during the period January 1, 2007, to December 31, 2011, and observed through December 31, 2014 (n = 1,094). Most cohort participants were unmarried (83.7%) men (77.0%) who were black or Hispanic (78.1%) and acquired HIV from injection drug use (72.6%). Prison-based pharmacy and custody databases were linked with community HIV surveillance monitoring and case management databases. Post-release RIC declined steadily over 3 years of follow-up (67.2% retained for year 1, 51.3% retained for years 1–2, and 42.5% retained for years 1–3). Compared with individuals who were not re-incarcerated, individuals who were re-incarcerated were more likely to meet RIC criteria (48% versus 34%; p

Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pmed00:1002667

DOI: 10.1371/journal.pmed.1002667

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