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Hispanics, Incarceration, and TB/HIV Screening: A Missed Opportunity for Prevention

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Abstract

Disparities in incarceration rates and in prison-based TB/HIV testing may contribute to health disparities in the communities most affected by incarceration. We analyzed Bureau of Justice Statistics surveys of federal and state prison inmates to assess TB and HIV screening rates for US-born Hispanics, foreign-born Hispanics, non-Hispanic blacks, and non-Hispanic whites. Screening rates were high overall but foreign-born Hispanic inmates had significantly lower odds of being tested for TB in both state (AOR 0.55) and federal prisons (AOR 0.31) compared to white inmates. Foreign-born Hispanics also had lower odds of being tested for HIV in state prisons and Hispanics had lower odds of being tested for HIV in federal prisons compared to white inmates. Screening for infectious diseases in state and federal prisons is high but Hispanics have higher odds of going untested; this has important consequences for prevention of further transmission in the communities to which they return.

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Acknowledgments

Dr. Rich’s work for this project was supported by NIDA Midcareer Investigator Award 5K24DA22112-4 and NIH-funded Center for AIDS Research (P30-AI-42853). Dr. Chen was supported by a diversity supplement provided through NIDA R01DA028692-02S1. All authors report that they have no conflicts of interest or financial disclosures to report.

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Authors and Affiliations

  1. The Center for Prisoner Health, The Miriam Hospital, 1125 North Main Street, Providence, RI, 02909, USA

    Dora M. Dumont

  2. Department of Epidemiology, Brown University, Providence, RI, USA

    Annie Gjelsvik

  3. Division of Global Public Health, University of California, San Diego, San Diego, CA, USA

    Nadine Chen

  4. Division of Infectious Diseases, The Miriam Hospital, Providence, RI, USA

    Josiah D. Rich

  5. Brown University Medical School, Providence, RI, USA

    Josiah D. Rich

Authors
  1. Dora M. Dumont
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  2. Annie Gjelsvik
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  4. Josiah D. Rich
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Correspondence to Dora M. Dumont.

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Dumont, D.M., Gjelsvik, A., Chen, N. et al. Hispanics, Incarceration, and TB/HIV Screening: A Missed Opportunity for Prevention. J Immigrant Minority Health 15, 711–717 (2013). https://doi.org/10.1007/s10903-012-9764-6

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