Original Paper

AIDS and Behavior

, Volume 17, Supplement 2, pp 137-144

First online:

Jails as an Opportunity to Increase Engagement in HIV Care: Findings from an Observational Cross-Sectional Study

  • Ann K. AveryAffiliated withMetroHealth Medical CenterCase Western Reserve University School of Medicine Email author 
  • , Rachel W. CiomciaAffiliated withCare Alliance Health Center
  • , Thomas LincolnAffiliated withBaystate Medical Center
  • , Maureen DesbraisAffiliated withBaystate Medical Center
  • , Alison O. JordanAffiliated withNew York City Department of Health and Mental Hygiene
  • , Aadia I. RanaAffiliated withAlpert Medical School of Brown University
  • , Rhoderick MachekanoAffiliated withElisabeth Glaser Pediatric AIDS Foundation

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Linkage, engagement, retention and adherence to care are necessary steps along the HIV care continuum. Progression through these steps is essential for control of the disease and interruption of transmission. Identifying and re-engaging previously diagnosed but out-of-care patients is a priority to achieve the goals of the National HIV/AIDS strategy. Participants in the EnhanceLink cohort who were previously diagnosed HIV+ (n = 1,203) were classified as not-linked to of care and non-adherent to medication prior to incarceration by self report. Results based on multivariate models indicate that recent homelessness as well as high degrees of substance abuse correlated with those classified as not-linked to care and non-adherent to medications while having insurance was associated with being linked to care and adherent to care. The majority of detainees reported being linked to care but not currently adherent to care confirming that jails are an important site for re-engaging HIV+ individuals.


HIV Jail Engagement to care Adherence to care