Original Paper

AIDS and Behavior

, Volume 17, Issue 2, pp 156-170

Correlates of Retention in HIV Care After Release from Jail: Results from a Multi-site Study

  • Amy L. AlthoffAffiliated withAIDS Program, Yale University School of Medicine Email author 
  • , Alexei ZelenevAffiliated withAIDS Program, Yale University School of Medicine
  • , Jaimie P. MeyerAffiliated withAIDS Program, Yale University School of MedicineBiostatistics and Epidemiology, Yale University School of Public Health
  • , Jeannia FuAffiliated withAIDS Program, Yale University School of MedicinePublic Health, Yale University School of Public Health
  • , Shan-Estelle BrownAffiliated withAIDS Program, Yale University School of Medicine
  • , Panagiotis VagenasAffiliated withAIDS Program, Yale University School of Medicine
  • , Ann K. AveryAffiliated withInfectious Diseases, Case Western Reserve University School of Medicine
  • , Jacqueline Cruzado-QuiñonesAffiliated withNew York City Department of Public Health
  • , Anne C. SpauldingAffiliated withEpidemiology, Emory University Rollins School of Public Health
    • , Frederick L. AlticeAffiliated withAIDS Program, Yale University School of MedicineEpidemiology of Microbial Diseases, Yale University School of Public Health

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

Retention in care is key to effective HIV treatment, but half of PLWHA in the US are continuously engaged in care. Incarcerated individuals are an especially challenging population to retain, and empiric data specific to jail detainees is lacking. We prospectively evaluated correlates of retention in care for 867 HIV-infected jail detainees enrolled in a 10-site demonstration project. Sustained retention in care was defined as having a clinic visit during each quarter in the 6 month post-release period. The following were independently associated with retention: being male (AOR = 2.10, p ≤ 0.01), heroin use (AOR 1.49, p = 0.04), having an HIV provider (AOR 1.67, p = 0.02), and receipt of services: discharge planning (AOR 1.50, p = 0.02) and disease management session (AOR 2.25, p ≤ 0.01) during incarceration; needs assessment (AOR 1.59, p = 0.02), HIV education (AOR 2.03, p ≤ 0.01), and transportation assistance (AOR 1.54, p = 0.02) after release. Provision of education and case management services improve retention in HIV care after release from jail.

Keywords

HIV infection Jail Retention in care Adherence Secondary prevention