AIDS and Behavior

, Volume 17, Supplement 2, pp 145–155

Understanding the Revolving Door: Individual and Structural-Level Predictors of Recidivism Among Individuals with HIV Leaving Jail

Authors

    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
    • Division of Epidemiology of Microbial DiseasesYale School of Public Health
  • Maua Herme
    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
  • Jeffrey A. Wickersham
    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
  • Alexei Zelenev
    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
  • Amy Althoff
    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
  • Nickolas D. Zaller
    • Division of Infectious DiseasesThe Miriam Hospital
  • Alexander R. Bazazi
    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
    • Division of Epidemiology of Microbial DiseasesYale School of Public Health
  • Ann K. Avery
    • MetroHealth Medical CenterCase Western Reserve University School of Medicine
  • Jeff Porterfield
    • AID Atlanta
  • Alison O. Jordan
    • New York City Department of Health and Mental Hygiene
  • Dominique Simon-Levine
    • Allies in Recovery
  • Martha Lyman
    • Hampden County Sheriff’s Department
  • Frederick L. Altice
    • Section of Infectious Diseases, AIDS Program, Department of Internal MedicineYale School of Medicine
    • Division of Epidemiology of Microbial DiseasesYale School of Public Health
Original Paper

DOI: 10.1007/s10461-013-0590-1

Cite this article as:
Fu, J.J., Herme, M., Wickersham, J.A. et al. AIDS Behav (2013) 17: 145. doi:10.1007/s10461-013-0590-1

Abstract

Incarceration, particularly when recurrent, can significantly compromise the health of individuals living with HIV. Despite this, the occurrence of recidivism among individuals with HIV has been little examined, particularly among those leaving jail, who may be at especially high risk for return to the criminal justice system. We evaluated individual- and structural-level predictors of recidivism and time to re-incarceration in a cohort of 798 individuals with HIV leaving jail. Nearly a third of the sample experienced at least one re-incarceration event in the 6 months following jail release. Having ever been diagnosed with a major psychiatric disorder, prior homelessness, having longer lifetime incarceration history, having been charged with a violent offense for the index incarceration and not having health insurance in the 30 days following jail release were predictive of recidivism and associated with shorter time to re-incarceration. Health interventions for individuals with HIV who are involved in the criminal justice system should also target recidivism as a predisposing factor for poor health outcomes. The factors found to be associated with recidivism in this study may be potential targets for intervention and need to be further explored. Reducing criminal justice involvement should be a key component of efforts to promote more sustainable improvements in health and well-being among individuals living with HIV.

Keywords

HIVJailRecidivismCriminal justice populations

Copyright information

© Springer Science+Business Media New York 2013