Planning for Success Predicts Virus Suppressed: Results of a Non-Controlled, Observational Study of Factors Associated with Viral Suppression Among HIV-Positive Persons Following Jail Release
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In the United States, jail frequently disrupts access to HIV care. EnhanceLink, a 10-site demonstration project promoting linkage to HIV primary care upon jail discharge, offered an opportunity to gauge how many releasees had favorable clinical outcomes. Individual level data were available on 1270 participants. Persons never discharged from the correctional environment were excluded. Multivariate logistic regression identified factors associated with viral suppression 6 months post discharge (6M-VL < 400). Among 1082 individuals eligible for follow-up evaluation, 25.7 % had 6M-VL < 400. 6M-VL < 400 was associated with case managers assessing whether help was needed for linkage to HIV-related medical services and clients keeping an appointment with a case manager. The adjusted odds ratio (aOR) of 6M-VL < 400 associated with attending a meeting with an HIV care provider within 30 days of release was 1.85. The results of this non-controlled, observational study support further development and rigorous evaluation of transitional care programs for HIV-positive jailed persons across the country.
- Spaulding, AC, Seals, RM, Page, MJ, Brzozowski, AK, Rhodes, W, Hammett, TM (2006) HIV/AIDS among inmates of, and releasees from, US correctional facilities, 2006: declining share of epidemic but persistent public health opportunity. PLoS ONE 4: pp. e7558 CrossRef
- Pai NP, Estes M, Moodie EE, Reingold AL, Tulsky JP. The impact of antiretroviral therapy in a cohort of HIV infected patients going in and out of the San Francisco county jail. PLoS ONE [Electronic Resource]. 2009;4(9).
- Milloy, MJ, Kerr, T, Buxton, J (2011) Dose-response effect of incarceration events on nonadherence to HIV antiretroviral therapy among injection drug users. J Infect Dis 203: pp. 1215-1221 CrossRef
- Westergaard, RP, Kirk, GD, Richesson, DR, Galai, N, Mehta, SH (2011) Incarceration predicts virologic failure for HIV-infected injection drug users receiving antiretroviral therapy. Clin Infect Dis 53: pp. 725-731 CrossRef
- El-Sadr, WM, Lundgren, JD, Neaton, JD (2006) CD4+ count-guided interruption of antiretroviral treatment. N Engl J Med 355: pp. 2283-2296 CrossRef
- Cohen, MS, Chen, YQ, McCauley, M (2011) Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med 365: pp. 493-505 CrossRef
- Gardner, EM, McLees, MP, Steiner, JF, Rio, C, Burman, WJ (2011) The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. [Review]. Clin Infect Dis 52: pp. 793-800 CrossRef
- National HIV/AIDS Strategy for the United States. July 2010. Available: http://www.whitehouse.gov/sites/default/files/uploads/NHAS.pdf. Accessed 3 Dec 2010.
- Draine, J, Ahuja, D, Altice, FL (2011) Strategies to enhance linkages between care for HIV/AIDS in jail and community settings. AIDS Care 23: pp. 366-377 CrossRef
- Addiction Severity Index, Fifth Edition 1998. Available at http://www.tresearch.org/resources/instruments/ASI_5th_Ed.pdf. Last accessed 3 June 2008.
- Ware, JEJP, Kosinski, MM, Keller, SDP (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34: pp. 220-233 CrossRef
- McGahan PL, Griffin JA, Parente R, McLellan AT. Addiction Severity Index: Composite Score Manual. Available: http://www.tresearch.org/resources/compscores/CompositeManual.pdf. Accessed 19 Dec 2011.
- McLellan, AT, Luborsky, L, O’Brien, CP, Woody, GE (1980) An improved diagnostic instrument for substance abuse patients: the Addiction Severity Index. J Nervous Mental Dis 168: pp. 26-33 CrossRef
- Rikoon, SH, Cacciola, JS, Carise, D, Alterman, AI, McLellan, AT (2006) Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores. J Subst Abuse Treat 31: pp. 17-24 CrossRef
- Cacciola, J, Pecoraro, A, Alterman, A (2008) Development of ASI Psychiatric Severity Cut-Off Scores to identify co-occurring psychiatric disorders. Int J Mental Health Addict 6: pp. 77-92 CrossRef
- Puskas, C, Forrest, J, Parashar, S (2011) Women and vulnerability to HAART non-adherence: a literature review of treatment adherence by gender from 2000 to 2011. Curr HIV/AIDS Rep 8: pp. 277-287 CrossRef
- Connell, RW (1987) Gender and Power. Stanford University Press, Stanford CA
- Barclay, TR, Hinkin, CH, Castellon, SA (2007) Age-associated predictors of medication adherence in HIV-positive adults: health beliefs, self-efficacy, and neurocognitive status. Health Psychol 26: pp. 40-49 CrossRef
- Palepu, A, Tyndall, MW, Chan, K, Wood, E, Montaner, JS, Hogg, RS (2004) Initiating highly active antiretroviral therapy and continuity of HIV care: the impact of incarceration and prison release on adherence and HIV treatment outcomes. Antiviral Ther 9: pp. 713-719
- Superak H, Spaulding A, Yang Z, et al. Cost and cost-effectiveness considerations for jail linkage services. Abstract 1902. CDC HIV Prevention Conference. Atlanta GA.
- Wohl DA, Scheyett A, Golin CE, et al. Intensive case management before and after prison release is no more effective than comprehensive pre-release discharge planning in linking HIV-infected prisoners to care: a randomized trial. AIDS Behav 2011;15(2):356–64.
- Planning for Success Predicts Virus Suppressed: Results of a Non-Controlled, Observational Study of Factors Associated with Viral Suppression Among HIV-Positive Persons Following Jail Release
AIDS and Behavior
Volume 17, Issue 2 Supplement, pp 203-211
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Linkage to care
- Retention in care
- Industry Sectors
- Author Affiliations
- 1. Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA
- 2. Department of Epidemiology, Rollins School of Public Health, Emory University School of Medicine, 1518 Clifton Road Room, 3033, Atlanta, GA, 30322, USA
- 3. Internal Medicine, Baystate Medical Center and Tufts University, Springfield, MA, USA
- 4. New York City Department of Health and Mental Hygiene, Transitional Health Care Coordination, New York, NY, USA
- 5. Infectious Diseases, MetroHealth Medical Center and Case Western Reserve University, Cleveland, OH, USA
- 6. University of South Carolina Research Foundation, Columbia, SC, USA
- 7. Infectious Diseases, Miriam Hospital and Brown University, Providence, RI, USA