AIDS and Behavior

, Volume 17, Supplement 2, pp 203–211

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

Authors

    • Division of Infectious DiseasesEmory University School of Medicine
    • Department of Epidemiology, Rollins School of Public HealthEmory University School of Medicine
  • Lauren C. Messina
    • Department of Epidemiology, Rollins School of Public HealthEmory University School of Medicine
  • Bryan I. Kim
    • Department of Epidemiology, Rollins School of Public HealthEmory University School of Medicine
  • Koo-Whang Chung
    • Department of Epidemiology, Rollins School of Public HealthEmory University School of Medicine
  • Thomas Lincoln
    • Internal MedicineBaystate Medical Center and Tufts University
  • Paul Teixeira
    • New York City Department of Health and Mental HygieneTransitional Health Care Coordination
  • Ann K. Avery
    • Infectious DiseasesMetroHealth Medical Center and Case Western Reserve University
  • Marc Cunningham
    • Department of Epidemiology, Rollins School of Public HealthEmory University School of Medicine
  • Matthew S. Stein
    • Department of Epidemiology, Rollins School of Public HealthEmory University School of Medicine
  • Divya Ahuja
    • University of South Carolina Research Foundation
  • Timothy P. Flanigan
    • Infectious DiseasesMiriam Hospital and Brown University
Original Paper

DOI: 10.1007/s10461-012-0341-8

Cite this article as:
Spaulding, A.C., Messina, L.C., Kim, B.I. et al. AIDS Behav (2013) 17: 203. doi:10.1007/s10461-012-0341-8

Abstract

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.

Keywords

HIVLinkage to careRetention in careInmateJail

Supplementary material

10461_2012_341_MOESM1_ESM.docx (150 kb)
Supplementary material 1 (DOCX 150 kb)

Copyright information

© Springer Science+Business Media New York 2012