Abstract
People with HIV who are released from custody frequently do not maintain the viral suppression and other health benefits achieved while incarcerated. This study was conducted to provide preliminary evidence of efficacy of an intervention to reduce HIV risk behaviors and increase use of HIV medical services following release from custody. People with HIV were recruited from San Francisco County jails, San Quentin State Prison and the California Medical Facility (Vacaville, CA), and randomly assigned to the “standard of care” or POST intervention. POST consisted of 4 sessions pre-release and 2 sessions post-release, focusing on HIV prevention and access to care. Behavioral data were obtained for the 3 months before incarceration and 3 months after release. Although POST participants reported a statistically significant increase in receiving health care at HIV clinics (62.5–84.4 %), there were no significant differences between the POST and control participants with respect to any primary outcomes.
Resumen
Con frecuencia las personas infectadas con el VIH que son liberadas después de un periodo de encarcelamiento, no logran mantener la supresión viral y otros beneficios de salud logrados durante el encarcelamiento. Este estudio se realizó para proporcionar evidencia preliminar sobre la eficacia de una intervención cuyo objetivo es reducir las conductas de riesgo de transmisión del VIH y aumentar usar los servicios médicos para tratar la infección del VIH después de ser liberados del encarcelamiento. Participantes infectados con el VIH fueron reclutados de las cárceles del condado de San Francisco, la Prisión Estatal de San Quintín y el Servicio Médico de California (Vacaville, CA), y aleatoriamente asignados a la intervención POST o al cuidado estándar. POST consistió en 4 sesiones antes de ser liberados y 2 sesiones después de la liberación, centrándose en la prevención de la transmission del VIH y el acceso a servicios médicos. Datos sobre conductas de riesgo fueron obtenidos para los 3 meses antes de la encarcelación y 3 meses después de la liberación. Aunque los participantes POST reportaron un aumento estadísticamente significativo en recibir atención médica en las clínicas de VIH (62.5–84.4 %), no hubo diferencias significativas entre los participantes POST y los participantes control con respecto a cualquier resultado primario.
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Acknowledgments
We acknowledge the contributions of Joseph Bick M.D., Chief Medical Executive, California Medical Facility, Vacaville, California, Joe Goldenson, MD, Director/Medical Director Jail Health Services, San Francisco Department of Public Health, Kate Monico Klein, Director, FAP, San Francisco Department of Public Health, Kathleen Morrow, PhD, Associate Professor of Psychiatry & Human Behavior, The Miriam Hospital and Alpert Medical School of Brown University, Elena Tootell, MD, Chief Medical Executive, California State Prison, San Quentin, TCM program personnel and the study participants. This study was funded by Cooperative Agreement UR6/PS000364 awarded to Centerforce.
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MacGowan, R.J., Lifshay, J., Mizuno, Y. et al. Positive Transitions (POST): Evaluation of an HIV Prevention Intervention for HIV-Positive Persons Releasing from Correctional Facilities. AIDS Behav 19, 1061–1069 (2015). https://doi.org/10.1007/s10461-014-0879-8
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DOI: https://doi.org/10.1007/s10461-014-0879-8