HIV-Infected Prison Inmates: Depression and Implications for Release Back to Communities
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High rates of both HIV and depression are seen in prison populations; depression has been linked to disease progression in HIV, risky behaviors, and medication non-adherence. Despite this, few studies have examined HIV-infected inmates with depression. We therefore conducted an exploratory study of a sample of HIV-infected inmates in North Carolina prisons (N = 101) to determine what proportion of this sample screened positive for depression and whether depression was associated with different pre-incarceration characteristics or post-release needs. A high proportion of HIV infected inmates (44.5%) screened positive for depression. Depressed inmates were significantly more likely have low coping self-efficacy scores (180 vs. 214), to report having had resource needs (OR = 2.91) prior to incarceration and to anticipate needing income (OR = 2.81), housing (OR = 4.07), transportation (OR = 9.15), and assistance with adherence (OR = 8.67) post-release. We conclude by discussion the implications of our findings for prison based care and effective prison release planning for HIV infected inmates.
KeywordsHIV Prison Depression Reentry Criminal justice Coping self-efficacy
This study was supported in part by the US National Institutes of Health, National Institute on Drug Abuse and by the University of North Carolina Center For AIDS Research.
- Bangsberg, D., Hecht, F., Clague, H., Charlebois, E., Ciccarone, D., Chesney, M., et al. (2002). Provider assessment of adherence to HIV antiretroviral therapy. Journal of Acquired Immune Deficiency Syndromes, 26, 435–442.Google Scholar
- Bing, E., Burnam, M., Longshore, D., Fleischman, J., Sherbourne, C., London, A., et al. (2001). Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Archives of General Psychiatry, 58, 721–728. doi: 10.1001/archpsyc.58.8.721.CrossRefPubMedGoogle Scholar
- Bureau of Justice Statistics. (2007). Criminal offender statistics. Retrieved 3 March 2007 from http://www.ojp.usdoj.gov/bjs/crimoff.htm.
- CDC. (2007). HIV/AIDS Surveillance Report, 2005. Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
- Ditton, P. (1999). Mental health treatment of inmates and probationers (No. 174463). Washington, DC: Bureau of Justice Statistics.Google Scholar
- Evans, D., Ten Have, T., Douglas, S., Morrison, G., Chiappini, M., Brinker-Spence, P., et al. (2002). Association of depression with viral load, CD8 T lymphocytes, and natural killer cells in women with HIV infection. The American Journal of Psychiatry, 159, 1752–1759. doi: 10.1176/appi.ajp. 159.10.1752.CrossRefPubMedGoogle Scholar
- First, M., Spitzer, R., Williams, J., et al.(1997). Structured clinical interview for DSM-IV-clinician version (SCID-CV) (User’s guide and interviews). Washington, DC: American Psychiatric Press.Google Scholar
- Ickovics, J., Hamburger, M., Vlahov, D., Schoembaum, E., Schumann, P., Boland, R., et al. (2001). Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women. Journal of the American Medical Association, 285(11), 1466–1474. doi: 10.1001/jama.285.11.1466.CrossRefPubMedGoogle Scholar
- James, D., & Glaze, L. (2006). Mental health problems of prison and jail inmates (12 pp). Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics.Google Scholar
- Lima, V., Geller, J., Bangsberg, D., Patterson, T., Daniel, M., Kerr, T., et al. (2007). The effect of adherence on the association between depressive symptoms and mortality among HIV-infected individuals first initiating HAART. AIDS (London, England), 21, 1175–1183.Google Scholar
- Marmot, M., & Wilkinson, R. (1999). Social determinants of health. New York: Oxford University Press.Google Scholar
- Maruschak, L. (2007). HIV in prisons, 2005. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics.Google Scholar
- Reynolds, N., Testa, M., Marc, L., Chesney, M., Neidig, J., Smith, S., et al. (2004). Factors influencing medication adherence beliefs and self-efficacy in persons naive to antiretrovial therapy: A multi-center, cross-sectional study. AIDS and Behavior, 8(2), 141–150. doi: 10.1023/B:AIBE.0000030245.52406.bb.CrossRefPubMedGoogle Scholar
- SAS Institute. (2002). SAS for Windows (Version 9.1). Cary, NC.Google Scholar
- Springer, S., Pesanti, E., Hodges, J., Macura, T., Doros, G., & Altice, F. (2004). Effectiveness of antiretroviral therapy among HIV-infected prisoners: Reincarceration and the lack of sustained benefit after release to the community. HIV/AIDS, 3828, 1754–1760.Google Scholar
- Steadman, H., Fabisiak, S., Dvoskin, J., & Holohean, E. (1989). A survey of mental disability among state prison inmates. Hospital & Community Psychiatry, 38(10), 1086–1090.Google Scholar
- U.S. Department of Health and Human Services. (2002). National epidemiologic survey on alcohol and related conditions. Bethesda, MD: National Institutes of Health, National Institute of Alcohol Abuse and Alcoholism.Google Scholar