AIDS and Behavior

, Volume 17, Supplement 2, pp 137–144

Jails as an Opportunity to Increase Engagement in HIV Care: Findings from an Observational Cross-Sectional Study

  • Ann K. Avery
  • Rachel W. Ciomcia
  • Thomas Lincoln
  • Maureen Desbrais
  • Alison O. Jordan
  • Aadia I. Rana
  • Rhoderick Machekano
Original Paper

Abstract

Linkage, engagement, retention and adherence to care are necessary steps along the HIV care continuum. Progression through these steps is essential for control of the disease and interruption of transmission. Identifying and re-engaging previously diagnosed but out-of-care patients is a priority to achieve the goals of the National HIV/AIDS strategy. Participants in the EnhanceLink cohort who were previously diagnosed HIV+ (n = 1,203) were classified as not-linked to of care and non-adherent to medication prior to incarceration by self report. Results based on multivariate models indicate that recent homelessness as well as high degrees of substance abuse correlated with those classified as not-linked to care and non-adherent to medications while having insurance was associated with being linked to care and adherent to care. The majority of detainees reported being linked to care but not currently adherent to care confirming that jails are an important site for re-engaging HIV+ individuals.

Keywords

HIV Jail Engagement to care Adherence to care 

References

  1. 1.
    Gardner EM, McLees MP, Steiner JF, Del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis. 2011;52(6):793–800.PubMedCrossRefGoogle Scholar
  2. 2.
    Signs Vital. HIV prevention through care and treatment—United States. MMWR Morb Mortal Wkly Rep. 2011;2(60):1618–23.Google Scholar
  3. 3.
    Montaner JS, Hogg R, Wood E, Kerr T, Tyndall M, Levy AR, et al. The case for expanding access to highly active antiretroviral therapy to curb the growth of the HIV epidemic. Lancet. 2006;368(9534):531–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Giordano TP, Gifford AL, White AC, Suarez-Almazor ME, Rabeneck L, Hartman C, et al. Retention in care: a challenge to survival with HIV infection. Clin Infect Dis. 2007;44(11):1493–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.PubMedCrossRefGoogle Scholar
  6. 6.
    National HIV/AIDS strategy for the United States.Google Scholar
  7. 7.
    Spaulding AC, Seals RM, Page MJ, Brzozowski AK, Rhodes W, Hammett TM. HIV/AIDS among inmates of and releasees from US correctional facilities, 2006: declining share of epidemic but persistent public health opportunity. PLoS ONE. 2009;4(11):e7558.PubMedCrossRefGoogle Scholar
  8. 8.
    Draine J, Ahuja D, Altice FL, Arriola KJ, Avery AK, Beckwith CG, et al. Strategies to enhance linkages between care for HIV/AIDS in jail and community settings. AIDS Care. 2011;23(3):366–77.PubMedCrossRefGoogle Scholar
  9. 9.
    Ware J Jr, Kosinski M, Keller S. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220–33.PubMedCrossRefGoogle Scholar
  10. 10.
    Rikoon SH, Cacciola JS, Carise D, Alterman AI, McLellan AT. Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores. J Subst Abuse Treat. 2006;31(1):17–24.PubMedCrossRefGoogle Scholar
  11. 11.
    Baicker K, Finkelstein A. The effects of Medicaid coverage–learning from the Oregon experiment. N Engl J Med. 2011;365(8):683–5.PubMedCrossRefGoogle Scholar
  12. 12.
    Wolitski RJ, Kidder DP, Pals SL, Royal S, Aidala A, Stall R, et al. Randomized trial of the effects of housing assistance on the health and risk behaviors of homeless and unstably housed people living with HIV. AIDS Behav. 2010;14(3):493–503.Google Scholar
  13. 13.
    McLellan AT, Cacciola JC, Alterman AI, Rikoon SH, Carise D. The Addiction Severity Index at 25: origins, contributions and transitions. Am J Addict. 2006;15(2):113–24.Google Scholar
  14. 14.
    McLellan AT, Luborsky L, Woody GE, O’Brien CP. An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. J Nerv Ment Dis. 1980;168(1):26–33.PubMedCrossRefGoogle Scholar
  15. 15.
    McLellan P, Griffith J, Parente R, McLellan T. Addiction severity index composite score manual. Pennsylvania: The University of Pennsylvania/Veterans Administration Center for Studies of Addiction.Google Scholar
  16. 16.
    Gelberg L, Gallagher TC, Andersen RM, Koegel P. Competing priorities as a barrier to medical care among homeless adults in Los Angeles. Am J Public Health. 1997;87(2):217–20.PubMedCrossRefGoogle Scholar
  17. 17.
    Schwarcz SK, Hsu LC, Vittinghoff E, Vu A, Bamberger JD, Katz MH. Impact of housing on the survival of persons with AIDS. BMC Public Health. 2009;9:220.PubMedCrossRefGoogle Scholar
  18. 18.
    Springer SA, Dushaj A, Azar MM. The Impact of DSM-IV Mental disorders on adherence to combination antiretroviral therapy among adult persons living with HIV/AIDS: a systematic review. AIDS Behav. 2012 May 30 [Epub ahead of print].Google Scholar
  19. 19.
    Himelhoch S, Brown CH, Walkup J, Chander G, Korthius PT, Afful J, et al. HIV patients with psychiatric disorders are less likely to discontinue HAART. AIDS. 2009;23(13):1735–42.PubMedCrossRefGoogle Scholar
  20. 20.
    Conklin TJ, Lincoln T, Flanigan TP. A public health model to connect correctional health care with communities. Am J Public Health. 1998;88(8):1249–50.PubMedGoogle Scholar
  21. 21.
    Lincoln T, Kennedy S, Tuthill R, Roberts C, Conklin TJ, Hammett TM. Facilitators and barriers to continuing healthcare after jail: a community-integrated program. J Ambul Care Manage. 2006;29(1):2–16.Google Scholar
  22. 22.
    Hampden county: a model for seamless care. AIDS Policy Law. 1999;14(22):9.Google Scholar
  23. 23.
    Rich JD, Wohl DA, Beckwith CG, Spaulding AC, Lepp NE, Baillargeon J, et al. HIV-related research in correctional populations: now is the time. Curr HIV/AIDS Rep. 2011;8(4):288–96.PubMedCrossRefGoogle Scholar
  24. 24.
    Werling K, Abraham S, Strelec J. The 340B Drug Pricing Program: an opportunity for savings, if covered entities such as disproportionate share hospitals and federally qualified health centers know how to interpret the regulations. J Health Care Finance. 2007;34(2):57–70.Google Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Ann K. Avery
    • 1
    • 2
  • Rachel W. Ciomcia
    • 3
  • Thomas Lincoln
    • 4
  • Maureen Desbrais
    • 4
  • Alison O. Jordan
    • 5
  • Aadia I. Rana
    • 6
  • Rhoderick Machekano
    • 7
  1. 1.MetroHealth Medical CenterClevelandUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA
  3. 3.Care Alliance Health CenterClevelandUSA
  4. 4.Baystate Medical CenterSpringfieldUSA
  5. 5.New York City Department of Health and Mental HygieneNew York CityUSA
  6. 6.Alpert Medical School of Brown UniversityProvidenceUSA
  7. 7.Elisabeth Glaser Pediatric AIDS FoundationWashingtonUSA

Personalised recommendations