AIDS and Behavior

, Volume 17, Supplement 2, pp 137–144 | Cite as

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

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


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.


HIV Jail Engagement to care Adherence to care 



This publication was made possible by a grant through the U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV Bureau (H97HA08543). The content of this publication does not necessarily reflect the views or policies of DHHS. Responsibility for the content of this report rests solely with the named authors.


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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Ann K. Avery
    • 1
    • 2
    Email author
  • 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

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