AIDS and Behavior

, Volume 17, Supplement 2, pp 203–211 | Cite as

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

  • Anne C. SpauldingEmail author
  • Lauren C. Messina
  • Bryan I. Kim
  • Koo-Whang Chung
  • Thomas Lincoln
  • Paul Teixeira
  • Ann K. Avery
  • Marc Cunningham
  • Matthew S. Stein
  • Divya Ahuja
  • Timothy P. Flanigan
Original Paper


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.


HIV Linkage to care Retention in care Inmate Jail 



This study was funded under HRSA Cooperative Agreement U90HA07632, Emory Center for AIDS Research Grant P30AI050409, and a Development and Dissemination Grant from Abt Associates Inc.

Supplementary material

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


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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Anne C. Spaulding
    • 1
    • 2
    Email author
  • Lauren C. Messina
    • 2
  • Bryan I. Kim
    • 2
  • Koo-Whang Chung
    • 2
  • Thomas Lincoln
    • 3
  • Paul Teixeira
    • 4
  • Ann K. Avery
    • 5
  • Marc Cunningham
    • 2
  • Matthew S. Stein
    • 2
  • Divya Ahuja
    • 6
  • Timothy P. Flanigan
    • 7
  1. 1.Division of Infectious DiseasesEmory University School of MedicineAtlantaUSA
  2. 2.Department of Epidemiology, Rollins School of Public HealthEmory University School of MedicineAtlantaUSA
  3. 3.Internal MedicineBaystate Medical Center and Tufts UniversitySpringfieldUSA
  4. 4.New York City Department of Health and Mental HygieneTransitional Health Care CoordinationNew YorkUSA
  5. 5.Infectious DiseasesMetroHealth Medical Center and Case Western Reserve UniversityClevelandUSA
  6. 6.University of South Carolina Research FoundationColumbiaUSA
  7. 7.Infectious DiseasesMiriam Hospital and Brown UniversityProvidenceUSA

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