AIDS and Behavior

, Volume 17, Supplement 2, pp 195–202 | Cite as

Gender Differences in Baseline Health, Needs at Release, and Predictors of Care Engagement Among HIV-Positive Clients Leaving Jail

  • Chyvette T. WilliamsEmail author
  • Seijeoung Kim
  • Jaimie Meyer
  • Anne Spaulding
  • Paul Teixeira
  • Ann Avery
  • Kevin Moore
  • Frederick Altice
  • Dorothy Murphy-Swallow
  • Dominique Simon
  • Jeff Wickersham
  • Lawrence J. Ouellet
Original Paper


Women represent a significant and growing segment of jail detainees and persons living with HIV. This paper examines gender differences in health status, care and social service needs, and care engagement among jail releasees with HIV. Data are from 1,270 participants in the HRSA-funded Enhancing Linkages to HIV Primary Care and Social Services multisite demonstration project (EnhanceLink). Compared to men, more women reported homelessness, reduced adherence to prescribed ART, worse health, more severe substance use disorders, and more chronic health conditions. Men and women generally reported different needs post-release. As the number of expressed needs increased, women were more likely to drop out of care. Our findings suggest that effective and gender-specific strategies are required to identify needs, link services between jails and communities, and sustain retention of women with HIV in programs after release from criminal justice settings.


Women Jail Linkage to care Gender differences Health status 



Funding for this project was provided by the Special Projects of National Significance (SPNS) Program, HIV/AIDS Bureau, Health Resources Services Administration program, US Department of Health and Human Services Grant H97HA08534.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Chyvette T. Williams
    • 1
    Email author
  • Seijeoung Kim
    • 1
  • Jaimie Meyer
    • 2
  • Anne Spaulding
    • 3
  • Paul Teixeira
    • 4
  • Ann Avery
    • 5
  • Kevin Moore
    • 6
  • Frederick Altice
    • 2
  • Dorothy Murphy-Swallow
    • 1
  • Dominique Simon
    • 7
  • Jeff Wickersham
    • 2
  • Lawrence J. Ouellet
    • 1
  1. 1.University of Illinois at Chicago School of Public HealthChicagoUSA
  2. 2.Yale UniversityNew HavenUSA
  3. 3.Emory UniversityAtlantaUSA
  4. 4.New York City Department of Health and Mental HygieneNew YorkUSA
  5. 5.MetroHealth Medical CenterClevelandUSA
  6. 6.Philadelphia FIGHTPhiladelphiaUSA
  7. 7.Baystate Medical CenterSpringfieldUSA

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