AIDS and Behavior

, Volume 23, Issue 2, pp 427–432 | Cite as

Suboptimal Retention in Care Among Recently Released Prisoners: Implications for Social Workers in HIV Primary Care

  • Jill Murphree
  • D. Scott Batey
  • Emma Sophia KayEmail author
  • Andrew O. Westfall
  • Michael J. Mugavero
Original Paper


Certain populations of people living with HIV (PLWH) are at greater risk for falling out of care, including PLWH with a history of incarceration. This is associated with increased risk of morbidity and mortality. In the current retrospective cohort study, we examined patient-level information for 340 PLWH who had transferred HIV care services from prison or from other community-based or private HIV primary care providers to a large urban HIV clinic in the southeastern United States. Results indicated that, compared to those transferring care from another community-based or private medical provider, PLWH transferring care from prison were significantly less likely to be retained in care than PLWH transferring care from other providers, even after controlling for other factors. HIV primary care social workers, who are trained to provide case management services, can help provide PLWH with a coordinated continuum of care that addresses the complex issues faced post-release.


HIV/AIDS Incarceration Retention in care Social work 


Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Jill Murphree
    • 1
  • D. Scott Batey
    • 2
  • Emma Sophia Kay
    • 3
    Email author
  • Andrew O. Westfall
    • 4
  • Michael J. Mugavero
    • 5
  1. 1.Miriam HospitalProvidenceUSA
  2. 2.Department of Social WorkUniversity of Alabama at BirminghamBirminghamUSA
  3. 3.School of Social WorkUniversity of MichiganAnn ArborUSA
  4. 4.Department of BiostatisticsUniversity of Alabama at BirminghamBirminghamUSA
  5. 5.Department of MedicineUniversity of Alabama at BirminghamBirminghamUSA

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