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Journal of Urban Health

, Volume 83, Issue 6, pp 1127–1131 | Cite as

Implementing a Routine, Voluntary HIV Testing Program in a Massachusetts County Prison

  • Rebecca V. LiddicoatEmail author
  • Hui Zheng
  • Jeanne Internicola
  • Barbara G. Werner
  • Arthur Kazianis
  • Yoav Golan
  • Eric P. Rubinstein
  • Kenneth A. Freedberg
  • Rochelle P. Walensky
Article

Abstract

Although U.S. prison inmates have higher rates of HIV infection than the general population, most inmates are not routinely tested for HIV infection at prison entry. The study objective was to implement a routine, voluntary HIV testing program in a Massachusetts county prison. During admission, inmates were given group HIV pre-test counseling and were subsequently offered private HIV testing. This intervention was compared to a control period during which HIV testing was provided only upon inmate or physician request. Between November 2004 and April 2005, 1,004 inmates met inclusion criteria and were offered routine, voluntary HIV testing. Of these, 734 (73.1%) accepted, 2 (0.3%) were HIV-infected, and 457 (45.5%) had been tested for HIV in the previous year. The testing rate of 73.1% was significantly increased from the rate of 18.0% (318 of 1,723) during the control period (p<0.001). Among the inmates tested for HIV in the prior year, 78.2% had received their last HIV test in the prison setting. Careful attention should be paid to prevent redundancy of testing efforts in the prison population. Implementing a routine HIV testing program among prison inmates greatly increased testing rates compared to on-request testing.

Keywords

HIV HIV testing Prison Screening. 

Notes

Acknowledgements

Supported in part by: Massachusetts Department of Public Health, HIV/AIDS Bureau; the Massachusetts State Laboratory Institute; Harvard Medical School Faculty Development and Fellowship Program in General Internal Medicine T32 HP11001 (RVL) and CFAR Scholar Award P30 AI060354 (RVL), National Institute of Allergy and Infectious Diseases R01 AI42006, K23 AI01794, K24 AI062476 and National Institute of Mental Health R01 MH65869. Presented in part at the Society of General Internal Medicine National Meeting, New Orleans, LA, USA, May 14, 2005.

References

  1. 1.
    CDC HIV/AIDS fact sheet: a glance at the HIV/AIDS epidemic. Divisions of HIV/AIDS Prevention, Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/hiv/resources/factsheets/At-A-Glance.htm. Accessed May 13, 2006.
  2. 2.
    Hammett TM, Harmon MP, Rhodes W. The burden of infectious disease among inmates of and releases from U.S. correctional facilities, 1997. Am J Public Health. 2002;92(11):1789–1794.PubMedGoogle Scholar
  3. 3.
    Macalino GE, Vlahov D, Sanford-Colby S, et al. Prevalence and incidence of HIV, hepatitis B virus, and hepatitis C virus infections among males in Rhode Island prisons. Am J Public Health. 2004;94(7):1218–1223.PubMedCrossRefGoogle Scholar
  4. 4.
    Vlahov D, Brewer F, Munoz A, Hall D, Taylor E, Polk BF. Temporal trends of human immunodeficiency virus type 1 (HIV-1) infection among inmates entering a statewide prison system, 1985–1987. J Acquir Immune Defic Syndr. 1989;2(3):283–290.PubMedGoogle Scholar
  5. 5.
    Hammett TM, Harmon P, Maruschak LM. 1996–1997 Update: HIV/AIDS, STDs, and TB in Correctional Facilities. Washington: National institute of Justice, Centers for Disease Control and Prevention, and Bureau of Justice Statistics. NCJ 176344. July 1999.Google Scholar
  6. 6.
    Hammett TM, Abt Associates, Cambridge, MA. Personal Communication. May 2006.Google Scholar
  7. 7.
    Advancing HIV prevention: new strategies for a changing epidemic—United States, 2003. MMWR Morb Mortal Wkly Rep. 2003;52(15):329–332.Google Scholar
  8. 8.
    Prevalence of risk behaviors for HIV infection among adults—United States, 1997. MMWR Morb Mortal Wkly Rep. 2001;50:262–265.Google Scholar
  9. 9.
    Behrendt C, Kendig N, Dambita C, Horman J, Lawlor J, Vlahov D. Voluntary testing for human immunodeficiency virus (HIV) in a prison population with a high prevalence of HIV. Am J Epidemiol. 1994;39(9):918–926.Google Scholar
  10. 10.
    Kendrick SR, Kroc KA, Couture E, Weinstein RA. Comparison of point-of-care rapid HIV testing in three clinical venues. AIDS. 2004;18(16):2208–2210.PubMedCrossRefGoogle Scholar

Copyright information

© The New York Academy of Medicine 2006

Authors and Affiliations

  • Rebecca V. Liddicoat
    • 1
    Email author
  • Hui Zheng
  • Jeanne Internicola
  • Barbara G. Werner
  • Arthur Kazianis
  • Yoav Golan
  • Eric P. Rubinstein
  • Kenneth A. Freedberg
  • Rochelle P. Walensky
  1. 1.Department of MedicineGreater Los Angeles Veterans AdministrationLos AngelesUSA

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