HIV-Related Research in Correctional Populations: Now is the Time
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The incarcerated population has increased to unprecedented levels following the 1970 US declaration of war on illicit drug use. A substantial proportion of people with or at risk for HIV infection, including those with substance use and mental health disorders, have become incarcerated. The overlapping epidemics of incarceration and HIV present a need for academic medical centers to collaborate with the criminal justice system to improve the health of incarcerated populations. With coordinated collaboration and new programmatic initiatives it is possible to reduce HIV-associated risk behaviors and the likelihood of acquisition and transmission of HIV. Centers for AIDS Research (CFAR), funded by the National Institutes of Health, have proactively responded to this need through Collaboration on HIV in Corrections (CHIC) to improve the diagnosis, treatment, linkage to care, and prevention of HIV. This collaboration serves as a model for aligning academic expertise with criminal justice to confront this challenge to individual and public health. This is especially relevant given recent evidence of the effectiveness of antiretroviral therapy in reducing HIV transmission (Cohen et al. N Engl J Med 365(6):493–505, 2011).
KeywordsHIV/AIDS Corrections Prison Jail Collaboration Academic
This manuscript was supported by the Centers for AIDS Research (grants P30AI027757, P30AI027763, P30AI036211, P30AI028697, P30AI060354, P30AI050409, P30AI036219, P30AI027742, P30AI027767, P30AI064518, P30AI051519, P30AI045008, P30AI087714, P30AI082151, P30AI042853, P30AI054999, P30AI078498, P30AI050410, P30AI073961, P30AI036214, P30AI042845), as well as grants K24DA022112, K23DA029381, K24DA017072, R01DA025943, R01DA25932, R01DA017059, R01DA029910, R01DA030762, R01DA030768, R01DA030762, R01DA18641, R01DA030778, R01DA027211, and R01DA027211 from the National Institute on Drug Abuse, National Institutes of Health, and R01AA018944 from the National Institute on Alcohol Abuse and Alcoholism at the National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse or the National Institutes of Health.
J. D. Rich: none; D. A. Wohl: none; C. G. Beckwith: none; A. Spaulding: none; N. E. Lepp: none; J. Baillargeon: expert testimony for UTMB/CMC; A. Gardner: none; A. Avery: none; F. L. Altice: speakers’ bureau for BMS, Genentech, Tibotec, Simply Speaking, and ViralEd; S. Springer: none.
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
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