Abstract
The number of incarcerated offenders is increasing, and many have physical and mental health problems. Drug-involved prisoners exhibit more health problems and greater rates of chronic health problems than prisoners who have not used drugs. Furthermore, human immunodeficiency virus (HIV) prevalence rates are generally high in prisons. This descriptive study profiles health problems (including HIV) and health services utilization in a sample of drug-involved prisoners from a rural state. HIV seropositivity appeared to be unrelated to drug use, except for marijuana use. Only liver problems were significantly associated with HIV serostatus. A history of mental health treatment was related to a greater likelihood of being HIV+. HIV status was most clearly associated with sexual risk behaviors. These preliminary findings suggest that prisons represent an important site for targeted behavioral health interventions focused on HIV risk reduction.
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References
Bureau of Justice Statistics.Medical Problems of Inmates, 1997. Washington, DC: US Dept of Justice; 2001. US DOJ NCJ-1816444.
Bureau of Justice Statistics.Substance Abuse and Treatment, State and Federal Prisoners, 1997. Washington, DC: US Dept of Justice; 1999. US DOJ NCJ-172871.
ADAM. Washington, DC: National Institute of Justice; 1999.
Vlahov DT, Brewer F, Castro KG, et al. Prevalence of antibody to HIV-1 among entrants to US correctional facilities.Journal of the American Medical Association. 1991;265(9):1129–1132.
Falkin GP, Prendergast M, Anglin MD. Drug treatment in criminal justice settings.Federal Probation. 1994;58(3):31–36.
Marquart JW, Merianos DE, Hebert JL, et al.. Health conditions and prisoners: a review of research and emerging areas of inquiry.Prison Journal. 1997;77(2):184–208.
McCorkel JA, Butzin CA, Martin S, et al. Use of health services in a sample of drug-involved offenders: a comparison with national norms.American Behavioral Scientist. 1998;41(8):1079–1090.
Chitwood DD, McBride DC, French MT, et al. Health care need and utilization: a preliminary comparison of injection drug users, other illicit drug users, and non-users.Substance Use and Misuse. 1999;3(4&5):727–746.
Leukefeld CG, Logan TK, Martin SS, et al. A health services use framework for drug abusing offenders.American Behavioral Scientist. 1998;41(8):1123–1135.
Horowitz E. Hepatitis C: current concepts by the California Department of Corrections. Presented at the National Conference on Correctional Health Care Meeting; November 1999; Fort Lauderdale, FL.
Conklin TJ, Lincoln T, Tuthill RW. Self-reported health and prior health behaviors of newly admitted correctional inmates.American Journal of Public Health. 2000;90:1939–1941.
Bureau of Justice Statistics.Mental Health and Treatment of Inmates and Probationers. Washington, DC: US Dept of Justice; 1999. US DOJ NCJ-174463.
Brien PM.HIV in Prisons and Jails. Washington, DC: US Dept of Justice, Bureau of Justice Statistics; 1995. US DOJ NCJ-152765.
Braithwaite RL, Hammett TM, Mayberry RM.Prisons and AIDS: A Public Health Challenge. San Francisco: Jossey-Bass; 1996.
Hammett TM, Harmon P, Maruschak LM.1996–1997 Update: HIV/AIDS, STDs, and TB in Correctional Facilities. Washington, DC: US Dept of Justice; 1999. US DOJ NCJ-176344.
Farabee D, Leukefeld CG. HIV and AIDS prevention strategies in the criminal justice system. In: Leukefeld CG, Tims F, Farabee D, eds..Treatment of Drug Offenders. New York: Springer; 2002:172–185.
McLellan AT, Luborsky L, Woody GE, et al. An improved diagnostic evaluation instrument for substance abuse patients: the Addiction Severity Index.The Journal of Nervous and Mental Disease. 1980;168:26–33.
Brown B, Beschner G.Handbook on Risk of AIDS: Injection Drug Users and Sexual Partners. Westport, CT: Greenwood Press; 1993.
Dorman A, O'Connor A, Hardiman E, et al. Psychiatric morbidity in sentenced segregated HIV-positive prisoners.British Journal of Psychiatry. 1993;163:802–805.
Edlin BR, Irwin K, Ludwig D, et al. High-risk sex behavior among young street-recruited crack cocaine smokers in three American cities: an interim report.Journal of Psychoactive Drugs. 1992;24(4):363–371.
Marx R, Aral S, Rolfs R, et al. Crack, sex and STD.Sexually Transmitted Diseases. 1991;18(2):92–101.
Logan TK, Leukefeld TK. HIV risk behavior among bisexual and heterosexual drug users.Journal of Psychoactive Drugs. 2000;32(3):293–248.
Farabee D, Leukefeld CG, Hays L. Accessing drug abuse treatment: perceptions of out-of-treatment injectors.Journal of Drug Issues. 1998;28(2):381–394.
Inciardi J. HIV reduction and service delivery strategies in criminal justice settings.Journal of Substance Abuse Treatment. 1996;13(5):421–428.
Magura S, Kang S, Shapiro JL. Outcomes of intensive AIDS education for male adolescent drug users in jail.Journal of Adolescent Health. 1994;15(6):457–463.
Grinstead O, Zack B, Faigeles B. Collaborative research to prevent HIV among male prison inmates and their female partners.Health Education and Behavior. 1999;26(2):225–238.
Leukefeld CG, Godlaski T, Clark J, Brown C, Hays L.Behavioral Therapy for Rural Substance Abusers. Lexington, KY: The University Press of Kentucky; 2000.
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Leukefeld, C.G., Staton, M., Hiller, M.L. et al. A descriptive profile of health problems, health services utilization, and HIV serostatus among incarcerated male drug abusers. The Journal of Behavioral Health Services & Research 29, 167–175 (2002). https://doi.org/10.1007/BF02287703
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DOI: https://doi.org/10.1007/BF02287703