Correlates of Retention in HIV Care After Release from Jail: Results from a Multi-site Study

• Type of Material: Article
• Authors: Amy L. Althoff, Yale University; Alexei Zelenev, Yale University; Jaimie P. Meyer, Yale University; Jeannia Fu, Yale University; Shan-Estelle Brown, Yale University; Panagiotis Vagenas, Yale University; Ann K. Avery, Case Western Reserve University; Jacqueline Cruzado-Quinones, New York City Department of Public Health; Anne Spaulding, Emory University; Frederick L. Altice, Yale University
• Language: English
• Date: 2013-10-01
• Publisher: Springer (part of Springer Nature): Springer Open Choice Hybrid Journals
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2012, Springer Science Business Media New York
• Final Published Version (URL): http://dx.doi.org/10.1007/s10461-012-0372-1
• Title of Journal or Parent Work: AIDS and Behavior
• ISSN: 1090-7165
• Volume: 17
• Issue: SUPPL. 2
• Start Page: 156
• End Page: 170
• Grant/Funding Information: Funding for this research was also provided through career development grants from the National Institute on Drug Abuse (K24 DA017072, FLA and K23 DA033858, JPM), research grants from the National Institute on Alcohol Abuse and Alcoholism (R01 AA018944, FLA), institutional research training grants from the NIMH (T32 MH020031, JPM) and NIAID (T32 AI007517, ALA).; Enhancing Linkages to HIV Primary Care Services Initiative is a HRSA-funded Special Project of National Significance.
• Keywords: ADDICTION SEVERITY INDEX; Adherence; Science & Technology; Public, Environmental & Occupational Health; ACTIVE ANTIRETROVIRAL THERAPY; Jail; HIV/AIDS; INCARCERATION; MEDICAL-CARE; Life Sciences & Biomedicine; WOMEN; Retention in care; BEHAVIORAL-MODEL; Social Sciences, Biomedical; MEN; Biomedical Social Sciences; HIV infection; Secondary prevention; INFECTED PRISONERS; Social Sciences; SEX
• Research Categories: Sociology, Criminology and Penology; Health Sciences, Public Health

Abstract

Retention in care is key to effective HIV treatment, but half of PLWHA in the US are continuously engaged in care. Incarcerated individuals are an especially challenging population to retain, and empiric data specific to jail detainees is lacking. We prospectively evaluated correlates of retention in care for 867 HIV-infected jail detainees enrolled in a 10-site demonstration project. Sustained retention in care was defined as having a clinic visit during each quarter in the 6 month post-release period. The following were independently associated with retention: Being male (AOR = 2.10, p B 0.01), heroin use (AOR 1.49, p = 0.04), having an HIV provider (AOR 1.67, p = 0.02), and receipt of services: Discharge planning (AOR 1.50, p = 0.02) and disease management session (AOR 2.25, p B 0.01) during incarceration; needs assessment (AOR 1.59, p = 0.02), HIV education (AOR 2.03, p B 0.01), and transportation assistance (AOR 1.54, p = 0.02) after release. Provision of education and case management services improve retention in HIV care after release from jail.