A novel use of HIV surveillance and court data to understand and improve care among a population of people with HIV experiencing criminal charges in North Carolina 2017-2020.

ABSTRACT:

Objectives

To enumerate and describe the population of people with HIV (PWH) with criminal charges and to estimate associations between charges and HIV outcomes. We hypothesized that being charged in the court system will be associated with declines in viral suppression.

Methods

We linked statewide North Carolina (NC) criminal court records to confidential HIV records (both 2017-2020) to identify a population of defendants with diagnosed HIV. We used generalized estimating equations to examine changes in viral suppression (outcome) in the time 12-month periods pre- and post-criminal charges (exposure), adjusting for other demographic and legal system factors.

Results

9,534 PWH experienced criminal charges. Compared to others with charges, PWH were more likely to be ma

SUBMITTER: Arant EC 

PROVIDER: S-EPMC11949325 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature