Predictors of linkage to HIV care and viral suppression after release from jails and prisons: a retrospective cohort study.

ABSTRACT:

Background

Incarceration provides an opportunity for engagement in HIV care but is associated with poor HIV treatment outcomes after release. We aimed to assess post-release linkage to HIV care (LTC) and the effect of transitional case management services.

Methods

To create a retrospective cohort of all adults with HIV released from jails and prisons in Connecticut, USA (2007-14), we linked administrative custody and pharmacy databases with mandatory HIV/AIDS surveillance monitoring and case management data. We examined time to LTC (defined as first viral load measurement after release) and viral suppression at LTC. We used generalised estimating equations to show predictors of LTC within 14 days and 30 days of release.

Findings

Among 3302 incarceration periods for 13

SUBMITTER: Loeliger KB 

PROVIDER: S-EPMC5807129 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature