HIV prevention services in correctional drug treatment programs: do they change risk behaviors?
This study evaluated receipt of HIV prevention services in correctional substance abuse treatment programs and examined their impact on short-term risk behaviors. The authors performed a secondary analysis of the National Treatment Improvement Evaluation Study (NTIES), a prospective cohort study conducted during 1993 to 1995. The sample included 1,223 adult non-HIV-positive inmates, enrolled in nine correctional substance abuse treatment programs. A composite index modeled after the validated Risk Assessment Battery measured HIV risk behavior at treatment entry and at 12-month follow-up. Overall, most inmates received HIV prevention services while in treatment. Controlling for potential confounders, HIV prevention services were significantly associated with reduced risk behavior among inmates who were out of custody at follow-up, but no such association was observed among those still in custody. This analysis suggests that HIV prevention services are beneficial in reducing risk behavior among incarcerated individuals whose discharge is expected in the near future.
Lubelczyk
Rebecca A Ballard
RA
Department of Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence, USA. Rebecca@Lubelczyk.com
Friedmann
Peter D
PD
Lemon
Stephenie C
SC
Stein
Michael D
MD
Gerstein
Dean R
DR
D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000150:complications / Q000517:prevention & control*; D006302:Health Services Research; D006801:Humans; D008297:Male; D016485:Needle Sharing / Q000523:psychology / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000592:standards*; D011329:Prisoners / Q000523:psychology*; D015397:Program Evaluation; D011446:Prospective Studies; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000150:complications / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D014481:United States