Human immunodeficiency virus in correctional facilities: a review.
It is estimated that up to one-fourth of the people living with human immunodeficiency virus (HIV) infection in the United States pass through a correctional facility each year. The majority of persons who enter a correctional facility today will return home in the near future. Most inmates with HIV infection acquire it in the outside community; prison does not seem to be an amplifying reservoir. How correctional health services deal with the HIV-infected person has important implications to the overall care of HIV-infected people in the community. Routine HIV testing is well accepted. Combination antiretroviral therapy has been associated with a reduction in mortality in prisons. A link between area HIV specialists and correctional health care providers is an important partnership for ensuring that HIV-infected patients have optimal care both inside prison and after release.
Division of Infectious Disease, Brown University, Providence, RI, USA. Aspaulding@cdc.gov
Anne
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Spaulding
Becky
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Stephenson
Grace
G
Macalino
William
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Ruby
Jennifer G
JG
Clarke
Timothy P
TP
Flanigan
D003153:Community Health Services; D004359:Drug Therapy, Combination; D006678:HIV; D015658:HIV Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000821:virology; D006801:Humans; D011329:Prisoners; D011330:Prisons