Planning for success predicts virus suppressed: results of a non-controlled, observational study of factors associated with viral suppression among HIV-positive persons following jail release.
In the United States, jail frequently disrupts access to HIV care. EnhanceLink, a 10-site demonstration project promoting linkage to HIV primary care upon jail discharge, offered an opportunity to gauge how many releasees had favorable clinical outcomes. Individual level data were available on 1270 participants. Persons never discharged from the correctional environment were excluded. Multivariate logistic regression identified factors associated with viral suppression 6 months post discharge (6M-VL < 400). Among 1082 individuals eligible for follow-up evaluation, 25.7 % had 6M-VL < 400. 6M-VL < 400 was associated with case managers assessing whether help was needed for linkage to HIV-related medical services and clients keeping an appointment with a case manager. The adjusted odds ratio (aOR) of 6M-VL < 400 associated with attending a meeting with an HIV care provider within 30 days of release was 1.85. The results of this non-controlled, observational study support further development and rigorous evaluation of transitional care programs for HIV-positive jailed persons across the country.
Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA, aspauld@emory.edu.
Anne C
AC
Spaulding
Lauren C
LC
Messina
Bryan I
BI
Kim
Koo-Whang
KW
Chung
Thomas
T
Lincoln
Paul
P
Teixeira
Ann K
AK
Avery
Marc
M
Cunningham
Matthew S
MS
Stein
Divya
D
Ahuja
Timothy P
TP
Flanigan
D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D018791:CD4 Lymphocyte Count; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000188:drug therapy* / Q000821:virology*; D006296:Health Services / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010351:Patient Discharge; D011159:Population Surveillance; D011329:Prisoners; D011330:Prisons; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States; D019562:Viral Load / Q000187:drug effects*
D044966:Anti-Retroviral Agents