title: Correlates of retention in HIV care after release from jail: results from a multi-site study.
abstract: Retention in care is key to effective HIV treatment, but half of PLWHA in the US are continuously engaged in care. Incarcerated individuals are an especially challenging population to retain, and empiric data specific to jail detainees is lacking. We prospectively evaluated correlates of retention in care for 867 HIV-infected jail detainees enrolled in a 10-site demonstration project. Sustained retention in care was defined as having a clinic visit during each quarter in the 6 month post-release period. The following were independently associated with retention: being male (AOR = 2.10, p ≤ 0.01), heroin use (AOR 1.49, p = 0.04), having an HIV provider (AOR 1.67, p = 0.02), and receipt of services: discharge planning (AOR 1.50, p = 0.02) and disease management session (AOR 2.25, p ≤ 0.01) during incarceration; needs assessment (AOR 1.59, p = 0.02), HIV education (AOR 2.03, p ≤ 0.01), and transportation assistance (AOR 1.54, p = 0.02) after release. Provision of education and case management services improve retention in HIV care after release from jail.
authors.affiliation: AIDS Program, Yale University School of Medicine, 135 College Street, Suite 323, New Haven, CT, 06510, USA, amy.althoff@yale.edu.
authors.forename: Amy L
authors.initials: AL
authors.lastname: Althoff
authors.forename: Alexei
authors.initials: A
authors.lastname: Zelenev
authors.forename: Jaimie P
authors.initials: JP
authors.lastname: Meyer
authors.forename: Jeannia
authors.initials: J
authors.lastname: Fu
authors.forename: Shan-Estelle
authors.initials: SE
authors.lastname: Brown
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Vagenas
authors.forename: Ann K
authors.initials: AK
authors.lastname: Avery
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Cruzado-Quiñones
authors.forename: Anne C
authors.initials: AC
authors.lastname: Spaulding
authors.forename: Frederick L
authors.initials: FL
authors.lastname: Altice
mesh_terms: D000328:Adult; D019090:Case Management / Q000458:organization & administration; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000628:therapy*; D006296:Health Services / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010351:Patient Discharge; D011329:Prisoners / Q000523:psychology*; D011330:Prisons / Q000458:organization & administration*; D011446:Prospective Studies; D055502:Secondary Prevention; D012944:Social Support; D012947:Social Work / Q000458:organization & administration; D012959:Socioeconomic Factors; D055815:Young Adult