Health status, sexual and drug risk, and psychosocial factors relevant to postrelease planning for HIV+ prisoners.
The prevalence of HIV infection among male prison inmates is significantly higher than in the U.S. population. Adequate planning to ensure continued medication adherence and continuity of care after release is important for this population. This study describes the prerelease characteristics of 162 incarcerated HIV-positive men (40 from jails and 122 from prisons). The results include a demographic description of the sample and the participants' sexual risk behaviors, substance use, health status and HIV medication adherence, health care utilization, mental health, and family and social support. The results highlight a potentially high level of need for services and low levels of support and social connectedness. Postrelease planning should include support for improving HIV medication adherence as well as reducing both sexual and injection drug-related transmission risk for these individuals.
1Department of Public Health Sciences, University of Miami, Miami, FL, USA.
Daniel J
DJ
Feaster
Olga Grinstead
OG
Reznick
Barry
B
Zack
Kathleen
K
McCartney
Steven E
SE
Gregorich
Ahnalee M
AM
Brincks
D000328:Adult; D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D001521:Behavior Therapy; D003266:Continuity of Patient Care / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D006296:Health Services / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data; D008875:Middle Aged; D011329:Prisoners / Q000523:psychology* / Q000706:statistics & numerical data*; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D016903:Drug Monitoring
D044966:Anti-Retroviral Agents
HIV; family; incarceration; medication adherence; sexual risk