Khawcharoenporn Thana, Zawitz Chad, Young Jeremy D, Kessler Harold A
Section of Infectious Diseases, Department of Medicine, Rush University Medical Center, Chicago, IL 60612, USA.
J Correct Health Care. 2013 Jan;19(1):36-42. doi: 10.1177/1078345812458246. Epub 2012 Sep 27.
This article describes a retrospective cohort study of HIV-infected jail detainees cared for at the Cook County Jail Clinic (CCJC), Illinois, between January and June 2007. Continuity care engagement (CCE) was defined as being seen at least once within 6 months after release at the designated continuity clinics. Being highly active antiretroviral therapy (HAART) naïve during or prior to detention, no prior HIV care, and detectable viral load at initial CCJC visit were associated with continuity care nonengagement (CCNE), while being HAART naïve during detention was the only independent predictor for CCNE. Identification of at-risk detainees and interventions based on these findings should be considered to improve CCE in this population.
本文描述了一项针对2007年1月至6月期间在伊利诺伊州库克县监狱诊所（CCJC）接受治疗的HIV感染在押人员的回顾性队列研究。连续性护理参与（CCE）的定义为在释放后的6个月内在指定的连续性诊所至少就诊一次。在拘留期间或之前未接受过高效抗逆转录病毒治疗（HAART）、之前未接受过HIV护理以及在CCJC初次就诊时病毒载量可检测到与连续性护理未参与（CCNE）相关，而在拘留期间未接受过HAART是CCNE的唯一独立预测因素。应考虑识别有风险的在押人员并根据这些发现进行干预，以改善该人群的CCE。
