MetroHealth Medical Center, 2500 MetroHealth Dr. C-2001, Cleveland, OH, 44109, USA,
AIDS Behav. 2013 Oct;17 Suppl 2:S137-44. doi: 10.1007/s10461-012-0320-0.
Linkage, engagement, retention and adherence to care are necessary steps along the HIV care continuum. Progression through these steps is essential for control of the disease and interruption of transmission. Identifying and re-engaging previously diagnosed but out-of-care patients is a priority to achieve the goals of the National HIV/AIDS strategy. Participants in the EnhanceLink cohort who were previously diagnosed HIV+ (n = 1,203) were classified as not-linked to of care and non-adherent to medication prior to incarceration by self report. Results based on multivariate models indicate that recent homelessness as well as high degrees of substance abuse correlated with those classified as not-linked to care and non-adherent to medications while having insurance was associated with being linked to care and adherent to care. The majority of detainees reported being linked to care but not currently adherent to care confirming that jails are an important site for re-engaging HIV+ individuals.
HIV 关怀连续体中需要进行的必要步骤包括：关联、参与、保留和坚持护理。通过这些步骤取得进展，对于控制疾病和中断传播至关重要。发现和重新参与之前已诊断但脱离护理的患者是实现国家 HIV/AIDS 战略目标的优先事项。通过自我报告，在 EnhanceLink 队列中，之前被诊断为 HIV+的参与者（n = 1,203）被归类为在入狱前与护理脱钩和不遵医嘱。基于多变量模型的结果表明，最近无家可归以及高度滥用药物与那些被归类为与护理脱钩和不遵医嘱的人相关，而有保险则与与护理关联和坚持护理相关。大多数被拘留者报告说与护理有关，但目前不遵医嘱，这证实了监狱是重新接触 HIV+个体的重要场所。
