Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA,
AIDS Behav. 2013 Oct;17 Suppl 2:S100-7. doi: 10.1007/s10461-012-0339-2.
Over 9 million persons in the United States (US) are admitted each year to jails. HIV prevalence among detainees is higher than the general population, which creates a public health need for linking HIV-infected detainees to services during jail and after release. The EnhanceLink initiative was funded as demonstration projects in 10 communities at 20 separate jails across the US. Grantees implemented and evaluated innovative models of HIV testing in jails and linkage of HIV-infected individuals to community services post release. In this paper, we describe services delivered with the EnhanceLink initiative. During 877,119 admission events, 210,267 inmates agreed to HIV testing and 822 new diagnoses of HIV were made. The majority of persons served with transitional services were previously diagnosed before the current incarceration. Cumulatively, 9,837 HIV+ persons were offered linkage and transitional services and 8,056 (82 %) accepted the offer. EnhanceLink demonstrated the feasibility of HIV testing in jail settings and provision of linkage services to enhance continuity of HIV care post-release.
超过 900 万的美国人（美国）每年被关押在监狱里。在被拘留者中艾滋病毒的流行率高于一般人群，这就需要在监狱中和释放后为感染艾滋病毒的被拘留者提供服务，以满足公共卫生的需要。EnhanceLink 倡议是作为美国 10 个社区和 20 个不同监狱的示范项目资助的。受赠方在监狱中实施和评估了艾滋病毒检测和艾滋病毒感染者在释放后与社区服务联系的创新模式。在本文中，我们描述了 EnhanceLink 倡议提供的服务。在 877119 次入院事件中，有 210267 名囚犯同意接受艾滋病毒检测，发现了 822 例新的艾滋病毒感染病例。接受过渡服务的大多数人在目前被监禁之前就已经被诊断出患有艾滋病。累计有 9837 名艾滋病毒阳性者被提供联系和过渡服务，有 8056 人（82%）接受了这项服务。EnhanceLink 证明了在监狱环境中进行艾滋病毒检测以及提供联系服务以加强艾滋病毒护理的延续性的可行性。
