University of Illinois at Chicago School of Public Health, 1603 West Taylor Street, M/C 923, Chicago, IL, 60612, USA,
AIDS Behav. 2013 Oct;17 Suppl 2(0 2):S195-202. doi: 10.1007/s10461-012-0391-y.
Women represent a significant and growing segment of jail detainees and persons living with HIV. This paper examines gender differences in health status, care and social service needs, and care engagement among jail releasees with HIV. Data are from 1,270 participants in the HRSA-funded Enhancing Linkages to HIV Primary Care and Social Services multisite demonstration project (EnhanceLink). Compared to men, more women reported homelessness, reduced adherence to prescribed ART, worse health, more severe substance use disorders, and more chronic health conditions. Men and women generally reported different needs post-release. As the number of expressed needs increased, women were more likely to drop out of care. Our findings suggest that effective and gender-specific strategies are required to identify needs, link services between jails and communities, and sustain retention of women with HIV in programs after release from criminal justice settings.
女性在监狱被拘留者和艾滋病毒感染者中占相当大且不断增长的比例。本文研究了艾滋病毒释放者中健康状况、护理和社会服务需求以及护理参与方面的性别差异。数据来自于卫生与公众服务部资助的增强艾滋病毒初级保健和社会服务联系多地点示范项目（EnhanceLink）的 1270 名参与者。与男性相比，更多的女性报告无家可归、减少了对规定 ART 的依从性、健康状况更差、更严重的物质使用障碍以及更多的慢性健康状况。男性和女性通常在释放后报告不同的需求。随着表达需求的增加，女性更有可能退出护理。我们的研究结果表明，需要制定有效和具体针对性别的策略，以确定需求，在监狱和社区之间建立服务联系，并在从刑事司法环境释放后，维持艾滋病毒女性感染者在项目中的保留率。
