Eastment McKenna C, Toren Katelynne Gardner, Strick Lara, Buskin Susan E, Golden Matthew R, Dombrowski Julia C
McKenna C. Eastment, Lara Strick, Matthew R. Golden, and Julia C. Dombrowski are with the Department of Medicine, University of Washington, Seattle. Katelynne Gardner Toren and Susan E. Buskin are with Seattle-King County Public Health, Seattle.
Am J Public Health. 2017 May;107(5):717-723. doi: 10.2105/AJPH.2017.303668. Epub 2017 Mar 21.
To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington.
Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release.
In 2014, 202 PLWHA were incarcerated, 51% of whom were virally nonsuppressed at booking. This population represented approximately 3% of all HIV-diagnosed persons and 7% of virally nonsuppressed persons in King County. Within a year of release, 62% were virally suppressed, compared with 79% of the general HIV-diagnosed population in King County.
Incarcerated PLWHA are disproportionately virally nonsuppressed compared with nonincarcerated PLWHA up to a year after release from jail. Public Health Implications. Coordination of health information exchange between the health department and jails could enhance public health efforts to improve the HIV care continuum.
研究2014年在华盛顿州金县两座县监狱首次被监禁的艾滋病毒/艾滋病感染者（PLWHA）的人口情况及艾滋病毒护理结果。
利用与监狱登记数据相关联的艾滋病毒监测数据，我们研究了监狱登记前、监禁期间以及出狱后一年的人口统计学信息、病毒载量、CD4细胞计数和监禁细节。
2014年，202名艾滋病毒/艾滋病感染者被监禁，其中51%在登记时病毒未得到抑制。该人群约占金县所有艾滋病毒确诊者的3%，病毒未得到抑制者的7%。在出狱一年内，62%的人病毒得到抑制，而金县一般艾滋病毒确诊人群的这一比例为79%。
与出狱后长达一年的非监禁艾滋病毒/艾滋病感染者相比，被监禁的艾滋病毒/艾滋病感染者病毒未得到抑制的比例过高。对公共卫生的影响。卫生部门与监狱之间的健康信息交换协调可以加强改善艾滋病毒护理连续过程的公共卫生工作。
