Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Department of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
AIDS Behav. 2019 Sep;23(9):2549-2557. doi: 10.1007/s10461-019-02437-4.
Antiretroviral therapy is successfully administered to people living with HIV while they are incarcerated in most US prison systems, but interruptions in treatment are common after people are released. We undertook an observational cohort study designed to examine the clinical and psychosocial factors that influence linkage to HIV care and viral suppression after release from a single state prison system. In this report we describe baseline characteristics and 6-month post-incarceration HIV care outcomes for 170 individuals in Wisconsin. Overall, 114 (67%) individuals were linked to outpatient HIV care within 180 days of release from prison, and of these, 90 (79%) were observed to have HIV viral suppression when evaluated in the community. The strongest predictor of linkage to care in this study was participation in a patient navigation program: Those who received patient navigation were linked to care 84% of the time, compared to 60% of the individuals who received only standard release planning (adjusted OR 3.69, 95% CI 1.24, 10.96; P < 0.01). Findings from this study demonstrate that building and maintaining intensive patient navigation programs that support individuals releasing from prison is beneficial for improving transitions in HIV care.
抗逆转录病毒疗法在大多数美国监狱系统中成功地用于治疗监禁中的艾滋病毒感染者，但在这些人获释后，治疗经常中断。我们进行了一项观察性队列研究，旨在研究影响从单一州监狱系统获释后与艾滋病毒护理和病毒抑制相关联的临床和社会心理因素。在本报告中，我们描述了威斯康星州 170 名个体的基线特征和监禁后 6 个月的艾滋病毒护理结果。总体而言，有 114 人（67%）在出狱后 180 天内与门诊艾滋病毒护理建立了联系，其中 90 人（79%）在社区评估时观察到艾滋病毒病毒得到抑制。在这项研究中，与护理建立联系的最强预测因素是参与患者导航计划：接受患者导航的人中有 84%的人建立了联系，而仅接受标准释放计划的人中有 60%的人建立了联系（调整后的 OR 3.69，95%CI 1.24，10.96；P<0.01）。这项研究的结果表明，建立和维持支持从监狱获释的个人的强化患者导航计划有助于改善艾滋病毒护理的过渡。
