Department of Community Health, School of Community and Rural Health, The University of Texas Health Science Center at Tyler, 11937 US Hwy 271, Tyler, TX, 75708, USA.
Department of Population and Data Sciences, University of Texas Southwestern Medical Center, Dallas, TX, USA.
AIDS Behav. 2020 Aug;24(8):2430-2441. doi: 10.1007/s10461-020-02803-7.
Using a retrospective cohort analysis of inmates released from Dallas County Jail between January 2011 and November 2013, this study characterizes people living with HIV/AIDS (PLWHA) who are lost to care after release from jail. We used Kaplan-Meier analysis to estimate the risk of becoming lost to post-release HIV care and a Cox proportional hazards regression model to identify associated factors. The majority of individuals (78.2%) were men and 65.5% were black. Of the incarcerations that ended with release to the community, approximately 43% failed to link to community HIV care. Non-Hispanic Whites were more likely than Hispanics or Blacks to drop out of care after release. Individuals with histories of substance use or severe mental illness were more likely to become lost, while those under HIV care prior to incarceration and/or who had adhered to antiretroviral therapy (ART) were more likely to resume care upon release. Targeted efforts such as rapid linkage to care and re-entry residence programs could encourage formerly incarcerated individuals to re-engage in care.
本研究通过对 2011 年 1 月至 2013 年 11 月间从达拉斯县监狱获释的囚犯进行回顾性队列分析，描述了在出狱后失去护理的艾滋病毒/艾滋病感染者（PLWHA）。我们使用 Kaplan-Meier 分析来估计失去出狱后 HIV 护理的风险，并使用 Cox 比例风险回归模型来确定相关因素。大多数（78.2%）参与者为男性，65.5%为黑人。在以释放到社区结束的监禁中，约有 43%的人未能与社区 HIV 护理建立联系。非西班牙裔白人比西班牙裔或黑人更有可能在出狱后退出护理。有药物使用或严重精神病史的个体更有可能失去联系，而那些在入狱前接受 HIV 护理和/或坚持抗逆转录病毒治疗（ART）的个体更有可能在出狱后恢复护理。快速链接护理和重新进入居住计划等有针对性的努力可以鼓励以前被监禁的个体重新参与护理。
