Sonoma County Probation Department, Santa Rosa, California, USA.
Uplift Family Services, Campbell, California, USA.
J Correct Health Care. 2023 Apr;29(2):156-162. doi: 10.1089/jchc.20.05.0032. Epub 2023 Feb 20.
Incorporating routine opt-out HIV testing in correctional settings is a critical component of an effective strategy to end the HIV/AIDS epidemic. Between 2012 and 2017, Alameda County jails implemented opt-out HIV testing to identify new cases, link those who were newly diagnosed to care, and reengage those who were previously diagnosed but not in care. Over a 6-year period, 15,906 tests were conducted, with a positivity rate of 0.55% for both newly diagnosed cases and previously diagnosed but out of care. Nearly 80% of those who tested positive were linked to care within 90 days. The high positivity and successful linkage and reengagement with care underscores the need to support HIV testing programs in correctional settings.
在惩教环境中纳入常规的选择退出式 HIV 检测是终结艾滋病毒/艾滋病流行的有效策略的重要组成部分。2012 年至 2017 年间，阿拉米达县监狱实施了选择退出式 HIV 检测，以发现新病例，将新诊断的病例与护理联系起来，并重新接触以前诊断但未接受护理的病例。在六年期间，进行了 15906 次检测，新诊断病例和以前诊断但不在护理中的病例的阳性率均为 0.55%。近 80%的检测呈阳性者在 90 天内被联系到护理。高阳性率和成功的联系以及重新参与护理突显了支持惩教环境中的 HIV 检测计划的必要性。
