Goldhammer Hilary, Dorfman Milo, Kramer Katie, Chavis Nicole S, Psihopaidas Demetrios, Moore Melanie P, Stango Joseph, Myers Janet, Cahill Sean, Mayer Kenneth H, Keuroghlian Alex S
The Fenway Institute, Fenway Health, Boston, Massachusetts, USA.
The Bridging Group, Oakland, California, USA.
Open Forum Infect Dis. 2025 May 12;12(6):ofaf284. doi: 10.1093/ofid/ofaf284. eCollection 2025 Jun.
People with HIV who are reentering the community after incarceration encounter multiple barriers to engagement in HIV care and treatment. We conducted a narrative review of recent interventions (2020-2023) developed to address barriers and improve HIV-related health outcomes for people with HIV and incarceration experience in the United States. This review yielded 6 interventions published in the peer-reviewed literature and 4 interventions from the gray literature (ie, informally published interventions). Eight interventions used the strategy of providing reentry services to support engagement in HIV care and social services after release from incarceration. Of the peer-reviewed studies, only 2 reported statistically significant improvements in HIV-related outcomes. Gray literature interventions lacked the methodological details necessary to interpret findings. Systems-level and multilevel interventions were promising but need more rigorous study. To end the HIV epidemic, more innovation is needed to address barriers to care for people with HIV and incarceration experience.
曾被监禁的艾滋病毒感染者在重新融入社区后，在参与艾滋病毒护理和治疗方面面临多重障碍。我们对2020年至2023年期间为解决美国有监禁经历的艾滋病毒感染者的障碍并改善其艾滋病毒相关健康结果而开展的近期干预措施进行了叙述性综述。该综述产生了6项发表在同行评审文献中的干预措施和4项来自灰色文献（即非正式发表的干预措施）的干预措施。八项干预措施采用了提供重新融入服务的策略，以支持在监禁释放后参与艾滋病毒护理和社会服务。在同行评审研究中，只有2项报告了艾滋病毒相关结果有统计学意义的改善。灰色文献干预措施缺乏解释研究结果所需的方法学细节。系统层面和多层次的干预措施很有前景，但需要更严格的研究。为了终结艾滋病毒流行，需要更多创新来解决有监禁经历的艾滋病毒感染者的护理障碍。
