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- Title
Gender Disparities in HIV Treatment Outcomes Following Release From Jail: Results From a Multicenter Study.
- Authors
Meyer, Jaimie P.; Zelenev, Alexei; Wickersham, Jeffrey A.; Williams, Chyvette T.; Teixeira, Paul A.; Altice, Frederick L.
- Abstract
Objectives. We assessed gender differences in longitudinal HIV treatment outcomes among HIV-infected jail detainees transitioning to the community. Methods. Data were from the largest multisite prospective cohort study of HIV-infected released jail detainees (n = 1270)-the Enhancing Linkages to HIV Primary Care and Services in Jail Setting Initiative, January 2008 and March 2011, which had 10 sites in 9 states. We assessed baseline and 6-month HIV treatment outcomes, stratifying by gender. Results. Of 867 evaluable participants, 277 (31.9%) were women. Compared with men, women were more likely to be younger, non-Hispanic White, married, homeless, and depressed, but were similar in recent alcohol and heroin use. By 6 months postrelease, women were significantly less likely than men to experience optimal HIV treatment outcomes, including (1) retention in care (50% vs 63%), (2) antiretroviral therapy prescription (39% vs 58%) or optimal antiretroviral therapy adherence (28% vs 44%), and (3) viral suppression (18% vs 30%). In multiple logistic regression models, women were half as likely as men to achieve viral suppression. Conclusions. HIV-infected women transitioning from jail experience greater comorbidity and worse HIV treatment outcomes than men. Future interventions that transition people from jail to community-based HIV clinical care should be gender-specific.
- Subjects
UNITED States; THERAPEUTICS; HIV infections; HISTORY of criminals; ANTIRETROVIRAL agents; RESEARCH; AGE distribution; COMPARATIVE studies; CONFIDENCE intervals; CONTINUUM of care; MENTAL depression; EPIDEMIOLOGY; HEALTH services accessibility; HEALTH status indicators; HOMELESSNESS; LONGITUDINAL method; MARITAL status; MEDICAL cooperation; HEALTH outcome assessment; PATIENT compliance; RACE; RESEARCH funding; SEX distribution; COMORBIDITY; DATA analysis; VIRAL load; MULTIPLE regression analysis; TREATMENT effectiveness; REPEATED measures design; STATISTICAL models; DESCRIPTIVE statistics
- Publication
American Journal of Public Health, 2014, Vol 104, Issue 3, p434
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301553