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- Title
Rapid HIV Screening in an Urban Jail: How Testing at Exit With Linkage to Community Care Can Address Perceived Barriers.
- Authors
Simonsen, Kari; Shaikh, Raees; Earley, Mary; Foxall, Mark; Boyle, Cole; Islam, K.; Younger, Heather; Sandkovsky, Uriel; Berthold, Elizabeth; Margalit, Ruth; Simonsen, Kari A; Shaikh, Raees A; Islam, K M
- Abstract
Despite recommendations from the CDC, only 36 % of jails offer routine HIV screening to inmates. Our purpose was to explore the feasibility of rapid HIV testing at release from an urban jail, and to identify potential barriers to this process. This project was incorporated into an established partnership between the jail, local academic medical center, and local public health department. We offered rapid HIV testing at the time of release to 507 jail inmates over a 7 week period of 2013. Three hundred and two (60 %) inmates elected testing. All participating inmates received individual test counseling, HIV prevention education, and linkage to care in the community prior to release. All tested inmates received results before release; one inmate screened positive for HIV and was linked to care. Previous HIV testing was the most frequently cited reason given (60 %) among the 205 inmates who declined at the time of the study. Utilizing the partnership between the jail, public health, and an academic medical center, we found that rapid HIV testing at exit was feasible and acceptable in this urban jail setting and could provide immediate linkage to care for those in need.
- Subjects
UNITED States; HIV prevention; DIAGNOSIS of HIV infections; IMPRISONMENT; PRISONERS' health; PUBLIC health; CITIES &; towns; HIV infection epidemiology; COMMUNITY health services; COMMUNITY health services administration; CONTINUUM of care; CORRECTIONAL institutions; PRISONERS; MEDICAL screening; PATIENT education; RESEARCH funding; RISK-taking behavior; HUMAN sexuality; URBAN health; INSTITUTIONAL cooperation; DISEASE prevalence; ANTI-HIV agents; AIDS serodiagnosis; STANDARDS
- Publication
Journal of Primary Prevention, 2015, Vol 36, Issue 6, p427
- ISSN
0278-095X
- Publication type
journal article
- DOI
10.1007/s10935-015-0408-1