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- Title
Jail Booking as an Occasion for HIV Care Reengagement: A Surveillance-Based Study.
- Authors
Eastment, McKenna C.; Toren, Katelynne Gardner; Strick, Lara; Buskin, Susan E.; Golden, Matthew R.; Dombrowski, Julia C.
- Abstract
Objectives. To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. Methods. Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. Results. In 2014, 202PLWHAwere incarcerated, 51%ofwhomwere virally nonsuppressed at booking. This population represented approximately 3%of all HIV-diagnosed persons and 7%of virally nonsuppressed persons inKing County. Within a year of release, 62%were virally suppressed, compared with 79% of the general HIV-diagnosed population in King County. Conclusions. Incarcerated PLWHA are disproportionately virally nonsuppressed compared with nonincarcerated PLWHA up to a year after release from jail. Public Health Implications. Coordination of health information exchange between the health department and jails could enhance public health efforts to improve the HIV care continuum.
- Subjects
KING County (Wash.); UNITED States; JAILS; HIV-positive persons; PUBLIC health surveillance; AIDS patients; VIRAL load; CRIMINAL records; IMPRISONMENT; MEDICAL care; HIV infections; MEDICAL quality control; PRISON psychology; TREATMENT effectiveness; CD4 lymphocyte count
- Publication
American Journal of Public Health, 2017, Vol 107, Issue 5, p717
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2017.303668