“Double burden”: a qualitative study of HIV positive prisoners in Italy

Esposito, Maurizio

doi:10.1108/17449201211268273

Cited by 13 publications

(7 citation statements)

References 17 publications

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“…This finding is consistent with other research on perceptions of quality of life among HIV-infected prisoners showing that detainees experience HIV-related illness during incarceration as a “double burden” (Esposito, 2012), that contributes to a sense of isolation and fatalism. Post-test counseling and HIV peer support were felt to be largely unavailable to participants in this study and could provide an important alternative to the prevailing culture of shame and secrecy.…”

Section: Discussionsupporting

confidence: 92%

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Violence and the perceived risks of taking antiretroviral therapy in US jails and prisons

Culbert

2014

International Journal of Prisoner Health

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Purpose About one in five men living with HIV in the USA passes through a correctional center annually. Jails and prisons are seen therefore as key intervention sites to promote HIV treatment as prevention. Almost no research, however, has examined inmates' perspectives on HIV treatment or their strategies for retaining access to antiretroviral therapy (ART) during incarceration. The purpose of this paper is to describe the results of an exploratory study examining men's perceptions of and experiences with HIV care and ART during incarceration. Design/methodology/approach Semi-structured, in-depth interviews were conducted with 42 HIV positive male and male-to-female transgendered persons recently released from male correctional centers in Illinois, USA. Findings Interpersonal violence, a lack of safety, and perceived threats to privacy were frequently cited barriers to one's willingness and ability to access and adhere to treatment. Over 60 percent of study participants reported missed doses or sustained treatment interruption (greater than two weeks) because of failure to disclose their HIV status, delayed prescribing, intermittent dosing and out-of-stock medications, confiscation of medications, and medication strikes. Research limitations/implications Substantial improvements in ART access and adherence are likely to follow organizational changes that make incarcerated men feel safer, facilitate HIV status disclosure, and better protect the confidentiality of inmates receiving ART. Originality/value This study identified novel causes of ART non-adherence among prisoners and provides first-hand information about how violence, stigma, and the pursuit of social support influence prisoner's decisions to disclose their HIV status or accept ART during incarceration.

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Section: Discussionsupporting

confidence: 92%

“…Yet only a few qualitative studies have explored inmates' beliefs, attitudes, and behaviors related to taking ART inside a CC (Altice et al , 2001; Small et al , 2009; Esposito, 2012). These researchers have warned that violence, a lack of trust, and privacy concerns can impede health service utilization by HIV-infected prisoners.…”

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confidence: 99%

Violence and the perceived risks of taking antiretroviral therapy in US jails and prisons

Culbert

2014

International Journal of Prisoner Health

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“…The care provided to people with HIV/AIDS in prison was addressed by the articles regarding the following themes: HIV prevention,12,19 HIV testing and diagnosis,13-16 HIV treatment, [13][14][15][16] Articulation with health services in addressing HIV. 12,15,18,20 In the HIV prevention theme, it was found that the development of such action within the PU can be an alternative to decrease the number of new cases of detainees infected with the virus, 19 however there are prisons that represent a high-risk environment for the HIV transmission. Another study points to the low referral of detainees to health services for the provision of HIV prevention actions, with emphasis on testing and test results, medical consultation after diagnosis of the virus infection and guidelines on exposure of the virus to partner.…”

Section: Resultsmentioning

confidence: 99%

“…16 Regarding the articulation with health services in the approach to HIV, a study in which 19 prisoners living with HIV were interviewed, highlighted the consequences for prisoners' mental health and quality of life resulting from deprivation of liberty, in relation to health care, and showed that the main complaints were about waiting for care and for exams. 20 Other issues were poor quality of care, quantity and punctuality of specialized services available to detainees and difficulty in accessing medicines. Thus, partnerships between prisons and health services allow consultations with health professionals to ensure continuity of care for detainees.…”

Section: /14mentioning

confidence: 99%

Care to Incarcertaed People With Hiv/Aids: Literature Review

Bossonário

Saita

Andrade

et al. 2020

Texto contexto - enferm.

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Objective: to describe health care provided to people living with HIV/AIDS in the penitentiary system. Method: a narrative review of the literature that considered publications from 2012 to 2017. The bibliographic survey was performed using controlled descriptors and keywords in the LILACS, PubMed, Embase, Cinahl and Scopus databases. Result: a total of 215 studies were retrieved that went through three selection stages, including nine. These were grouped according to the areas: HIV prevention, HIV testing and diagnosis, HIV treatment, and articulation between Health Services in addressing HIV. Conclusion: prisons have the capacity to offer quality health care to persons deprived of their liberty living with HIV, through health promotion and prevention of the HIV virus, as well as early diagnosis and adherence to treatment.

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“…It considers physical and sporting activities intended for prisoners as an essential factor in achieving personal balance and facilitating their reintegration. The practice of physical and sporting activities, simultaneously representing a practice and an instrument of education, contributes towards safeguarding of the health andsocial reintegration of prisoners, be they juveniles or adults, helping them to structure themselves and reassert themselves as individuals(Esposito, 2012;…”

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confidence: 99%

The Right to Physical Activity in Italian Prisons: Critical Considerations on Official Data

Esposito¹

2020

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The article deals with the importance of practicing physical activity and sport in prisons, not only from a health and physical point of view but especially from a social and relational point of view. A prodromal examination of the sense of punishment between a security paradigm and a treatment paradigm opens up the analysis of the sense of practicing physical activity in prison. From a brief description of the main codes and rules in context and of some Memorandum of Understandings at a comparative level, it will then go on to outline the case studies of some social projects conducted in Italian prisons, as an example of good practices in the sector. The official data, provided by Italian Ministry of Justice, referring to the year 2017, show the absolute and relative rates of the participation of prisoners in sports activities, data which show a relatively low participation in them, especially regarding female prisoners. The conclusion attests that sport is not enough: only with the transformation of total institution in a social institution, prison can become the place where prevention strategies can offer the possibility to prevent the prisoner, once released, returns to his community with even greater problems than those who lived before entering the institute, with all possible consequential damages in terms of recidivism and social security.

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“Double burden”: a qualitative study of HIV positive prisoners in Italy

Cited by 13 publications

References 17 publications

Violence and the perceived risks of taking antiretroviral therapy in US jails and prisons

Violence and the perceived risks of taking antiretroviral therapy in US jails and prisons

Care to Incarcertaed People With Hiv/Aids: Literature Review

The Right to Physical Activity in Italian Prisons: Critical Considerations on Official Data

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