Prevention and Treatment of HIV/AIDS Among Drug-Using Populations: A Global Perspective

Lambert, Elizabeth; Normand, Jacques; Volkow, Nora D.

doi:10.1097/qai.0b013e3181f9c120

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…Expanded HIV testing and treatment in the criminal justice system are now recognized as necessary components of the “seek, test, and treat” strategy to control the HIV epidemic. 14 These rapid HIV testing programs serve as models for the development, implementation, and expansion of routine opt-out HIV testing among incarcerated populations.…”

Section: Next Stepsmentioning

confidence: 99%

Rapid HIV Testing in Large Urban Jails

Beckwith

Nunn²,

Baucom³

et al. 2012

Am J Public Health

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HIV prevalence is higher in jails than in the community, yet many jails do not conduct HIV testing. Jails in Baltimore, Maryland; Philadelphia, Pennsylvania; and the District of Columbia have implemented innovative rapid HIV testing programs. We have summarized the results of these programs, including the numbers of persons tested, rapid and confirmatory HIV test results, and numbers of persons newly diagnosed with HIV. We have described facilitators and challenges of implementation. These programs confirmed that rapid HIV testing in jails was feasible and identified undiagnosed HIV infection. Challenges included limited space to provide confidential rapid HIV testing and rapid turnover of detainees. Implementation required collaboration between local governments, health agencies, and correctional institutions. These programs serve as models for expanding rapid HIV testing in jails.

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Section: Next Stepsmentioning

confidence: 99%

Rapid HIV Testing in Large Urban Jails

Beckwith

Nunn²,

Baucom³

et al. 2012

Am J Public Health

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“…Incarcerated populations are known to have a several-fold elevated HIV prevalence compared with the general population [1, 2] and, consequently, are recognized as a key population to target for HIV screening and risk reduction interventions [3–7]. Even within incarcerated groups, however, as with other populations with elevated rates of HIV, risks vary among individuals due to variation in their specific behaviors and their degree of exposure to others infected with HIV [8–11].…”

Section: Introductionmentioning

confidence: 99%

Great Expectations: HIV Risk Behaviors and Misperceptions of Low HIV Risk among Incarcerated Men

et al. 2017

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Incarcerated populations have relatively high HIV prevalence but little has been reported about their aggregate HIV risk behaviors or perceptions of risk. A random selection of HIV-negative men (n = 855) entering a US state prison system were surveyed to assess five risk behaviors and his self-perceived HIV risk. Using multivariate logistic regression, we identified factors associated with having elevated actual but low perceived risk (EALPR). Of the 826 men with complete data, 88% were at elevated risk. While 64% of the sample had risk perceptions concordant with their actual risk, 14% had EALPR (with the remainder at low actual but high perceived risk). EALPR rates were lower in those with a pre-incarceration HIV test but higher for those with a negative prison entry HIV test. HIV testing counseling should assess for discordance between actual and perceived risk and communicate the continued risk of HIV despite a negative result.

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“…The significant differences in off-site HIV and HCV testing between methadone maintenance and drug-free treatment units within our sample suggest the need for increased attention to the provision of these services by drug-free treatment units. In recent years, disease transmission attributable to risky sexual behaviours among drug users has increased, while transmission due to unsafe injection practices have stabilized (Des Jarlais et al, 2007; Lambert, Normand, & Volkow, 2010). This trend suggests the importance of increased prevention and outreach efforts by both drug-free and methadone maintenance-treatment units, as these disease epidemics are not limited to IDUs.…”

Section: Discussionmentioning

confidence: 99%

How outpatient substance abuse treatment unit director activities may affect provision of community outreach services

Chuang

Wells

Alexander

et al. 2012

Drugs: Education, Prevention and Policy

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Aims Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services, including the level of outreach provided to the community. The current study examines how directors’ interactions with external stakeholders affect substance abuse treatment units’ provision of community outreach services. Methods Cross-sectional logistic and Poisson regression analyses were conducted on a national sample of US outpatient substance abuse treatment units (N = 547). Results Findings suggest that the amount of time directors spent with licensing and monitoring associations was associated with provision of a greater number of community outreach services, while time spent with professional and occupational associations was associated with provision of off-site human immunodeficiency virus and hepatitis C testing. Several other director attributes and organizational characteristics also emerged as significant. Conclusions External stakeholders with whom substance abuse treatment directors interact may influence community outreach through their effects on treatment directors’ strategic priorities. Implications for policy and prevention efforts are discussed.

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Prevention and Treatment of HIV/AIDS Among Drug-Using Populations: A Global Perspective

Cited by 6 publications

References 17 publications

Rapid HIV Testing in Large Urban Jails

Rapid HIV Testing in Large Urban Jails

Great Expectations: HIV Risk Behaviors and Misperceptions of Low HIV Risk among Incarcerated Men

How outpatient substance abuse treatment unit director activities may affect provision of community outreach services

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