Undiagnosed HIV Infection Among New York City Jail Entrants, 2006: Results of a Blinded Serosurvey

Begier, Elizabeth; Bennani, Yussef; Forgione, Lisa A.; Punsalang, Amado; Hanna, David B.; Herrera, J.N.; Torian, Lucia V.; Gbur, Maria; Sepkowitz, Kent A.; Parvez, Farah M.

doi:10.1097/qai.0b013e3181c98fa8

Cited by 46 publications

(35 citation statements)

References 9 publications

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“…Delivery of health services is challenging within jails, where the average weekly turnover rate in the US was 66.5% in 2008 5. Given that many of those who cycle through jails and prisons have high rates of addiction, infectious diseases such as HIV, viral hepatitis, and other sexually transmitted infections (STIs), and mental illness,10–16 correctional health programs are an increasingly important public health priority.…”

Section: Healthcare Of Prisonersmentioning

confidence: 99%

Opportunities to Diagnose, Treat, and Prevent HIV in the Criminal Justice System

Beckwith

Zaller

et al. 2010

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Persons involved with the criminal justice system are at risk for HIV and other transmissible diseases due to substance use and related risk behaviors. Incarceration provides a public health opportunity to test for HIV, viral hepatitis, and other sexually transmitted infections, provide treatment such as highly active antiretroviral therapy, and link infected persons to longitudinal comprehensive HIV care upon their release for such comorbidities as addiction and mental illness. Delivering health interventions inside prisons and jails can be challenging, yet the challenges pale in comparison to the benefits of interventions for inmates and their communities. This article reviews the current state of delivering HIV testing, prevention, treatment, and transition services to incarcerated populations in the United States. It concludes with summary recommendations for research and practice to improve the health of inmates and their communities.

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Section: Healthcare Of Prisonersmentioning

confidence: 99%

Opportunities to Diagnose, Treat, and Prevent HIV in the Criminal Justice System

Beckwith

Zaller

et al. 2010

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…A recent analysis of the conventional HIV testing program at the RIDOC demonstrated that an estimated 70–80% of males admitted to the jail completed conventional HIV testing (Beckwith, Rich et al 2010). A recent study that examined rapid HIV testing offered during jail intake in New York City reported that 69% of admissions completed testing (Begier, Bennani et al 2010). The high testing rate observed during this rapid HIV testing program may be attributable to a longstanding culture and commitment to HIV testing within the RIDOC jail.…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of a Routine OPT-Out Rapid HIV Testing Program in a Rhode Island Jail

Beckwith

Bazerman²,

Cornwall³

et al. 2011

AIDS Education and Prevention

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There is an increased prevalence of HIV among incarcerated populations. We conducted a rapid HIV testing pilot program using oral specimens at the Rhode Island Department of Corrections jail. 1364 detainees were offered rapid testing upon jail entrance and 98% completed testing. Twelve detainees had reactive rapid tests, one of which was a new HIV diagnosis. To evaluate the program qualitatively, we conducted key informant interviews and focus groups with key stakeholders. There was overwhelming support for the oral fluid rapid HIV test. Correctional staff reported improved inmate processing due to the elimination of phlebotomy required with conventional HIV testing. Delivering negative rapid HIV test results in real-time during the jail intake process remained a challenge but completion of confirmatory testing among those with reactive rapid tests was possible. Rapid HIV testing using oral specimens in the RIDOC jail was feasible and preferred by correctional staff.

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“…Several studies have evaluated the feasibility of providing opt-out testing in correctional facilities. A study looking at initiation of routine testing in a New York jail found that 28% of HIV-infected inmates were undiagnosed, and only 11% endorsed intravenous drug use or any men who have sex with men (MSM) practices [7]. With a risk-based approach to screening, the 89% who did not endorse high-risk behavior in this sample would probably never have been identified.…”

Section: Testing Within Correctional Facilitiesmentioning

confidence: 99%

HIV Treatment in US Prisons

Wakeman

Rich

2010

HIV Ther.

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Arguably one of the most marginalized populations in our society, prisoners bear a disproportionate burden of infectious diseases, particularly HIV. In addition, groups known to be at an inordinately higher risk of HIV, including minorities, the addicted, the mentally ill and the impoverished are overrepresented among incarcerated populations. This concentration of HIV among groups that have been historically difficult to reach, with limited intersections with healthcare, provides an opportunity for testing, diagnosis, treatment, linkage to care and prevention. Providing HIV care within correctional facilities poses unique challenges. Barriers to confidentiality, access to medication and prior records, and lack of comprehensive discharge planning can serve as obstacles to providing optimal care. This article discusses the public health implications and importance of providing HIV care to prisoners, and also discusses the practicalities of working within an environment that poses particular barriers to care.

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Undiagnosed HIV Infection Among New York City Jail Entrants, 2006: Results of a Blinded Serosurvey

Cited by 46 publications

References 9 publications

Opportunities to Diagnose, Treat, and Prevent HIV in the Criminal Justice System

Opportunities to Diagnose, Treat, and Prevent HIV in the Criminal Justice System

An Evaluation of a Routine OPT-Out Rapid HIV Testing Program in a Rhode Island Jail

HIV Treatment in US Prisons

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