Adherence to HIV Treatment and Care Among Previously Homeless Jail Detainees
作者： Nadine E. Chen , Jaimie P. Meyer , Ann K. Avery , Jeffrey Draine , Timothy P. Flanigan
DOI: 10.1007/S10461-011-0080-2
关键词:
摘要: HIV-infected persons entering the criminal justice system (CJS) often experience suboptimal healthcare engagement and social instability, including homelessness. We evaluated surveys from a multisite study of 743 jail detainees prescribed or eligible for antiretroviral therapy (ART) to understand correlates prior incarceration, focusing on differences by housing status. Dependent variables were: (1) having an HIV provider, (2) taking ART, (3) being adherent (≥95% doses) ART during week before incarceration. Homeless subjects, compared their housed counterparts, were significantly less likely be engaged in using any measure. Despite Ryan White funding availability, insurance coverage remains insufficient among those jails, health was most significant factor correlated with provider ART. Individuals interfacing CJS, especially unstably housed, need innovative interventions facilitate access retention.
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