OBJECTIVES: Jail incarceration represents an opportunity to deliver HIV counseling and testing (C&T) services to persons at increased risk of infection. However, jails can be chaotic with rapid turnover of detainees. We conducted a pilot study to investigate the feasibility of comparing the effect of different approaches to HIV C&T in jail on subsequent HIV risk behaviors among persons testing HIV negative. METHODS: Consecutive cohorts of newly incarcerated jail detainees were recruited with 132 subjects completing standard HIV C&T as per jail protocol and 132 subjects completing rapid testing with an individualized counseling session. Risk behavior was assessed and compared at baseline and 6 weeks after jail release. RESULTS: Among the 264 male participants, preincarceration substance use and sexual risk were common. The follow-up visit was completed by 59% of eligible participants. There were no differences in postrelease HIV risk behavior between the 2 arms but there was an overall decrease in risk behavior after jail release for the cohort. In addition, all participants in the rapid arm received rapid HIV test results compared with participants receiving 28% of conventional test results. CONCLUSIONS: Jail incarceration represents an important public health opportunity to deliver HIV C&T. This study demonstrated (1) feasibility in delivering rapid HIV testing combined with individualized counseling to jail detainees, (2) improved test result delivery rates, and (3) success with evaluating risk behaviors during the transition from jail to the community. Further research is needed to determine the optimal approach to HIV C&T in jail with the goal of increasing awareness of HIV serostatus and decreasing HIV risk behavior.
OBJECTIVES: Jail incarceration represents an opportunity to deliver HIV counseling and testing (C&T) services to persons at increased risk of infection. However, jails can be chaotic with rapid turnover of detainees. We conducted a pilot study to investigate the feasibility of comparing the effect of different approaches to HIV C&T in jail on subsequent HIV risk behaviors among persons testing HIV negative. METHODS: Consecutive cohorts of newly incarcerated jail detainees were recruited with 132 subjects completing standard HIV C&T as per jail protocol and 132 subjects completing rapid testing with an individualized counseling session. Risk behavior was assessed and compared at baseline and 6 weeks after jail release. RESULTS: Among the 264 male participants, preincarceration substance use and sexual risk were common. The follow-up visit was completed by 59% of eligible participants. There were no differences in postrelease HIV risk behavior between the 2 arms but there was an overall decrease in risk behavior after jail release for the cohort. In addition, all participants in the rapid arm received rapid HIV test results compared with participants receiving 28% of conventional test results. CONCLUSIONS: Jail incarceration represents an important public health opportunity to deliver HIV C&T. This study demonstrated (1) feasibility in delivering rapid HIV testing combined with individualized counseling to jail detainees, (2) improved test result delivery rates, and (3) success with evaluating risk behaviors during the transition from jail to the community. Further research is needed to determine the optimal approach to HIV C&T in jail with the goal of increasing awareness of HIV serostatus and decreasing HIV risk behavior.
Entities:
Keywords:
HIV counseling and testing; HIV prevention; correctional facilities; jail
Authors: B R Edlin; K L Irwin; S Faruque; C B McCoy; C Word; Y Serrano; J A Inciardi; B P Bowser; R F Schilling; S D Holmberg Journal: N Engl J Med Date: 1994-11-24 Impact factor: 91.245
Authors: Robin Macgowan; Andrew Margolis; April Richardson-Moore; Terry Wang; Marlene Lalota; P Tyler French; James Stodola; Jennifer McKeever; Jack Carrel; Jolene Mullins; Michelle Llanas; Sean David Griffiths Journal: Sex Transm Dis Date: 2009-02 Impact factor: 2.830
Authors: Anne Spaulding; Becky Stephenson; Grace Macalino; William Ruby; Jennifer G Clarke; Timothy P Flanigan Journal: Clin Infect Dis Date: 2002-07-03 Impact factor: 9.079
Authors: Becky L Stephenson; David A Wohl; Rosemary McKaig; Carol E Golin; Lara Shain; Monica Adamian; Cathy Emrick; Ronald P Strauss; Cathie Fogel; Andrew H Kaplan Journal: Int J STD AIDS Date: 2006-02 Impact factor: 1.359
Authors: Nina T Harawa; Russell Brewer; Victoria Buckman; Santhoshini Ramani; Aditya Khanna; Kayo Fujimoto; John A Schneider Journal: Am J Public Health Date: 2018-11 Impact factor: 9.308
Authors: Nitika Pant Pai; Tiago Chiavegatti; Rohit Vijh; Nicolaos Karatzas; Jana Daher; Megan Smallwood; Tom Wong; Nora Engel Journal: Point Care Date: 2017-11-14