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Correlates of Retention in HIV Care After Release from Jail: Results from a Multi-site Study

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Abstract

Retention in care is key to effective HIV treatment, but half of PLWHA in the US are continuously engaged in care. Incarcerated individuals are an especially challenging population to retain, and empiric data specific to jail detainees is lacking. We prospectively evaluated correlates of retention in care for 867 HIV-infected jail detainees enrolled in a 10-site demonstration project. Sustained retention in care was defined as having a clinic visit during each quarter in the 6 month post-release period. The following were independently associated with retention: being male (AOR = 2.10, p ≤ 0.01), heroin use (AOR 1.49, p = 0.04), having an HIV provider (AOR 1.67, p = 0.02), and receipt of services: discharge planning (AOR 1.50, p = 0.02) and disease management session (AOR 2.25, p ≤ 0.01) during incarceration; needs assessment (AOR 1.59, p = 0.02), HIV education (AOR 2.03, p ≤ 0.01), and transportation assistance (AOR 1.54, p = 0.02) after release. Provision of education and case management services improve retention in HIV care after release from jail.

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Acknowledgments

Enhancing Linkages to HIV Primary Care Services Initiative is a HRSA-funded Special Project of National Significance. Funding for this research was also provided through career development grants from the National Institute on Drug Abuse (K24 DA017072, FLA and K23 DA033858, JPM), research grants from the National Institute on Alcohol Abuse and Alcoholism (R01 AA018944, FLA), institutional research training grants from the NIMH (T32 MH020031, JPM) and NIAID (T32 AI007517, ALA). The funding sources played no role in study design, data collection, data analysis, data interpretation, writing of the manuscript or the decision to submit the paper for publication.

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Authors and Affiliations

  1. AIDS Program, Yale University School of Medicine, 135 College Street, Suite 323, New Haven, CT, 06510, USA

    Amy L. Althoff, Alexei Zelenev, Jaimie P. Meyer, Jeannia Fu, Shan-Estelle Brown, Panagiotis Vagenas & Frederick L. Altice

  2. Infectious Diseases, Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Ann K. Avery

  3. New York City Department of Public Health, New York, NY, USA

    Jacqueline Cruzado-Quiñones

  4. Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA

    Anne C. Spaulding

  5. Biostatistics and Epidemiology, Yale University School of Public Health, New Haven, CT, USA

    Jaimie P. Meyer

  6. Public Health, Yale University School of Public Health, New Haven, CT, USA

    Jeannia Fu

  7. Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, CT, USA

    Frederick L. Altice

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  1. Amy L. Althoff
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Correspondence to Amy L. Althoff.

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Althoff, A.L., Zelenev, A., Meyer, J.P. et al. Correlates of Retention in HIV Care After Release from Jail: Results from a Multi-site Study. AIDS Behav 17 (Suppl 2), 156–170 (2013). https://doi.org/10.1007/s10461-012-0372-1

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