The HIV Care Cascade Before, During, and After Incarceration: A Systematic Review and Data Synthesis

We conducted a systematic literature review of the data on HIV testing, engagement in care, and treatment in incarcerated persons, and estimated the care cascade in this group. We identified 2706 titles in MEDLINE, EBSCO, and Cochrane Library databases for studies indexed to January 13, 2015, and in...

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Veröffentlicht in:American journal of public health (1971) 2015-07, Vol.105 (7), p.e5-e16
Hauptverfasser: Iroh, Princess A, Mayo, Helen, Nijhawan, Ank E
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container_title American journal of public health (1971)
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creator Iroh, Princess A
Mayo, Helen
Nijhawan, Ank E
description We conducted a systematic literature review of the data on HIV testing, engagement in care, and treatment in incarcerated persons, and estimated the care cascade in this group. We identified 2706 titles in MEDLINE, EBSCO, and Cochrane Library databases for studies indexed to January 13, 2015, and included 92 for analysis. We summarized HIV testing results by type (blinded, opt-out, voluntary); reviewed studies on HIV care engagement, treatment, and virological suppression; and synthesized these results into an HIV care cascade before, during, and after incarceration. The HIV care cascade following diagnosis increased during incarceration and declined substantially after release, often to levels lower than before incarceration. Incarceration provides an opportunity to address HIV care in hard-to-reach individuals, though new interventions are needed to improve postrelease care continuity.
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subjects Acquired immune deficiency syndrome
AIDS
AIDS Serodiagnosis - statistics & numerical data
Canada - epidemiology
Continuity of Patient Care - organization & administration
Continuity of Patient Care - statistics & numerical data
Health care
Health disparities
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
HIV Infections - therapy
HIV/AIDS
Human immunodeficiency virus
Humans
Imprisonment
Literature reviews
Medical tests
Online Systematic Review
Population
Prisoners
Prisoners - statistics & numerical data
Prisons - organization & administration
Prisons - statistics & numerical data
Public health
Studies
Systematic review
United States - epidemiology
Urban Health
title The HIV Care Cascade Before, During, and After Incarceration: A Systematic Review and Data Synthesis
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