Use of viral load surveillance data to assess linkage to care for persons with HIV released from corrections

Autor: Cara J. Sammartino, Betsey John, Liza Solomon, Michael A. Costa, Josiah D. Rich, Dawn Fukuda, Brian T. Montague
Jazyk: angličtina
Rok vydání: 2018
Předmět:
RNA viruses
Male
Research Facilities
Epidemiology
Human immunodeficiency virus (HIV)
lcsh:Medicine
HIV Infections
medicine.disease_cause
Pathology and Laboratory Medicine
White Blood Cells
0302 clinical medicine
Immunodeficiency Viruses
Animal Cells
Medicine and Health Sciences
030212 general & internal medicine
lcsh:Science
Post release
Multidisciplinary
Transmission (medicine)
T Cells
Applied Mathematics
Simulation and Modeling
HIV diagnosis and management
Viral Load
Clinical Laboratory Sciences
3. Good health
Clinical Laboratories
Medical Microbiology
HIV epidemiology
Viral Pathogens
Population Surveillance
Viruses
Physical Sciences
Female
Pathogens
Cellular Types
0305 other medical science
Research Laboratories
Viral load
Algorithms
Research Article
Adult
Surveillance data
Laboratory monitoring
Immune Cells
Immunology
Research and Analysis Methods
Microbiology
03 medical and health sciences
Acquired immunodeficiency syndrome (AIDS)
Environmental health
Virology
Retroviruses
medicine
Humans
Microbial Pathogens
Linkage (software)
030505 public health
Blood Cells
business.industry
lcsh:R
Lentivirus
Organisms
Biology and Life Sciences
HIV
Cell Biology
medicine.disease
Diagnostic medicine
Prisons
lcsh:Q
business
Viral Transmission and Infection
Mathematics
Government Laboratories
Zdroj: PLoS ONE
PLoS ONE, Vol 13, Iss 2, p e0192074 (2018)
ISSN: 1932-6203
Popis: Incarcerated people remain a priority group in efforts to control and reverse the HIV epidemic. Following release, social instability and reengagement in key transmission risk behaviors increase the risk of secondary transmission of HIV. Targeted programs have been developed to facilitate reengagement in care on reentry. Evaluation of the impact of these initiatives requires a systematic, confidential, framework for assessment of linkage to care for persons released from corrections. By linking HIV viral load surveillance data to corrections release data, the time to the first laboratory monitoring service in the community as well as the virologic status can be assessed. Using this method, we linked release data for sentenced individuals released from Massachusetts state correctional facilities in 2012 to HIV surveillance data from the Massachusetts HIV/AIDS Surveillance Program (MHASP) for the years 2012-2013. We identified 41 individuals with HIV released in 2012. Ninety-one percent had identified virologic assessments post release, 41% within 30 days. Thirty-three percent did not have a viral load assessed for more than 90 days and 31% had detectable virus at the time of their initial assessment. Persons with longer incarcerations (> 180 days) were more likely to have suppressed viral load at the time of follow-up (p = 0.05). This work demonstrates the important value of HIV laboratory surveillance data and correctional release data as a tool to assess linkage to care following release from corrections. We encourage jurisdictions to explore utilizing similar methodology to evaluate the effectiveness of the linkage to HIV care after release from incarceration.
Databáze: OpenAIRE
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