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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Patricia R. Lewis, PhD, RN, Rockford Regional Program, College of Nursing, University of Illinois at Chicago, Highcrest Dr., Rockford, IL 61102, 815 395-5968, prlewis@uic.edu, Kathleen A. Baldwin, PhD, RN, College of Nursing, Peoria Regional Program, University of Illinois at Chicago, One Illini Drive, Box 1649, Peoria, IL 61656-1649, Larry C Rogers, MA, MSW, Heart of Illinois HIV/AIDS Center, Department of Medicine, UIC College of Medicine at Peoria, P.O. Box 1649, One Illini Drive, Peoria, IL 61656-1649, and M. Susan Grinslade, PhD(c), RN, Dept of Chronic Nursing Care, School of Nursing, University of Texas Health Science Center at San Antonio, Mail Code 7950, 7703 Floyd Curl Dr., San Antonio, TX 78229-3900.
Little research data exists on care provided HIV+ persons incarcerated in state and local correctional institutions. Yet these inmates comprise a large proportion of the HIV infected population. As part of a midwestern state’s comprehensive evaluation of Ryan White Title II services, the authors undertook a telephone survey of the state’s system of local and state correctional facilities. The survey’s aim was to determine known incidence of HIV infection, services available to inmates, and arrangements made at discharge for follow-up of persons with HIV. The final sample consisted of 88 participants from 88 different facilities for a response rate of 96%. The survey instrument was originally developed from a review of the literature and expert opinion and piloted on a small sample of correctional officers and/or their medical personnel. Based on that pilot, revisions were made to the instrument and two research assistants trained in data collection. Selected findings include risk behavior profiles significantly different than those for the general HIV+ population, 6% HIV+ prevalence rate among state inmates, HIV testing at the majority of county jails (88%) and state prisons (100%), and approximately 75% of HIV+ inmates receiving antiretroviral drugs. County jails often relied on health departments for medical services. Although discharge planning was available at all state prisons, approximately 1/3 of county facilities lacked such services. Community providers of HIV services should be aware of correctional institution procedures and establish networks for early diagnosis and continuity of care for those released from these facilities.
Learning Objectives: At the completion of this session, the participant will be able to
Keywords: HIV/AIDS, Correctional Institutions
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.