Suboptimal Retention in Care Among Recently Released Prisoners: Implications for Social Workers in HIV Primary Care

Certain populations of people living with HIV (PLWH) are at greater risk for falling out of care, including PLWH with a history of incarceration. This is associated with increased risk of morbidity and mortality. In the current retrospective cohort study, we examined patient-level information for 34...

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Bibliographic Details
Published in:AIDS and behavior 2019-02, Vol.23 (2), p.427-432
Main Authors: Murphree, Jill, Batey, D. Scott, Kay, Emma Sophia, Westfall, Andrew O., Mugavero, Michael J.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
Attrition
Case Management
Cohort Studies
Communities
Continuity of Patient Care
Ex-convicts
Female
Health care
Health Psychology
HIV
HIV Infections - therapy
Human immunodeficiency virus
Humans
Imprisonment
Infectious Diseases
Logistic Models
Male
Management services
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Mortality
Multivariate Analysis
Original Paper
Patient Transfer
Primary care
Primary Health Care
Prisoners
Prisons
Public Health
Retention in Care
Retrospective Studies
Social Workers
Southeastern United States
Workers
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Summary:Certain populations of people living with HIV (PLWH) are at greater risk for falling out of care, including PLWH with a history of incarceration. This is associated with increased risk of morbidity and mortality. In the current retrospective cohort study, we examined patient-level information for 340 PLWH who had transferred HIV care services from prison or from other community-based or private HIV primary care providers to a large urban HIV clinic in the southeastern United States. Results indicated that, compared to those transferring care from another community-based or private medical provider, PLWH transferring care from prison were significantly less likely to be retained in care than PLWH transferring care from other providers, even after controlling for other factors. HIV primary care social workers, who are trained to provide case management services, can help provide PLWH with a coordinated continuum of care that addresses the complex issues faced post-release.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-018-2254-7