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Access to HIV care in jails: Perspectives from people living with HIV in North Carolina
Most incarcerations for people living with HIV (PLWH) occur in jails, yet studies of HIV care during jail incarceration are limited. As part of a larger study to explore the ethical considerations in extending public health HIV surveillance to jail settings, we conducted semi-structured interviews w...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8786150/ https://www.ncbi.nlm.nih.gov/pubmed/35073350 http://dx.doi.org/10.1371/journal.pone.0262882 |
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author | Blue, Colleen Buchbinder, Mara Brown, Mersedes E. Bradley-Bull, Steve Rosen, David L. |
author_facet | Blue, Colleen Buchbinder, Mara Brown, Mersedes E. Bradley-Bull, Steve Rosen, David L. |
author_sort | Blue, Colleen |
collection | PubMed |
description | Most incarcerations for people living with HIV (PLWH) occur in jails, yet studies of HIV care during jail incarceration are limited. As part of a larger study to explore the ethical considerations in extending public health HIV surveillance to jail settings, we conducted semi-structured interviews with twenty-three PLWH with more than 300 distinct jail incarcerations post HIV diagnosis in 21 unique North Carolina jails. Interviews included questions about HIV disclosure in jail, the type of HIV care received in jail, and overall experiences with HIV care in jail. We report on participants’ experiences and perspectives in four domains: access to HIV care in jail; impact of jail incarceration on continuity of HIV care; privacy and stigma; and satisfaction with HIV care in jail. Although most participants received HIV medications and saw providers while in jail, almost half reported that their greatest challenge in regard to HIV care was obtaining their HIV medications in the face of limited jail resources or policies that made access to medications difficult. Findings from this study suggest that jail leadership should review internal policies regarding HIV medications to ensure that PLWH can receive them quickly upon entry into jail. Findings also suggest that more external resources are needed, for example from state and local health departments, so that jails can provide timely HIV medications for PLWH incarcerated in their facilities. |
format | Online Article Text |
id | pubmed-8786150 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-87861502022-01-25 Access to HIV care in jails: Perspectives from people living with HIV in North Carolina Blue, Colleen Buchbinder, Mara Brown, Mersedes E. Bradley-Bull, Steve Rosen, David L. PLoS One Research Article Most incarcerations for people living with HIV (PLWH) occur in jails, yet studies of HIV care during jail incarceration are limited. As part of a larger study to explore the ethical considerations in extending public health HIV surveillance to jail settings, we conducted semi-structured interviews with twenty-three PLWH with more than 300 distinct jail incarcerations post HIV diagnosis in 21 unique North Carolina jails. Interviews included questions about HIV disclosure in jail, the type of HIV care received in jail, and overall experiences with HIV care in jail. We report on participants’ experiences and perspectives in four domains: access to HIV care in jail; impact of jail incarceration on continuity of HIV care; privacy and stigma; and satisfaction with HIV care in jail. Although most participants received HIV medications and saw providers while in jail, almost half reported that their greatest challenge in regard to HIV care was obtaining their HIV medications in the face of limited jail resources or policies that made access to medications difficult. Findings from this study suggest that jail leadership should review internal policies regarding HIV medications to ensure that PLWH can receive them quickly upon entry into jail. Findings also suggest that more external resources are needed, for example from state and local health departments, so that jails can provide timely HIV medications for PLWH incarcerated in their facilities. Public Library of Science 2022-01-24 /pmc/articles/PMC8786150/ /pubmed/35073350 http://dx.doi.org/10.1371/journal.pone.0262882 Text en © 2022 Blue et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Blue, Colleen Buchbinder, Mara Brown, Mersedes E. Bradley-Bull, Steve Rosen, David L. Access to HIV care in jails: Perspectives from people living with HIV in North Carolina |
title | Access to HIV care in jails: Perspectives from people living with HIV in North Carolina |
title_full | Access to HIV care in jails: Perspectives from people living with HIV in North Carolina |
title_fullStr | Access to HIV care in jails: Perspectives from people living with HIV in North Carolina |
title_full_unstemmed | Access to HIV care in jails: Perspectives from people living with HIV in North Carolina |
title_short | Access to HIV care in jails: Perspectives from people living with HIV in North Carolina |
title_sort | access to hiv care in jails: perspectives from people living with hiv in north carolina |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8786150/ https://www.ncbi.nlm.nih.gov/pubmed/35073350 http://dx.doi.org/10.1371/journal.pone.0262882 |
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