Yale University

Gender Differences in Baseline Health, Needs at Release, and Predictors of Care Engagement Among HIV-Positive Clients Leaving Jail.

TitleGender Differences in Baseline Health, Needs at Release, and Predictors of Care Engagement Among HIV-Positive Clients Leaving Jail.
Publication TypeJournal Article
Year of Publication2013
AuthorsWilliams, Chyvette T., Seijeoung Kim, Jaimie Meyer, Anne Spaulding, Paul Teixeira, Ann Avery, Kevin Moore, Frederick Altice, Dorothy Murphy-Swallow, Dominique Simon, Jeff Wickersham, and Lawrence J. Ouellet
JournalAIDS and behavior
Date Published2013 Jan 12
ISSN1573-3254
AbstractWomen represent a significant and growing segment of jail detainees and persons living with HIV. This paper examines gender differences in health status, care and social service needs, and care engagement among jail releasees with HIV. Data are from 1,270 participants in the HRSA-funded Enhancing Linkages to HIV Primary Care and Social Services multisite demonstration project (EnhanceLink). Compared to men, more women reported homelessness, reduced adherence to prescribed ART, worse health, more severe substance use disorders, and more chronic health conditions. Men and women generally reported different needs post-release. As the number of expressed needs increased, women were more likely to drop out of care. Our findings suggest that effective and gender-specific strategies are required to identify needs, link services between jails and communities, and sustain retention of women with HIV in programs after release from criminal justice settings.
DOI10.7326/0003-4819-158-2-201301150-00002
Alternate JournalAIDS Behav

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