Yale University

HIV prevention for adults with criminal justice involvement: a systematic review of HIV risk-reduction interventions in incarceration and community settings.

TitleHIV prevention for adults with criminal justice involvement: a systematic review of HIV risk-reduction interventions in incarceration and community settings.
Publication TypeJournal Article
Year of Publication2014
AuthorsUnderhill, Kristen, Dora Dumont, and Don Operario
JournalAmerican journal of public health
Volume104
Issue11
Paginatione27-53
Date Published2014 Nov
ISSN1541-0048
KeywordsAdult, Criminal Law, HIV Infections, Humans, Prisoners, Prisons, Unsafe Sex
AbstractWe summarized and appraised evidence regarding HIV prevention interventions for adults with criminal justice involvement. We included randomized and quasi-randomized controlled trials that evaluated an HIV prevention intervention, enrolled participants with histories of criminal justice involvement, and reported biological or behavioral outcomes. We used Cochrane methods to screen 32,271 citations from 16 databases and gray literature. We included 37 trials enrolling n = 12,629 participants. Interventions were 27 psychosocial, 7 opioid substitution therapy, and 3 HIV-testing programs. Eleven programs significantly reduced sexual risk taking, 4 reduced injection drug risks, and 4 increased testing. Numerous interventions may reduce HIV-related risks among adults with criminal justice involvement. Future research should consider process evaluations, programs involving partners or families, and interventions integrating biomedical, psychosocial, and structural approaches.
DOI10.2105/AJPH.2014.302152
Alternate JournalAm J Public Health

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