Enrollment in outpatient care among newly released prison inmates with HIV infection

Jacques Baillargeon, Thomas P. Giordano, Amy Jo Harzke, Gwen Baillargeon, Josiah D. Rich, David P. Paar

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Objectives. Although many prisoners infected with human immunodeficiency virus (HIV) initiate and adhere to treatment regimens while incarcerated, the benefits of in-prison therapy are frequently lost after community reentry. Little information is available on the percentage of released inmates who establish community-based HIV outpatient treatment in a timely fashion. We sought to determine the proportion of HIV-infected Texas prison inmates who enrolled in an HIV clinic within 90 days after release and to identify variables associated with timely linkage to clinical care. Methods. This was a retrospective cohort study of 1,750 HIV-infected inmates who were released from the Texas Department of Criminal Justice (TDCJ) and returned to Harris County between January 2004 and December 2007. We obtained demographic and clinical data from centralized databases maintained by TDCJ and the Harris County Health District, and used logistic regression analysis to identify factors associated with linkage to post-release outpatient care. Results. Only 20% of released inmates enrolled in an HIV clinic within 30 days of release, and only 28% did so within 90 days. Released inmates ≥30 years of age were more likely than their younger counterparts to have enrolled in care at the 30- and 90-day time points. Inmates diagnosed with schizophrenia were more likely to have initiated care within 30 days. Inmates who received antiretroviral therapy while incarcerated and those who received enhanced discharge planning were more likely to begin care at both time points. Conclusions. A large proportion of HIV-infected inmates fail to establish outpatient care after their release from the Texas prison system. Implementation of intensive discharge planning programs may be necessary to ensure continuity of HIV care among newly released inmates.

Original languageEnglish (US)
Pages (from-to)64-71
Number of pages8
JournalPublic Health Reports
Volume125
Issue numberSUPPL. 1
StatePublished - 2010

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Prisons
Virus Diseases
Ambulatory Care
HIV
Criminal Law
Patient Discharge
Prisoners
Therapeutics
HIV-1
Schizophrenia
Cohort Studies
Outpatients
Retrospective Studies
Logistic Models
Regression Analysis
Demography
Databases
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Baillargeon, J., Giordano, T. P., Harzke, A. J., Baillargeon, G., Rich, J. D., & Paar, D. P. (2010). Enrollment in outpatient care among newly released prison inmates with HIV infection. Public Health Reports, 125(SUPPL. 1), 64-71.

Enrollment in outpatient care among newly released prison inmates with HIV infection. / Baillargeon, Jacques; Giordano, Thomas P.; Harzke, Amy Jo; Baillargeon, Gwen; Rich, Josiah D.; Paar, David P.

In: Public Health Reports, Vol. 125, No. SUPPL. 1, 2010, p. 64-71.

Research output: Contribution to journalArticle

Baillargeon, J, Giordano, TP, Harzke, AJ, Baillargeon, G, Rich, JD & Paar, DP 2010, 'Enrollment in outpatient care among newly released prison inmates with HIV infection', Public Health Reports, vol. 125, no. SUPPL. 1, pp. 64-71.
Baillargeon J, Giordano TP, Harzke AJ, Baillargeon G, Rich JD, Paar DP. Enrollment in outpatient care among newly released prison inmates with HIV infection. Public Health Reports. 2010;125(SUPPL. 1):64-71.
Baillargeon, Jacques ; Giordano, Thomas P. ; Harzke, Amy Jo ; Baillargeon, Gwen ; Rich, Josiah D. ; Paar, David P. / Enrollment in outpatient care among newly released prison inmates with HIV infection. In: Public Health Reports. 2010 ; Vol. 125, No. SUPPL. 1. pp. 64-71.
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abstract = "Objectives. Although many prisoners infected with human immunodeficiency virus (HIV) initiate and adhere to treatment regimens while incarcerated, the benefits of in-prison therapy are frequently lost after community reentry. Little information is available on the percentage of released inmates who establish community-based HIV outpatient treatment in a timely fashion. We sought to determine the proportion of HIV-infected Texas prison inmates who enrolled in an HIV clinic within 90 days after release and to identify variables associated with timely linkage to clinical care. Methods. This was a retrospective cohort study of 1,750 HIV-infected inmates who were released from the Texas Department of Criminal Justice (TDCJ) and returned to Harris County between January 2004 and December 2007. We obtained demographic and clinical data from centralized databases maintained by TDCJ and the Harris County Health District, and used logistic regression analysis to identify factors associated with linkage to post-release outpatient care. Results. Only 20{\%} of released inmates enrolled in an HIV clinic within 30 days of release, and only 28{\%} did so within 90 days. Released inmates ≥30 years of age were more likely than their younger counterparts to have enrolled in care at the 30- and 90-day time points. Inmates diagnosed with schizophrenia were more likely to have initiated care within 30 days. Inmates who received antiretroviral therapy while incarcerated and those who received enhanced discharge planning were more likely to begin care at both time points. Conclusions. A large proportion of HIV-infected inmates fail to establish outpatient care after their release from the Texas prison system. Implementation of intensive discharge planning programs may be necessary to ensure continuity of HIV care among newly released inmates.",
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