Violence and the perceived risks of taking antiretroviral therapy in US jails and prisons

International Journal of Prisoner Health
Gabriel John Culbert

Abstract

About one in five men living with HIV in the USA passes through a correctional center annually. Jails and prisons are seen therefore as key intervention sites to promote HIV treatment as prevention. Almost no research, however, has examined inmates' perspectives on HIV treatment or their strategies for retaining access to antiretroviral therapy (ART) during incarceration. The purpose of this paper is to describe the results of an exploratory study examining men's perceptions of and experiences with HIV care and ART during incarceration. Semi-structured, in-depth interviews were conducted with 42 HIV positive male and male-to-female transgendered persons recently released from male correctional centers in Illinois, USA. Interpersonal violence, a lack of safety, and perceived threats to privacy were frequently cited barriers to one's willingness and ability to access and adhere to treatment. Over 60 percent of study participants reported missed doses or sustained treatment interruption (greater than two weeks) because of failure to disclose their HIV status, delayed prescribing, intermittent dosing and out-of-stock medications, confiscation of medications, and medication strikes. Substantial improvements in ART access and adheren...Continue Reading

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Citations

Aug 26, 2015·The Journal of the Association of Nurses in AIDS Care : JANAC·Gabriel J CulbertFrederick L Altice
Jul 28, 2016·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Kathryn E MuessigDavid A Wohl
Aug 7, 2017·Journal of the International AIDS Society·Happy MpawaJoep J van Oosterhout
Dec 25, 2017·The Journal of the Association of Nurses in AIDS Care : JANAC·Gabriel J Culbert, Ann B Williams
Jul 26, 2019·Current Opinion in HIV and AIDS·Adeeba KamarulzamanFrederick L Altice
Sep 3, 2021·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Margaret EricksonAndrea Krüsi

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