In-facility HIV peer-based rehabilitation programs' role in linkage to care among persons transitioning from correctional to community-based HIV care in South Africa.

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Prisoner Health Pub Date : 2022-11-24 Epub Date: 2022-01-27 DOI:10.1108/IJPH-05-2021-0044

Nimasha B Fernando, Daniel M Woznica, Tonderai Mabuto, Christopher J Hoffmann

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引用次数: 0

Abstract

Purpose: This analysis aims to examine the role of pre-release, HIV-related, peer-based rehabilitation program attendance on post-release linkage to community-based HIV care in South Africa.

Design/methodology/approach: During a post-release linkage-to-care prospective study, participants from six correctional facilities who had an HIV-positive diagnosis and were taking anti-retroviral medications at release (N = 351) self-reported rehabilitation program participation. Linkage-to-care status 90 days post-release was verified by medical chart review.

Findings: In a binomial regression model, HIV-related, peer-based rehabilitation program attendance was insignificant (relative risk [RR] 1.1, 95% confidence interval [CI] [0.8, 1.4], p-value = 0.7), but short-/long-term incarceration site (RR 1.5, 95% CI [1.0, 2.1], p-value = 0.04) and relationship status pre-incarceration (RR 1.9, 95% CI [1.0, 3.6], p-value = 0.05) were significantly associated with linkage to HIV care post-release.

Originality/value: Rehabilitation and peer-based HIV programs have had demonstrated benefit in other settings. Assessment of current programs may identify opportunities for improvement.

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在南非，设施内艾滋病毒同伴康复计划在从教养所过渡到社区艾滋病毒护理的人员中起到了联系护理的作用。

目的：本分析旨在研究南非释放前参加与艾滋病相关的同伴康复项目对释放后与社区艾滋病关怀联系的作用：在一项释放后联系到护理的前瞻性研究中，来自六个惩教机构的参与者（N = 351）自我报告了参与康复计划的情况，这些参与者被诊断为艾滋病毒呈阳性，并且在释放时正在服用抗逆转录病毒药物。释放后 90 天的护理链接状态通过病历审查进行验证：在二项回归模型中，与 HIV 相关的同伴康复计划出席率并不显著（相对风险 [RR] 1.1，95% 置信区间 [CI] [0.8, 1.4]，P 值 = 0.7），但短期/长期监禁地点（RR 1.5，95% CI [1.0，2.1]，p-value = 0.04）和入狱前的关系状况（RR 1.9，95% CI [1.0，3.6]，p-value = 0.05）与出狱后的 HIV 护理联系显著相关：以康复和同伴为基础的艾滋病项目在其他环境中已被证明是有益的。对当前计划的评估可能会发现改进的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Prisoner Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.80

自引率

21.40%

发文量