Document Detail


Post-release substance abuse outcomes among HIV-infected jail detainees: results from a multisite study.
MedLine Citation:
PMID:  23142854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
HIV-infected individuals with substance use disorders have a high prevalence of medical and psychiatric morbidities that complicate treatment. Incarceration further disrupts healthcare access and utilization. Without appropriate diagnosis and treatment, drug relapse upon release exceeds 85 %, which contributes to poor health outcomes. A prospective cohort of 1,032 HIV-infected jail detainees were surveyed in a ten-site demonstration project during incarceration and six-months post-release, in order to examine the effect of predisposing factors, enabling resources and need factors on their subsequent drug use. Homelessness, pre-incarceration cocaine and opioid use, and high drug and alcohol severity were significantly associated with cocaine and opioid relapse. Substance abuse treatment, though poorly defined, did not influence post-release cocaine and opioid use. An approach that integrates multiple services, simultaneously using evidence-based substance abuse, psychiatric care, and social services is needed to improve healthcare outcomes for HIV-infected persons transitioning from jails to the community.
Authors:
Archana Krishnan; Jeffrey A Wickersham; Ehsan Chitsaz; Sandra A Springer; Alison O Jordan; Nick Zaller; Frederick L Altice
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  AIDS and behavior     Volume:  17 Suppl 2     ISSN:  1573-3254     ISO Abbreviation:  AIDS Behav     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-30     Completed Date:  2014-04-14     Revised Date:  2014-10-14    
Medline Journal Info:
Nlm Unique ID:  9712133     Medline TA:  AIDS Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S171-80     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Behavior, Addictive / epidemiology*
Female
HIV Infections / complications*,  diagnosis,  epidemiology
Health Services Accessibility
Health Services Needs and Demand
Homeless Persons
Humans
Insurance, Health
Male
Middle Aged
Multivariate Analysis
Patient Discharge
Prevalence
Prisons*
Prospective Studies
Severity of Illness Index
Social Work
Socioeconomic Factors
Substance-Related Disorders / complications*,  epidemiology*,  rehabilitation
Treatment Outcome
Young Adult
Grant Support
ID/Acronym/Agency:
K02 DA032322/DA/NIDA NIH HHS; K02 DA032322/DA/NIDA NIH HHS; K24 DA017072/DA/NIDA NIH HHS; K24 DA017072/DA/NIDA NIH HHS
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