Document Detail


A collaborative effort to enhance HIV/STI screening in five county jails.
MedLine Citation:
PMID:  12196611     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Funding from the Centers for Disease Control and Prevention and the Health Resources and Services Administration (HRSA) supports collaborations among health departments (CA, FL, GA, IL, MA, NJ, NY), correctional facilities, and community-based organizations to improve services to HIV-infected inmates, particularly as they return to the community. Additionally, HRSA funded the Evaluation and Program Support Center to guide the implementation of a multi-site evaluation of the Corrections Demonstration Project (CDP). The authors present a model approach to the problem of health disparities that involves forging collaborations among federal funders, public health departments, corrections, community-based organizations, and the scientific research community. They show how such collaboration can promote the reduction of racial/ethnic health disparities. The authors examined disease screening activities in five county jails. Screening for HIV and other sexually transmitted infections (STIs) was offered during the medical intake process and during HIV prevention education sessions. One thousand twenty inmates were tested from July 1, 2000, through December 31, 2000, for HIV infection, and 171 (17%) positive cases were identified (largely due to confirmatory testing). Of HIV-positive inmates, 83 (49%) were started on antiretroviral treatment. Additionally, 2,160 were tested for chlamydia, 1,327 for gonorrhea (largely duplicated), and 937 (duplicated) for syphilis. Across all three STIs, 78% of those who tested positive were treated. The remaining 22% either declined treatment, were released prior to notification of results, or were released prior to starting treatment. The CDP offers a model approach for addressing the poor health status of members of racial/ethnic minority groups by developing collaborations between corrections, public health departments, community-based organizations, and academia. An outgrowth of this collaboration is the improved capacity to detect and treat disease, which is a necessary component of a comprehensive HIV risk reduction program.
Authors:
K R Arriola; R L Braithwaite; S Kennedy; T Hammett; M Tinsley; P Wood; C Arboleda
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  116     ISSN:  0033-3549     ISO Abbreviation:  Public Health Rep     Publication Date:    2001 Nov-Dec
Date Detail:
Created Date:  2002-08-28     Completed Date:  2002-09-09     Revised Date:  2008-11-20    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  520-9     Citation Subset:  AIM; IM    
Affiliation:
Dept. of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA. kjacoba@sph.emory.edu
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MeSH Terms
Descriptor/Qualifier:
AIDS Serodiagnosis
Centers for Disease Control and Prevention (U.S.)
Community-Institutional Relations*
Comprehensive Health Care / economics,  organization & administration
Cooperative Behavior*
Female
Financing, Government
HIV Infections / diagnosis*,  drug therapy,  epidemiology,  prevention & control
Health Services Accessibility / economics,  organization & administration*
Humans
Local Government
Male
Mass Screening / economics,  organization & administration*
Models, Organizational*
Pilot Projects
Prisoners*
Prisons / economics,  organization & administration*
Public Health Administration*
Sexually Transmitted Diseases / diagnosis*,  drug therapy,  epidemiology,  prevention & control
Socioeconomic Factors
United States / epidemiology
United States Health Resources and Services Administration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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