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从监狱释放后获得抗逆转录病毒治疗

Jacques Baillargeon¹, Thomas P Giordano, Josiah D Rich

¹Department of Preventive Medicine and Community Health, University of Texas Medical Branch, 301 University Blvd, Mail Route 1007, Galveston, TX 77555, USA. jbaillar@utmb.edu

|February 27, 2009

概括

在接受艾滋病毒治疗的囚犯中,只有30%的人在释放后60天内完成了初始抗逆转录病毒疗法 (ART) 处方. 这凸显了从监狱转移到社区的HIV阳性患者的关怀中的关键差距.

科学领域:

公共卫生公共卫生
传染性疾病传染性疾病
医疗保健服务研究医疗服务研究

背景情况:

从监禁中释放后中止抗逆转录病毒疗法 (ART) 可能导致不良健康结果和艾滋病毒传播.
了解监狱释放后的ART坚持模式对于防止耐药性HIV储存器至关重要.
释放后HIV感染囚犯重新填补ART处方的比例在很大程度上是未知的.

研究的目的:

量化获取在释放后60天内获得ART处方的囚犯的百分比.
在以前被监禁的个人中确定与ART处方补充相关的预测因素.

主要方法:

一项回顾性队列研究分析了2115名从德克萨斯州监狱释放的感染艾滋病毒的囚犯 (2004-2007).
在被释放之前,囚犯正在接受ART治疗.
评估了处方填充率在发布后的10,30和60天.

主要成果:

只有30.0%的囚犯在释放后60天内填写了ART处方.
西班牙裔和非裔美国囚犯在10天和30天内填写处方的可能性较低.
诸如无法检测到的病毒载量,假释状态和艾滋病药物援助计划 (ADAP) 援助等因素与更高的补充率有关.

结论:

很大一部分感染艾滋病毒的囚犯在从监狱释放后不久就没有填写ART处方.
需要有针对性的干预措施来改善这一弱势群体的ART连续性.
解决差异和提供支持服务可以增强释放后的艾滋病毒护理.

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