Emergency department utilization by people living with HIV released from jail in the US South
Abstract Background Incarceration is disruptive to HIV care, often resulting in poor retention in care for people living with HIV (PLWH) after jail release. This gap in HIV care might result in potentially preventable emergency department (ED) utilization. We analyzed demographic, incarceration, soc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | Health & Justice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40352-020-00118-2 |
| _version_ | 1819000890457063424 |
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| author | Alfredo G. Puing Xilong Li Josiah Rich Ank E. Nijhawan |
| author_facet | Alfredo G. Puing Xilong Li Josiah Rich Ank E. Nijhawan |
| author_sort | Alfredo G. Puing |
| collection | DOAJ |
| description | Abstract Background Incarceration is disruptive to HIV care, often resulting in poor retention in care for people living with HIV (PLWH) after jail release. This gap in HIV care might result in potentially preventable emergency department (ED) utilization. We analyzed demographic, incarceration, socioeconomic and clinical data for PLWH released from the Dallas County Jail to the community (1450 incarcerations, 1155 unique individuals) between January 2011 and November 2013. Results The study population consisted of predominantly men (77%), with a mean age of 39 years, 67% were black and 14% were Hispanic; half of the releasees visited the ED at least once during the first-year post-jail. In adjusted analyses, female gender, family awareness of HIV status, serious mental illness, and late engagement to HIV care were significantly associated with higher ED utilization. Compared to the general Dallas population, PLWH released from jail had a 5-fold higher proportion of ED visits classified as related to substance use or mental health. Conclusions Further efforts are needed to improve the transition from incarceration to community-based HIV care, substance use disorder treatment and mental health services, and to directly address re-engagement in HIV care for out-of-care PLWH who visit the ED. |
| first_indexed | 2024-12-20T22:40:30Z |
| format | Article |
| id | doaj.art-7a9dafd6a3054d38982c372096db52c2 |
| institution | Directory Open Access Journal |
| issn | 2194-7899 |
| language | English |
| last_indexed | 2024-12-20T22:40:30Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Health & Justice |
| spelling | doaj.art-7a9dafd6a3054d38982c372096db52c22022-12-21T19:24:29ZengBMCHealth & Justice2194-78992020-06-018111210.1186/s40352-020-00118-2Emergency department utilization by people living with HIV released from jail in the US SouthAlfredo G. Puing0Xilong Li1Josiah Rich2Ank E. Nijhawan3Stanford University Medical CenterDepartment of Clinical Sciences, University of Texas Southwestern Medical CenterDepartment of Internal Medicine and Epidemiology, Warren Alpert Medical School of Brown UniversityDepartment of Clinical Sciences, University of Texas Southwestern Medical CenterAbstract Background Incarceration is disruptive to HIV care, often resulting in poor retention in care for people living with HIV (PLWH) after jail release. This gap in HIV care might result in potentially preventable emergency department (ED) utilization. We analyzed demographic, incarceration, socioeconomic and clinical data for PLWH released from the Dallas County Jail to the community (1450 incarcerations, 1155 unique individuals) between January 2011 and November 2013. Results The study population consisted of predominantly men (77%), with a mean age of 39 years, 67% were black and 14% were Hispanic; half of the releasees visited the ED at least once during the first-year post-jail. In adjusted analyses, female gender, family awareness of HIV status, serious mental illness, and late engagement to HIV care were significantly associated with higher ED utilization. Compared to the general Dallas population, PLWH released from jail had a 5-fold higher proportion of ED visits classified as related to substance use or mental health. Conclusions Further efforts are needed to improve the transition from incarceration to community-based HIV care, substance use disorder treatment and mental health services, and to directly address re-engagement in HIV care for out-of-care PLWH who visit the ED.http://link.springer.com/article/10.1186/s40352-020-00118-2Emergency departmentHIVJail |
| spellingShingle | Alfredo G. Puing Xilong Li Josiah Rich Ank E. Nijhawan Emergency department utilization by people living with HIV released from jail in the US South Health & Justice Emergency department HIV Jail |
| title | Emergency department utilization by people living with HIV released from jail in the US South |
| title_full | Emergency department utilization by people living with HIV released from jail in the US South |
| title_fullStr | Emergency department utilization by people living with HIV released from jail in the US South |
| title_full_unstemmed | Emergency department utilization by people living with HIV released from jail in the US South |
| title_short | Emergency department utilization by people living with HIV released from jail in the US South |
| title_sort | emergency department utilization by people living with hiv released from jail in the us south |
| topic | Emergency department HIV Jail |
| url | http://link.springer.com/article/10.1186/s40352-020-00118-2 |
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