Ethical Challenges in Conducting HIV/AIDS Research in Correctional Settings

Eldridge, Gloria D.; Robinson, Rebecca Volino; Corey, Staci; Brems, Christiane; Johnson, Mark

doi:10.1177/1078345812456194

Cited by 14 publications

(24 citation statements)

References 13 publications

(15 reference statements)

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“…Our research contributes empirical data to the national dialogue initiated by the IOM (2006) report on how to increase valuable research in correctional settings and confirms and expands on the qualitative findings reported by Eldridge et al (2012). Clearly, further research is needed to understand the situation before developing recommendations.…”

Section: Discussionsupporting

confidence: 55%

HIV/AIDS Research in Correctional Settings

Johnson

Kondo

Brems

et al. 2015

Journal of Correctional Health Care

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Housing a large number of individuals living with or at risk for HIV/AIDS, correctional settings have considerable potential for epidemiological, prevention, and treatment research. However, federal regulations and institutional challenges have limited the extent and types of such research with prisoners. This study examines the degree to which HIV/AIDS correctional researchers report greater challenges than do their non-correctional counterparts. Results indicated that correctional researchers reported significantly more frequent challenges than those in noncorrectional settings, even after controlling for experience; with the dominant difference related to challenges due to the research setting. These findings add empirical data and support previous research in the field; however, additional research should include correctional staff and incarcerated individuals, and explore whether these differences extend to other research topics.

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Section: Discussionsupporting

confidence: 55%

HIV/AIDS Research in Correctional Settings

Johnson

Kondo

Brems

et al. 2015

Journal of Correctional Health Care

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“…Frequent, although not always “accepted,” practices such as drug use, same sex intercourse or commercial sex increase the risk of HIV acquisition or transmission among these confined individuals (53). However data relevant to these populations are limited (54). One global review regarding HIV in prisons showed that prevalences could be as high as 37.5% (55).…”

Section: Introductionmentioning

confidence: 99%

The Changing face of HIV in Latin America and the Caribbean

2014

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Latin America and the Caribbean (LAC) is a region with similarities and important disparities. In recent years LAC has witnessed achievements, with HIV prevalence rates relatively stable for LA and decreasing for the Caribbean. However average values hide differences. General population HIV prevalence in LAC is 0.4% in average. In the Caribbean there are fewer new HIV infections but HIV prevalence among adults exceeds 1% in several countries. It is estimated that 31% of adults living with HIV in LA and 52% of adults in the Caribbean are women. Unprotected sex is the main route of HIV transmission in LAC. Men who have sex with men and transgender women are the populations with the highest prevalence (10.6% and 17.7% respectively); however other key populations such as female sex workers (4.9%), drug users (range 1%-49.7% for intravenous drug users). Prisoners and indigenous populations are also important. LAC has the highest anti-retroviral treatment coverage of any low- and middle-income region in the world, but women and children are less likely than men to receive treatment. There is an important pending agenda to address the gaps in information, prevention and care for HIV in LAC.

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“…We have previously highlighted the paucity of knowledge of federal regulations for protections of prisoners as research participants (Johnson et al, 2014) and ethical challenges related to research in correctional settings (Eldridge et al, 2012; Johnson et al, in press). The findings reported here expand our prior reports by identifying the specific areas of training desired.…”

Section: Discussionmentioning

confidence: 99%

“…To identify the most significant of these ethical challenges, Eldridge, Robinson, Corey, Brems, and Johnson (2012) conducted key informant interviews with 92 HIV/AIDS researchers, ethicists, IRB members, IRB prisoner representatives, and prison administrators. These researchers found that confidentiality and privacy, autonomy and informed consent, and justice and access were the most commonly mentioned challenges.…”

Section: Introductionmentioning

confidence: 99%

HIV/AIDS Research in Correctional Settings: Perspectives on Training Needs From Researchers and IRB Members

Kondo

Johnson

Ironside

et al. 2014

AIDS Education and Prevention

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Being disproportionately represented by individuals living with HIV/AIDS, correctional facilities are an important venue for potentially invaluable HIV/AIDS epidemiological and intervention research. However, unique ethical, regulatory, and environmental challenges exist in these settings that have limited the amount and scope of research. We surveyed 760 HIV/AIDS researchers, and IRB chairs, members, and prisoner representatives to identify areas in which additional training might ameliorate these challenges. Most commonly identified training needs related to federal regulations, ethics (confidentiality, protection for participants/researchers, coercion, privacy, informed consent, and general ethics), and issues specific to the environment (culture of the correctional setting; general knowledge of correctional systems; and correctional environments, policies, and procedures). Bolstering availability of training on the challenges of conducting HIV/AIDS research in correctional settings is a crucial step toward increasing research that will yield significant benefits to incarcerated individuals and society as a whole.

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Ethical Challenges in Conducting HIV/AIDS Research in Correctional Settings

Cited by 14 publications

References 13 publications

HIV/AIDS Research in Correctional Settings

HIV/AIDS Research in Correctional Settings

The Changing face of HIV in Latin America and the Caribbean

HIV/AIDS Research in Correctional Settings: Perspectives on Training Needs From Researchers and IRB Members

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