2007
DOI: 10.1177/003335490712200107
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Limited Spending: An Analysis of Correctional Expenditures on Antiretrovirals for HIV-Infected Prisoners

Abstract: There is a substantial unmet need for ARVs in correctional health care. Although many barriers exist to treating all eligible HIV-infected prisoners, treatment reduces costs associated with HIV-related complications and may encourage linkage to HIV care in the community. Treatment of all eligible HIV-infected inmates should be a public health priority.

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Cited by 28 publications
(24 citation statements)
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“…Globally, incarceration negatively affects continuity of care; development of trust; and, ultimately, optimal adherence (172). Incarceration provides a public health opportunity to provide ART to HIV-infected persons; however, barriers to ART delivery and adherence exist (173175), and unintended ART interruptions sometimes occur after release (176). Key challenges to ART adherence among criminal justice populations include identifying successful strategies for medication distribution that preserve confidentiality and avoid stigma (177180) and maintaining persistent ART use during transitions from correctional facilities to the community (181183).…”
Section: Guidelinesmentioning
confidence: 99%
“…Globally, incarceration negatively affects continuity of care; development of trust; and, ultimately, optimal adherence (172). Incarceration provides a public health opportunity to provide ART to HIV-infected persons; however, barriers to ART delivery and adherence exist (173175), and unintended ART interruptions sometimes occur after release (176). Key challenges to ART adherence among criminal justice populations include identifying successful strategies for medication distribution that preserve confidentiality and avoid stigma (177180) and maintaining persistent ART use during transitions from correctional facilities to the community (181183).…”
Section: Guidelinesmentioning
confidence: 99%
“…However, although there is a recognition that access to antiretroviral treatment in prisons can benefit not only the prisoners but also their families and the community, since it can encourage ex-offenders to continue HIV treatment after release shame, lack of infrastructure and the high cost of HIV treatment have become a challenge to be overcome, considering that only 29% of sales of antiretroviral drugs were destined for prisons, according to studies carried out in prisons and correctional systems in the United States [8,14].…”
Section: Thematic Axis 4 Antiretroviral Therapy In Prisons: Encouragmentioning
confidence: 99%
“…Yet, as superimposed element and an adjunct to favor the spread of HIV in this group, highlights the lack of access to basic health care, especially in developing countries with predominantly one in inadequate health care, devoid of actions aimed at prevention, education, diagnosis and treatment programs in prisons [1,6,9,[14][15].…”
Section: Introductionmentioning
confidence: 99%
“…22,23 Interruption in ART is associated with increased viral burden, antiretroviral resistance, and increased infectiousness. 23 …”
Section: Introductionmentioning
confidence: 99%