The Prevalence of HIV Peer Programming in American Prisons: An Opportunity Wasted

Collica, Kimberly

doi:10.1177/1078345807306865

Cited by 23 publications

(28 citation statements)

References 17 publications

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“…23,25,123,124,126,135,136,138,139,147,151,153,155,156 Peer education was the most studied intervention mode (21 studies). 23,27,101,106,120,121,123,125,126,[128][129][130][131]134,143,144,[158][159][160]162,164 Of the other studies 14 were on peer support, 25,26,32,38,140,[149][150][151][152][153][154][155][156][157] two were on peer advisors, 135,139 two were on health trainers, …”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…38,121,136,138,139 Nineteen were of moderate quality 25,31,37,101,106,[126][127][128][131][132][133]135,137,140,147,148,151,161,162 and 32 were of poor quality. 23,27,32,36,119,120,[122][123][124][125]129,130,134,[141][142][143][144][145][146]149,150,[152][153][154][155][156][157][158]…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…26 In terms of relevance to the review context, five were judged to be highly relevant, 38,135,136,138,139 with 27 being of some relevance 23,25,31,32,101,106,121,123,124,[126][127][128]131,132,137,[146][147][148][150][151][152][154][155][156]158,161,164 and 22 being not very relevant. 27,36,119,120,122,125,129,130,133,134,[140][141][142][143][144][145]153,157,…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…25,32,36,120,129,131,133,135,136,149,[151][152][153][154][155][156]158 Three were randomised controlled trials (RCTs). 27,123,126 In five studies the study design was unclear.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…In total, 20 studies considered the prevention of HIV/AIDS/hepatitis C or other blood-borne viral infections or STIs; 23,27,101,106,120,121,123,125,126,128,130,131,134,144,150,158,160,[162][163][164] 12 considered general health and/or hygiene; 25,32,38,40,119,127,133,136,140,148,149,157,159 four looked at issues affecting prisoners on release, such as employment or housing; 135,139,141,147 seven looked at the prevention of suicide or self-harm; 22,26,31,36,124,137,138 two considered mental health or substance abuse; 122,145 two looked at improving educational skills; 142,143 one considered pa...…”

Section: Introductionmentioning

confidence: 99%

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A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

South

Bagnall

Hulme

et al. 2014

Health Services and Delivery Research

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BackgroundOffender health is deemed a priority issue by the Department of Health. Peer support is an established feature of prison life in England and Wales; however, more needs to be known about the effectiveness of peer-based interventions to maintain and improve health in prison settings.ObjectivesThe study aimed to synthesise the evidence on peer-based interventions in prison settings by carrying out a systematic review and holding an expert symposium. Review questions were (1) what are the effects of peer-based interventions on prisoner health and the determinants of prisoner health?, (2) what are the positive and negative impacts on health services within prison settings of delivering peer-based interventions?, (3) how do the effects of peer-based approaches compare with those of professionally led approaches? and (4) what are the costs and cost-effectiveness of peer-based interventions in prison settings?Data sourcesFor the systematic review, 20 electronic databases including MEDLINE, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature and EMBASE were searched from 1985. Grey literature and relevant websites were also searched. To supplement the review findings 58 delegates, representing a variety of organisations, attended an expert symposium, which provided contextual information.Review methodsTwo reviewers independently selected studies using the following inclusion criteria: population – prisoners resident in prisons and young offender institutions; intervention – peer-based interventions; comparators: review questions 3 and 4 compared peer-led and professionally led approaches; outcomes – prisoner health or determinants of health, organisational/process outcomes or views of prison populations; study design: quantitative, qualitative and mixed-methods evaluations. Two reviewers extracted data and assessed validity using piloted electronic forms and validity assessment criteria based on published checklists. Results from quantitative studies were combined using narrative summary and meta-analysis when appropriate; results from qualitative studies were combined using thematic synthesis.ResultsA total of 15,320 potentially relevant papers were identified of which 57 studies were included in the effectiveness review and one study was included in the cost-effectiveness review; most were of poor methodological quality. A typology of peer-based interventions was developed. Evidence suggested that peer education interventions are effective at reducing risky behaviours and that peer support services provide an acceptable source of help within the prison environment and have a positive effect on recipients; the strongest evidence came from the Listener scheme. Consistent evidence from many predominantly qualitative studies suggested that being a peer deliverer was associated with positive effects across all intervention types. There was limited evidence about recruitment of peer deliverers. Recurring themes were the importance of prison managerial and staff support for schemes to operate successfully, and risk management. There was little evidence on the cost-effectiveness of peer-based interventions. An economic model, developed from the results of the effectiveness review, although based on data of variable quality and a number of assumptions, showed the cost-effectiveness of peer-led over professionally led education in prison for the prevention of human immunodeficiency virus (HIV) infection.LimitationsThe 58 included studies were, on the whole, of poor methodological quality.ConclusionsThere is consistent evidence from a large number of studies that being a peer worker is associated with positive health. Peer support services can also provide an acceptable source of help within the prison environment and can have a positive effect on recipients. This was confirmed by expert evidence. Research into cost-effectiveness is sparse but a limited HIV-specific economic model, although based on a number of assumptions and evidence of variable quality, showed that peer interventions were cost-effective compared with professionally led interventions. Well-designed intervention studies are needed to provide robust evidence including assessing outcomes for the target population, economic analysis of cost-effectiveness and impacts on prison health services. More research is needed to examine issues of reach, utilisation and acceptability from the perspective of recipients and those who choose not to receive peer support.Study registrationThis study was registered as PROSPERO CRD42012002349.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Description Of Included Studiesmentioning

confidence: 99%

“…25,32,36,120,129,131,133,135,136,149,[151][152][153][154][155][156]158 Three were randomised controlled trials (RCTs). 27,123,126 In five studies the study design was unclear.…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

South

Bagnall

Hulme

et al. 2014

Health Services and Delivery Research

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The Success of HIV Prison-Based Peer Programming

Collica

2012

SpringerBriefs in Psychology

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HIV Risk Behaviors of Male and Female Jail Inmates Prior to Incarceration and One Year Post-Release

et al. 2011

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Individuals cycling in and out of the criminal justice system are at high risk for contracting HIV/AIDS. Most infections are contracted in the community, not during incarceration, but little is known about the profile of risk behaviors responsible for this elevated infection rate. This study investigated pre-incarceration and post-release HIV risk behaviors in a longitudinal study of 542 male and female inmates in a Northern Virginia jail. Although there was a significant decrease in risky behavior from pre-incarceration to post-incarceration, participants reported high levels of unprotected sexual activity and risky IV drug behaviors at both time points, emphasizing the need for prevention programming among this at-risk population. Gender differences in participants’ pre-incarceration and post-release HIV risk behaviors suggest the need for gender-specific interventions to reduce overall HIV risk. Identifying specific HIV risk behaviors of jail inmates is vital to improve treatment and intervention efforts inside and outside of correctional settings.

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The Prevalence of HIV Peer Programming in American Prisons: An Opportunity Wasted

Cited by 23 publications

References 17 publications

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings

The Success of HIV Prison-Based Peer Programming

HIV Risk Behaviors of Male and Female Jail Inmates Prior to Incarceration and One Year Post-Release

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