Women, incarceration and HIV

Erickson, Margaret; Shannon, Kate; Sernick, Ariel; Pick, Neora; Ranville, Florence; Martin, Ruth Elwood; Krüsi, Andrea

doi:10.1097/qad.0000000000002036

Cited by 28 publications

(10 citation statements)

References 64 publications

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“…Similar results were observed in another study evaluating post-release interventions in ten cities in the United States, with only one-third of 867 prisoners living with HIV released to the community being retained in HIV care 6 months following release [9]. Successful post-release linkage to care appears to be less likely among formerly incarcerated women with HIV relative to men [10]. Specifically, in one study, only 38% of women had accessed care within 30 days of release, compared with 60% of men [11].…”

Section: Introductionsupporting

confidence: 73%

Using concept mapping to inform the development of a transitional reintegration intervention program for formerly incarcerated people with HIV

Antoniou

Mishra

Matheson

et al. 2019

BMC Health Serv Res

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BackgroundAccessing HIV-related care is challenging for formerly incarcerated people with HIV. Interventions informed by the perspectives of these individuals could facilitate engagement with care and address competing priorities that may act as barriers to this process.MethodsWe used concept mapping to identify and prioritize the main obstacles to engaging with HIV-related care following prison release. In brainstorming sessions, formerly incarcerated people with HIV generated responses to a focused prompt regarding the main barriers to reengaging with care. These were consolidated in 35 statements. Next, participants sorted the consolidated list of responses into groups and rated each from lowest to highest in terms of its importance and feasibility of being addressed. We used cluster analysis to generate concept maps that were interpreted with participants.ResultsOverall, 39 participants participated in brainstorming sessions, among whom 18 returned for rating and sorting. Following analysis, a seven-cluster map was generated, with participants rating the ‘Practical Considerations’ (e.g. lack of transportation from prison) and ‘Survival Needs’ (e.g. securing housing and food) clusters as most important. Although ratings were generally similar between women and men, women assigned greater importance to barriers related to reconnecting with children.ConclusionsUsing concept mapping, we worked with formerly incarcerated people with HIV to identify and prioritize key challenges related to accessing health and social services following prison release. Transitional intervention programs should include programs and processes that address meeting basic subsistence needs and overcoming logistical barriers related to community re-entry.

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Section: Introductionsupporting

confidence: 73%

Using concept mapping to inform the development of a transitional reintegration intervention program for formerly incarcerated people with HIV

Antoniou

Mishra

Matheson

et al. 2019

BMC Health Serv Res

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“…Sandberg (2011, 2013) recommend that to identify a field assumption, one must look for a broad idea about a specific subject matter, shared by different schools of thought, and often difficult to recognize because 'everyone' in a paradigm shares it. Various theoretical, quantitative, and qualitative works conceptualized transitions as those going into versus out of facilities and focused on transitions out of correctional facilities for PLWH (e.g., Erickson et al, 2019;Kemnitz et al, 2017;Subramanian et al, 2016). The idea of separating transitions based upon their spatial location is viewed as generally unproblematic and the dominant way of thinking in this field.…”

Section: Inside and Outside: The Division Of A Wholementioning

confidence: 99%

“…In addition, the interest and focus of research is mostly on transitions out of correctional facilities, because that is identified as where PLWH re-enter their communities and 'chaotic lifestyles' (Erickson et al, 2019;Subramanian et WITNESS VOL 3 (2) 51 al., 2016, p. 151;Pluznik et al, 2021). This field assumption beckons two questions: Why do we separate transitions, and why do we tend to overly focus on transitions out of correctional facilities?…”

Section: Inside and Outside: The Division Of A Wholementioning

confidence: 99%

“…Care providers and nurses practicing within the field of transitions find their HIV care practices similarly organizedtransitions into corrections for PLWH, and thus the care provided, are conceptualized as separate from transitions out of correctional facilities (Erickson et al, 2019). Yet, in the context of individual and structural barriers to accessing HIV services both within and outside of correctional facilities, such as substance misuse disorders, mental health diagnoses, or distrust of medical providers (Baillargeon et al, 2010;Rozanova et al, 2015;Springer et al, 2011), conceptualizing transitions in this manner, and thus HIV care provided, is open to question.…”

Section: Understanding Effects -Inside and Outside: The Division Of A Wholementioning

confidence: 99%

“…These rates are also elevated by an increased prevalence of high-risk sexual behaviors and injection drug use among incarcerated populations (Simonsen et al, 2015). In addition, the interface between living with HIV and the incarcerated landscape is complex, as issues of confidentiality, competing health and social priorities (Kouyoumdjian et al, 2020), and gender-based inequities (Erickson et al, 2019) function within a penal system encouraged to punish rather than rehabilitate (Weinrath, 2016).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Problematizing transitions in relation to correctional centres for people living with HIV: Unpacking the taken for granted.

Wadams

2021

CJCND

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Transitions into and out of correctional facilities for people living with HIV are a pivotal point in the HIV treatment cascade where adherence metrics are significantly affected. In this paper I use Alvesson and Sandberg’s problematization method of literature analysis to critique and understand the taken-for-granted assumptions underpinning how knowledge is generated within the intersecting fields of HIV, transitions, and corrections. Utilizing problematization, two assumptions underpinning knowledge generation are identified: the linearity of the HIV care continuum model and the tendency to create and perpetuate spatially segregating metaphors of transitions inside versus outside correctional facilities for people living with HIV. These assumptions are discussed in the context of how they shape dominant ways of thinking and practicing in the field. An alternative way to understand transitions for people living with HIV is proposed along with recommendations to guide the HIV care practices of nurses and other healthcare providers.

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Disparities in the PrEP continuum for trans women compared to MSM in San Francisco, California: results from population‐based cross‐sectional behavioural surveillance studies

et al. 2020

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IntroductionAlthough transgender women (trans women) often are conflated with men who have sex with men (MSM) in HIV research and services, there are distinct population differences that are important for implementing effective HIV prevention. Our objective was to examine pre‐exposure prophylaxis (PrEP) disparities between the two populations and compare individual, social and structural factors that influence differences between MSM and trans women along the PrEP continuum.MethodsWe analysed data from two population‐based studies, one with trans women (Trans*National Study, 2016 ‐ 18) and the other with MSM (National HIV Behavioral Surveillance, 2017). Trans women were recruited via respondent‐driven sampling and MSM using time location sampling. Key indicators of the PrEP continuum were evaluated, including awareness, health insurance, provider discussions, recent use and adherence. Associations were also examined for PrEP continuum indicators and structural barriers (e.g. employment, homelessness).ResultsTranswomen were more likely than MSM to be Latino/a (30.4% vs. 25.8%; prevalence ratio (PR)=1.08, 95% CI 1.02 to 1.14) or African American (7.1% vs. 4.5%; PR = 1.12, 1.02 to 1.24), live at or below the poverty limit (70.7% vs. 15.8%; PR = 1.47; 1.41 to 1.53), be unemployed (50.1% vs. 26.3%; PR = 1.18, 1.13 to 1.24), be homeless (8.4% vs. 3.5%; PR = 1.15, 1.06 to 1.25) and to have less than a college degree (PR = 1.41, 1.34 to 1.48). Trans women were more likely than MSM to have health insurance (95.7% vs. 89.7%, PR = 1.17, 1.06 to 1.28), but less likely than MSM to have heard of PrEP (79.1% vs. 96.7%; PR = 0.77, 0.73 to 0.81), talked with a provider about PrEP (35.5% vs. 54.9%; PR = 0.87, 0.83 to 0.91) and less likely than MSM to have used PrEP in the past six months (14.6% vs. 39.8%; PR = 0.80, 0.76 to 0.84). Among PrEP users, trans women were less likely to report being adherent to PrEP than MSM (70.4% vs. 87.4%; PR = 0.80, 0.70 to 0.91).ConclusionsWe found PrEP disparities for trans women compared to MSM and the need for differentiated implementation strategies to meet the specific PrEP barriers trans women face. Inclusion of trans women’s HIV risks is needed in CDC guidance for PrEP. Interventions to increase trans women’s awareness of PrEP including at the provider and community level are also needed. Finally, programming that addresses trans women’s barriers to housing and income is also needed to reduce PrEP disparities.

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Women, incarceration and HIV

Cited by 28 publications

References 64 publications

Using concept mapping to inform the development of a transitional reintegration intervention program for formerly incarcerated people with HIV

Using concept mapping to inform the development of a transitional reintegration intervention program for formerly incarcerated people with HIV

Problematizing transitions in relation to correctional centres for people living with HIV: Unpacking the taken for granted.

Disparities in the PrEP continuum for trans women compared to MSM in San Francisco, California: results from population‐based cross‐sectional behavioural surveillance studies

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