Nimasha B Fernando, Daniel M Woznica, Tonderai Mabuto, Christopher J Hoffmann
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引用次数: 0
摘要
目的：本分析旨在研究南非释放前参加与艾滋病相关的同伴康复项目对释放后与社区艾滋病关怀联系的作用：在一项释放后联系到护理的前瞻性研究中，来自六个惩教机构的参与者（N = 351）自我报告了参与康复计划的情况，这些参与者被诊断为艾滋病毒呈阳性，并且在释放时正在服用抗逆转录病毒药物。释放后 90 天的护理链接状态通过病历审查进行验证：在二项回归模型中，与 HIV 相关的同伴康复计划出席率并不显著（相对风险 [RR] 1.1，95% 置信区间 [CI] [0.8, 1.4]，P 值 = 0.7），但短期/长期监禁地点（RR 1.5，95% CI [1.0，2.1]，p-value = 0.04）和入狱前的关系状况（RR 1.9，95% CI [1.0，3.6]，p-value = 0.05）与出狱后的 HIV 护理联系显著相关：以康复和同伴为基础的艾滋病项目在其他环境中已被证明是有益的。对当前计划的评估可能会发现改进的机会。
In-facility HIV peer-based rehabilitation programs' role in linkage to care among persons transitioning from correctional to community-based HIV care in South Africa.
Purpose: This analysis aims to examine the role of pre-release, HIV-related, peer-based rehabilitation program attendance on post-release linkage to community-based HIV care in South Africa.
Design/methodology/approach: During a post-release linkage-to-care prospective study, participants from six correctional facilities who had an HIV-positive diagnosis and were taking anti-retroviral medications at release (N = 351) self-reported rehabilitation program participation. Linkage-to-care status 90 days post-release was verified by medical chart review.
Findings: In a binomial regression model, HIV-related, peer-based rehabilitation program attendance was insignificant (relative risk [RR] 1.1, 95% confidence interval [CI] [0.8, 1.4], p-value = 0.7), but short-/long-term incarceration site (RR 1.5, 95% CI [1.0, 2.1], p-value = 0.04) and relationship status pre-incarceration (RR 1.9, 95% CI [1.0, 3.6], p-value = 0.05) were significantly associated with linkage to HIV care post-release.
Originality/value: Rehabilitation and peer-based HIV programs have had demonstrated benefit in other settings. Assessment of current programs may identify opportunities for improvement.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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