Evidence map›Paper›PMID 22662177›Full record

ArticlePloS one2012

Early identification of HIV: empirical support for jail-based screening.

Alex de Voux, Anne C Spaulding, Curt Beckwith, Ann Avery, Chyvette Williams, Lauren C Messina, Sarah Ball, Frederick L Altice

Abstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Prisons: ignore them at our peril.Current opinion in HIV and AIDS · 2019
    Review
  9. Acceptability of HIV Testing Among Jail Inmates When Combined With a Blood Test for Tuberculosis.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2018
    Article
  10. Infectious Diseases and the Criminal Justice System.The American journal of the medical sciences · 2016
    Article
  11. Review
  12. Article
  13. Emergency department use among HIV-infected released jail detainees.Journal of urban health : bulletin of the New York Academy of Medicine · 2015
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alex de VouxRollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
Anne C Spaulding
Curt Beckwith
Ann Avery
Chyvette Williams
Lauren C Messina
Sarah Ball
Frederick L Altice

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Hannah LF Cooper · 2002 to 2026
$74.0M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI Rami Kantor · 1998 to 2026
$51.7M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Comprehensive HIV Testing Strategies for JailsK23DA021095 · NIDA · MIRIAM HOSPITAL · PI BECKWITH, CURT G · 2007 to 2011
$779k
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI050409NIAID NIH HHS P30AI050409NIAID NIH HHS P30AI42853NIDA NIH HHS K23 DA021095NIDA NIH HHS K23DA021095NIDA NIH HHS K24 DA017072PHS HHS H97HA08535PHS HHS H97HA08541PHS HHS H97HA08543PHS HHS H97HA085XXPHS HHS U90HA07632
6 · The paper itself

Abstract

backgroundAlthough routine HIV testing is recommended for jails, little empirical data exist describing newly diagnosed individuals in this setting.

methodsClient-level data (CLD) are available on a subset of individuals served in EnhanceLink, for the nine of the 10 sites who enrolled newly diagnosed persons in the client level evaluation. In addition to information about time of diagnosis, we analyzed data on initial CD4 count, use of antiretroviral therapy (ART), and linkage to care post discharge. Baseline data from newly diagnosed persons were compared to data from persons whose diagnoses predated jail admission.

resultsCLD were available for 58 newly diagnosed and 708 previously diagnosed individuals enrolled between 9/08 and 3/11. Those newly diagnosed had a significantly younger median age (34 years) when compared to those previously diagnosed (41 years). In the 30 days prior to incarceration, 11% of those newly diagnosed reported injection drug use and 29% reported unprotected anal intercourse. Median CD4 count at diagnosis was 432 cells/mL (range: 22-1,453 cells/mL). A minority (21%, N = 12) of new diagnoses started antiretroviral treatment (ART) before release; 74% have evidence of linkage to community services.

conclusionPreliminary results from a cross-sectional analysis of this cohort suggest testing in jails finds individuals early on in disease progression. Most HIV(+) detainees did not start ART in jail; therefore screening may not increase pharmacy costs for jails. Detainees newly diagnosed with HIV in jails can be effectively linked to community resources. Jail-based HIV testing should be a cornerstone of "test and treat" strategies.

Indexed as

PrisonsAdultCD4 Lymphocyte CountCohort StudiesCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMass ScreeningMiddle AgedYoung Adult

Identifiers

PMID22662177
PMCPMC3360747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.