ArticleJournal of public health management and practice : JPHMP
Establishing an HIV Screening Program Led by Staff Nurses in a County Jail.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence and Management of Sexually Transmitted Infections in Correctional Settings: A Systematic Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Pooled it
- Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021Guideline
- Trial
- Barriers and facilitators to implementing status-neutral HIV care in an urban jail system.Health & justice · 2026Article
- HIV Prevention for People Releasing from Incarceration: A Qualitative Pre-implementation Study.Journal of general internal medicine · 2025Article
- A Multicomponent Strategy to Improve HIV Pre-Exposure Prophylaxis in a Southern US Jail: Protocol for a Type 3 Hybrid Implementation-Effectiveness Trial.JMIR research protocols · 2025Article
- HIV testing in jails: Comparing strategies to maximize engagement in HIV treatment and prevention.PloS one · 2023Article
- Article
- Emergency department utilization by people living with HIV released from jail in the US South.Health & justice · 2020Article
- Juvenile justice staff endorsement of HIV/STI prevention, testing, and treatment linkage.Health & justice · 2019Article
- Understanding how, why, for whom, and under what circumstances opt-out blood-borne virus testing programmes work to increase test engagement and uptake within prison: a rapid-realist review.BMC health services research · 2019Review
- 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 · 2018Article
- The Missing Link: HIV, Corrections, and Public Health.American journal of public health · 2017Article
- Can TasP Approaches Be Implemented in Correctional Settings?: A review of HIV testing and linkage to community HIV treatment programs.Journal of health care for the poor and underserved · 2016Review
- Hepatitis C Virus Testing and Linkage to Care in North Carolina and South Carolina Jails, 2012-2014.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
contextHuman immunodeficiency virus (HIV) testing in jails provides an opportunity to reach individuals outside the scope of traditional screening programs. The rapid turnover of jail populations has, in the past, been a formidable barrier to offering routine access to testing.
objectiveTo establish an opt-out, rapid HIV testing program, led by nurses on the jail staff, that would provide undiagnosed yet infected detainees opportunities to learn their status regardless of their hour of entry and duration of stay.
designJail nurses offered rapid, opt-out HIV testing.
settingFulton County Jail in Georgia, United States.
participantsA total of 30 316 persons booked to Fulton County Jail.
interventionIn late 2010, we performed a preliminary evaluation of HIV seroprevalence. Starting January 1, 2011, HIV testing via rapid oral mucosal swab was offered to entrants. In March 2013, finger stick was substituted. Detainees identified as positives were assisted with linkage to care.
main outcome measuresTo estimate an upper limit of overall HIV prevalence among entrants, we determined seroprevalence by age and gender group. To measure program performance, we checked offer and acceptance rates for tests and rate of linkage to care among previously known and newly identified HIV+ detainees.
resultsThe initial seroprevalence of HIV in Fulton County Jail was at least 2.18%. Between March 2013 and February 2014, 89 new confirmed positives were identified through testing. During these 12 months, 20 947 bookings were followed by an offer of HIV testing (69.10% offer rate), and 17 035 persons accepted (81.32% acceptance rate). A total of 458 previously and newly identified persons were linked to HIV care. Linkage was significantly higher among those aged 40 years and older (P < .05).
conclusionsA nurse-led, rapid HIV testing model successfully identified new HIV diagnoses. The testing program substantially decreased the number of persons who are HIV-infected but unaware of their status and promoted linkage to care.
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