Evidence map›Paper›PMID 29191440›Full record

ArticleThe lancet. HIV2018

Predictors of linkage to HIV care and viral suppression after release from jails and prisons: a retrospective cohort study.

Kelsey B Loeliger, Frederick L Altice, Mayur M Desai, Maria M Ciarleglio, Colleen Gallagher, Jaimie P Meyer

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The lancet. HIV, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06411223 (Project Tara), which is not on this map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
6.5field-weighted citation impact, top 2% of its field
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.

NCT06411223 phase2active not recruitingnot on this mapstarted 2024, after this paper: background citation

Project Tara: Pharmacist-led Intervention for Injectable HIV Treatment for Women With Health-related Social Needs

TypeinterventionalSponsorYale UniversityRan2024 to 2027Enrolled50ConditionsHivArmsCollaborative drug therapy management model, Cabotegravir/Rilpivirine
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 77 citations in OpenAlex.

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  10. Considerations for Collecting Public Health Data on Justice-System Involvement.Public health reports (Washington, D.C. : 1974) · 2026
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  20. Do Prisoners With Reintegration Needs Receive Relevant Professional Assistance?International journal of offender therapy and comparative criminology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Kelsey B LoeligerYale AIDS Program, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.
Frederick L AlticeYale AIDS Program, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA; Centre of Excellence in Research in AIDS, University of Malaya, Kuala Lumpur, Malaysia.
Mayur M DesaiDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA.
Maria M CiarleglioDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
Colleen GallagherHealth and Addiction Services Quality Improvement Program, Connecticut Department of Correction, Wethersfield, CT, USA.
Jaimie P MeyerYale AIDS Program, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA. Electronic address: jaimie.meyer@yale.edu.
Yale University · USConnecticut Department of Mental Health and Addiction Services · USUniversity of Malaya · MY

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Evaluating and Improving HIV Outcomes in Community-Based Women who Interface withK23DA033858 · NIDA · YALE UNIVERSITY · PI MEYER, JAIMIE · 2012 to 2016
$821k
The Impact of Incarceration on the Continuity of HIV Care in ConnecticutF30DA041247 · NIDA · YALE UNIVERSITY · PI LOELIGER, KELSEY BURK · 2016 to 2018
$128k
Doris Duke Charitable Foundation 2017080NCATS NIH HHS UL1 TR001863NIDA NIH HHS F30 DA041247NIDA NIH HHS K23 DA033858NIDA NIH HHS K24 DA017072NIGMS NIH HHS T32 GM007205NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

backgroundIncarceration provides an opportunity for engagement in HIV care but is associated with poor HIV treatment outcomes after release. We aimed to assess post-release linkage to HIV care (LTC) and the effect of transitional case management services.

methodsTo create a retrospective cohort of all adults with HIV released from jails and prisons in Connecticut, USA (2007-14), we linked administrative custody and pharmacy databases with mandatory HIV/AIDS surveillance monitoring and case management data. We examined time to LTC (defined as first viral load measurement after release) and viral suppression at LTC. We used generalised estimating equations to show predictors of LTC within 14 days and 30 days of release.

findingsAmong 3302 incarceration periods for 1350 individuals between 2007 and 2014, 672 (21%) of 3181 periods had LTC within 14 days of release, 1042 (34%) of 3064 had LTC within 30 days of release, and 301 (29%) of 1042 had detectable viral loads at LTC. Factors positively associated with LTC within 14 days of release are intermediate (31-364 days) incarceration duration (adjusted odds ratio 1·52; 95% CI 1·19-1·95), and transitional case management (1·65; 1·36-1·99), receipt of antiretroviral therapy during incarceration (1·39; 1·11-1·74), and two or more medical comorbidities (1·86; 1·48-2·36). Reincarceration (0·70; 0·56-0·88) and conditional release (0·62; 0·50-0·78) were negatively associated with LTC within 14 days. Hispanic ethnicity, bonded release, and psychiatric comorbidity were also associated with LTC within 30 days but reincarceration was not.

interpretationLTC after release is suboptimal but improves when inmates' medical, psychiatric, and case management needs are identified and addressed before release. People who are rapidly cycling through jail facilities are particularly vulnerable to missed linkage opportunities. The use of integrated programmes to align justice and health-care goals has great potential to improve long-term HIV treatment outcomes.

fundingUS National Institutes of Health.

Indexed as

Continuity of Patient CareAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveFemaleHIV InfectionsHumansMaleOutcome Assessment, Health CarePopulation SurveillancePrisonersPrisonsRetrospective StudiesTreatment OutcomeViral LoadAnti-HIV Agents

Identifiers

PMID29191440
PMCPMC5807129
OpenAlexW2768977550

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.