ArticleSocial science & medicine (1982)2026
Structures of survival: Syndemic pathways to care among people with HIV involved with the criminal legal system.
Article in Social science & medicine (1982), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundCriminal legal system (CLS) involvement intersects syndemically with HIV, mental illness, substance use, and exposure to violence. Mass incarceration remains both a cause and consequence of racialized health inequities in the U.S. The post-release period is particularly vulnerable for people living with HIV (PLWH) who experience CLS involvement, underscoring the need for care models attuned to their structural and psychosocial contexts. This study examines how syndemic pathways and cumulative life experiences shape HIV care trajectories among people with HIV involved with the CLS.
methodsGuided by a life-course and syndemic framework, we conducted 21 adapted Life History Calendar (A-LHC) interviews in Miami, Florida, an epicenter of both incarceration and HIV. Participants co-constructed visual timelines and in-depth narratives were analyzed using rapid qualitative analysis to identify trajectories, transitions, and turning points in HIV care.
resultsFindings reveal that early trauma, housing instability, substance use, and incarceration cluster and accumulate across the life course, contributing to disrupted HIV care. Participants navigated care within contexts of poverty, institutional mistrust, and unstable housing, yet many demonstrated resilience through faith, recovery, and social support. CLS involvement simultaneously disrupted and occasionally facilitated re-engagement in care.
conclusionThis study highlights developmental and structural pathways that shape HIV care continuity among people with HIV involved with the CLS. The A-LHC method offers a feasible tool for capturing temporal and syndemic complexity, informing trauma-informed, life-course-based, and system-integrated approaches to care.
Indexed as
Identifiers
What OpenQuestion holds
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.