Determinants of voluntary HIV testing among inmates

囚犯自愿艾滋病毒检测的决定因素

• 批准号: 7859431
• 负责人: DAVID L ROSEN
• 金额: $ 2.89万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7859431
• 关键词: Admission activity; African American; Age; Behavioral; Characteristics; Communities; Consensus; Consent; Databases; Effectiveness; Female; Gender; Geographic state; HIV; Health Status; Human immunodeficiency virus test; Imprisonment; Individual; Infection; Knowledge; Mental Health; Mental disorders; Modeling; North Carolina; Pattern; Population; Principal Component Analysis; Prisoner; Prisons; Process; Race; Recording of previous events; Reporting; Research; Resources; Risk Behaviors; Risk Factors; Southeastern United States; Substance abuse problem; System; Techniques; Testing; Variant; Virus Diseases; burden of illness; improved; systems research

DESCRIPTION (provided by applicant): Despite the heavy burden of HIV infection among incarcerated people, testing strategies vary widely across US state prison systems. In 19 states, prison systems enforce mandatory HIV testing; the other 31 state prison systems, which incarcerate 70% of all inmates, employ some degree of voluntary testing. Few studies, however, have systematically explored the extent or effectiveness of voluntary HIV testing in state prison systems. Given the lack of knowledge regarding HIV testing in Voluntary' prison systems and the benefits of testing accrued by both infected inmates and communities to which inmates return, we propose to accomplish the following specific aims within the context of a large, southern state prison system: 1) determine system-wide and facility specific HIV testing rates among new prison entrants, 2) explore facility-specific differences associated with HIV testing rates, 3) identify inmate characteristics associated with receipt of an HIV test, and 4) identify inmate characteristics associated with positive serostatus. These aims will be achieved by analyzing a large (N=72,000) database using advanced statistical techniques including hierarchical multivariate modeling and principal components analysis.

描述（由申请人提供）：尽管被监禁的人中的艾滋病毒感染负担很大，但在美国州监狱系统中测试策略差异很大。在19个州，监狱系统执行强制性的艾滋病毒测试；其他31个州监狱系统被监禁了所有囚犯的70％，采用了一定程度的自愿测试。但是，很少有研究系统地探讨了州监狱系统中自愿艾滋病毒测试的程度或有效性。鉴于缺乏关于自愿监狱系统中的艾滋病毒测试的知识，以及受感染的囚犯和囚犯返回的社区所产生的测试的好处，我们建议在大型的南部州监狱系统中实现以下特定目标：1）确定与新监狱的特定率相关的探索率，2）确定与设施的特定率相关的探索率，2）探索率相关的HIV依据，2）探索率，2）艾滋病毒测试和4）识别与阳性血清阳性相关的囚犯特征。这些目标将通过使用高级统计技术（包括分层多元建模和主组件分析）分析大型（n = 72,000）数据库来实现这些目标。

项目成果

Detection of undiagnosed HIV among state prison entrants.

州监狱入狱人员中未确诊艾滋病毒的检测。

• DOI: 10.1001/jama.2013.280740
• 发表时间: 2013
• 期刊: JAMA
• 作者: Wohl,DavidAlain;Golin,Carol;Rosen,DavidL;May,JeanineM;White,BeckyL
• 通讯作者: White,BeckyL