Study highlights HIV/AIDS challenge in American prison system

Sep 29, 2009

HIV/Aids is up to five times more prevalent in American prisons than in the general population. Adherence to treatment programs can be strictly monitored in prison. However, once prisoners are released, medical monitoring becomes problematic. A new study by Dr. Nitika Pant Pai - an Assistant professor of Medicine and a medical scientist at the Research Institute of the MUHC - suggests the majority (76%) of inmates take their antiretroviral treatment (ART) intermittently once they leave prison, representing a higher risk to the general population.

"Over a period of 9 years, we studied 512 HIV positive repeat offender inmates from the San Francisco County jail system," says Dr. Pant Pai. "Our results show that only 15% continuously took their ART between incarcerations or after their release." According to the study, published in the journal PLoS one, these figures highlight a lack of effectiveness on the part of medical monitoring services for these people outside prison.

"Taking ART intermittently is a problem because it depletes the count - the immunizing cells that fight infection - and increases the probability of developing resistance to the virus," says Dr. Pant Pai. "The risk for rapid disease progression becomes higher and presents a risk for public health transmission of HIV to their partners." According to the study those on intermittent therapy were 1.5 times more likely to have higher virus load than those on continuous therapy; those who never received therapy were 3 times more likely to have a higher VL.

"The optimal solution for treating patients and controlling the HIV/ epidemic in the USA is to ensure continuous therapy," explains Dr. Milton Estes, medical director of Forensic AIDS Project, San Francisco. "To achieve this we must work on various aspects of the prisoner's lives, such as marginalization, and drug use, both before and after their departure from prison." According to Dr. Jacqueline Tulsky, senior author of the study, "This research highlights the need to examine ART policies inside and outside correctional settings with a view to establishing effective life long management of in prisoners."

"This research is the first observational study in American prisons to evaluate the impact of antiretroviral treatment (ART) over a nine year period. It demonstrates the need for effective community transition and release programs to optimize ART given in jails," explains Dr. Pant Pai.

Source: McGill University Health Centre (news : web)

Explore further: Brazil's Amazon region houses latex 'love factory'

add to favorites email to friend print save as pdf

Related Stories

Study says few prisoners contract HIV

Apr 21, 2006

A study refutes the widely held perception that blames U.S. prisons for the spread of the AIDS epidemic, saying very few prisoners acquire the virus.

Researchers urge integrating TB into HIV care

Jul 22, 2008

In resource-limited settings where tuberculosis is a major cause of mortality among HIV patients and where a multidrug-resistant TB epidemic is emerging, researchers are pressing for approaches to integrate TB prevention ...

Antiretroviral therapy as HIV prevention strategy

Jun 30, 2008

The widespread use of highly active antiretroviral therapy may reduce the incidence of HIV in individuals and populations but has been overlooked by public health as a prevention strategy, write Dr. Julio Montaner and colleagues ...

Recommended for you

Brazil's Amazon region houses latex 'love factory'

9 hours ago

Deep in Amazonia, Raimundo Pereira expertly cuts a gash in a rubber tree to collect white sap destined for the nearby factory at Xapuri, the world's only producer of contraceptives made from tropical forest latex.

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.