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HIV Counseling and Testing of Young Men in PrisonCenters for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention, Atlanta, Georgia, rmacgowan{at}cdc.gov
University of Alaska, Anchorage
University of Wisconsin, Madison
Emory University, Atlanta, Georgia
Brown University and the Miriam Hospital, Providence, Rhode Island
Centerforce, San Rafael, California
Centers for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention, Atlanta, Georgia
Jackson State University, Jackson, Mississippi
Miriam Hospital and the Providence Veterans Administration Medical Center, Providence, Rhode Island Project START Study Group HIV counseling and testing are the first steps to diagnosing and managing HIV infection. This article describes factors associated with HIV testing and counseling in prisons with different policies for HIV testing (voluntary, during medical evaluation; voluntary, during peer-led class; mandatory) and counseling (all counseled, or pretest counseling not required and posttest for positive only). Prisoner testing rates were 46% "voluntary, peer-led", 78% "mandatory", and 86% "voluntary, medical." Less than 50% received any counseling. Results suggest the potential value of coordinating HIV and STD/hepatitis services across all policies. Risk behaviors or demographic factors were only associated with one testing or one counseling policy. Prisons can achieve high rates of HIV testing by routinely offering voluntary HIV testing during the medical intake process, and this may result in increased diagnosis of HIV infection.
Key Words: HIV counseling • HIV testing • prison health care • correctional health
Journal of Correctional Health Care, Vol. 12, No. 3,
203-213 (2006) This article has been cited by other articles:
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