HIV prevention services in correctional drug treatment programs: do they change risk behaviors
Department of Medicine, Division of Preventive and Behavioral Medicine
Adult; Cohort Studies; Female; Follow-Up Studies; HIV Infections; Health Services Research; Humans; Male; Needle Sharing; Preventive Health Services; Prisoners; Program Evaluation; Prospective Studies; Questionnaires; *Risk-Taking; Sexual Behavior; Substance Abuse Treatment Centers; Substance-Related Disorders; United States
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventive Medicine
This study evaluated receipt of HIV prevention services in correctional substance abuse treatment programs and examined their impact on short-term risk behaviors. The authors performed a secondary analysis of the National Treatment Improvement Evaluation Study (NTIES), a prospective cohort study conducted during 1993 to 1995. The sample included 1,223 adult non-HIV-positive inmates, enrolled in nine correctional substance abuse treatment programs. A composite index modeled after the validated Risk Assessment Battery measured HIV risk behavior at treatment entry and at 12-month follow-up. Overall, most inmates received HIV prevention services while in treatment. Controlling for potential confounders, HIV prevention services were significantly associated with reduced risk behavior among inmates who were out of custody at follow-up, but no such association was observed among those still in custody. This analysis suggests that HIV prevention services are beneficial in reducing risk behavior among incarcerated individuals whose discharge is expected in the near future.
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Citation: AIDS Educ Prev. 2002 Apr;14(2):117-25. DOI 10.1521/aeap.126.96.36.19998
Lubelczyk, Rebecca A. Ballard; Friendmann, Peter D.; Lemon, Stephenie C.; Stein, Michael D.; and Gerstein, Dean R., "HIV prevention services in correctional drug treatment programs: do they change risk behaviors" (2002). Preventive and Behavioral Medicine Publications and Presentations. 195.