Incarceration can disrupt retention in HIV care and viral suppression, yet it can also present an opportunity to reengage people living with HIV (PLWH) in care. Data-to-care (D2C) is a promising new public health strategy that uses HIV surveillance data to improve continuity of care for PLWH. The goal of this study was to examine perspectives on and experiences with D2C among PLWH who had recently been incarcerated in jail. Semistructured, qualitative interviews were conducted with 24 PLWH in community and prison settings about (1) knowledge of and experiences with D2C and (2) attitudes about implementing D2C in the jail setting. Participants who had been contacted for D2C described their interactions with state public health workers favorably, although almost half were not aware that the state performs HIV surveillance and D2C. While most participants indicated they would welcome assistance from the state for reengaging in care, they also framed retention in care as an individual responsibility. Most participants supported the idea of jail-based D2C. A vocal minority expressed adamant opposition, citing concerns about the violation of privacy and the threat of violence in the jail setting. Findings from this study suggest that D2C interventions in jails could be beneficial to reengaging PLWH in care, and acceptable to PLWH if done in a way that is sensitive to the needs and concerns of incarcerated individuals. If implemented, jail-based D2C programs must be designed with care to preserve privacy, confidentiality, and the autonomy of incarcerated individuals.

中文翻译：

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基于监狱的数据护理以提高艾滋病毒护理的连续性：以前被监禁者的观点和经验

监禁可能会破坏艾滋病毒护理和病毒抑制的保留，但它也可以为重新让艾滋病毒感染者（PLWH）接受护理提供机会。数据到护理 (D2C) 是一种很有前途的新公共卫生战略，它利用艾滋病毒监测数据来改善对感染者的护理连续性。本研究的目的是探讨最近被监禁的艾滋病病毒感染者对 D2C 的看法和经验。我们对社区和监狱环境中的 24 名感染者进行了半结构化定性访谈，内容涉及 (1) 对 D2C 的了解和经验，以及 (2) 对在监狱环境中实施 D2C 的态度。接触过 D2C 的参与者对他们与州公共卫生工作者的互动表示满意，尽管几乎一半的人不知道该州进行艾滋病毒监测和 D2C。虽然大多数参与者表示他们欢迎国家为重新接受护理提供援助，但他们也将保留护理视为个人责任。大多数参与者支持基于监狱的 D2C 的想法。少数人表示坚决反对，理由是担心监狱环境中侵犯隐私和暴力威胁。这项研究的结果表明，监狱中的 D2C 干预措施可能有利于艾滋病毒感染者重新接受护理，并且如果以一种对被监禁者的需求和关切敏感的方式进行，也会被艾滋病毒感染者接受。如果实施的话，基于监狱的 D2C 计划必须谨慎设计，以保护被监禁者的隐私、机密性和自主权。