Abstract

Many criminal justice-involved persons on probation or parole do not receive HIV testing despite being at an increased risk for infection and transmission. Between April, 2011 and May, 2012 in Baltimore, MD and Providence, RI, a two-group randomized controlled trial was conducted in order to examine the uptake of on-site rapid HIV testing compared to off-site referral-based HIV testing at a community clinic. Adults under community supervision were recruited to complete baseline assessments and then offered optional, free rapid-HIV testing. Of the 1263 participants who completed baseline measures, 566 declined HIV testing prior to randomization to the on-site testing at the Probation/Parole office or referral to off-site testing in a community health clinic. Follow-up data from 50 individuals who declined HIV testing were collected from September 2016–June 2017 and are examined in the present study. We describe the long-term outcomes of these 50 individuals in terms of HIV testing, HIV status, and frequencies of drug and sex risk behaviors.

摘要

尽管感染和传播的风险增加，但许多在缓刑或假释期间涉及刑事司法的人并未接受 HIV 检测。2011 年 4 月至 2012 年 5 月期间，在马里兰州巴尔的摩和罗德岛普罗维登斯进行了一项两组随机对照试验，以比较现场快速 HIV 检测与非现场转诊 HIV 检测的比较一个社区诊所。招募社区监督下的成年人完成基线评估，然后提供可选的免费快速 HIV 检测。在完成基线测量的 1263 名参与者中，有 566 人在随机分配到缓刑/假释办公室的现场检测或转介到社区卫生诊所的场外检测之前拒绝进行 HIV 检测。从 2016 年 9 月至 2017 年 6 月收集了 50 名拒绝 HIV 检测的个人的后续数据，并在本研究中进行了检查。我们描述了这 50 个人在 HIV 检测、HIV 状态以及药物和性风险行为频率方面的长期结果。