Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Oct;17 Suppl 2(0 2):S145-55.
doi: 10.1007/s10461-013-0590-1.

Understanding the revolving door: individual and structural-level predictors of recidivism among individuals with HIV leaving jail

Jeannia J Fu  1 , Maua Herme, Jeffrey A Wickersham, Alexei Zelenev, Amy Althoff, Nickolas D Zaller, Alexander R Bazazi, Ann K Avery, Jeff Porterfield, Alison O Jordan, Dominique Simon-Levine, Martha Lyman, Frederick L Altice
Affiliations

Understanding the revolving door: individual and structural-level predictors of recidivism among individuals with HIV leaving jail

Jeannia J Fu et al. AIDS Behav. 2013 Oct.

Abstract

Incarceration, particularly when recurrent, can significantly compromise the health of individuals living with HIV. Despite this, the occurrence of recidivism among individuals with HIV has been little examined, particularly among those leaving jail, who may be at especially high risk for return to the criminal justice system. We evaluated individual- and structural-level predictors of recidivism and time to re-incarceration in a cohort of 798 individuals with HIV leaving jail. Nearly a third of the sample experienced at least one re-incarceration event in the 6 months following jail release. Having ever been diagnosed with a major psychiatric disorder, prior homelessness, having longer lifetime incarceration history, having been charged with a violent offense for the index incarceration and not having health insurance in the 30 days following jail release were predictive of recidivism and associated with shorter time to re-incarceration. Health interventions for individuals with HIV who are involved in the criminal justice system should also target recidivism as a predisposing factor for poor health outcomes. The factors found to be associated with recidivism in this study may be potential targets for intervention and need to be further explored. Reducing criminal justice involvement should be a key component of efforts to promote more sustainable improvements in health and well-being among individuals living with HIV.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Subject disposition
Fig. 2
Fig. 2
Structural-level predictors of time to re-incarceration
Fig. 3
Fig. 3
Individual-level predictors of time to re-incarceration
See this image and copyright information in PMC

References

    1. Spaulding AC, Seals RM, Page MJ, Brzozowski AK, Rhodes W, Hammett TM. HIV/AIDS among inmates of and releasees from US correctional facilities, 2006: declining share of epidemic but persistent public health opportunity. PLoS One. 2009;4:e7558. - PMC - PubMed
    1. Marlow E, White MC, Tulsky JP, Estes M, Menendez E. Recidivism in HIV-infected incarcerated adults: influence of the lack of a high school education. J Urban Health. 2008;85:585–95. - PMC - PubMed
    1. Westergaard RP, Kirk GD, Richesson DR, Galai N, Mehta SH. Incarceration predicts virologic failure for HIV-infected injection drug users receiving antiretroviral therapy. Clin Infect Dis. 2011;53:725–31. - PMC - PubMed
    1. Kerr T, Marshall A, Walsh J, Palepu A, Tyndall M, Montaner J, et al. Determinants of HAART discontinuation among injection drug users. AIDS Care. 2005;17:539–49. - PubMed
    1. Beckwith CG, Zaller ND, Fu JJ, Montague BT, Rich JD. Opportunities to diagnose, treat, and prevent HIV in the criminal justice system. J Acquir Immune Defic Syndr. 2010;55(Suppl 1):S49–55. - PMC - PubMed

Publication types