Maintaining Viral Suppression After Prison Remains a Challenge

Enhanced pre- and postdischarge support for suppressed HIV+ persons released from prison failed to improve 6-month treatment outcomes.

Certain populations of HIV+ persons, including young black men who have sex with men, have difficulty achieving good viral suppression and access to care. Incarcerated HIV+ persons released from prison are another group who have trouble achieving viral success and maintaining treatment engagement.

Investigators have now conducted a randomized, controlled trial (imPACT) to evaluate the effect of enhanced pre- and postdischarge services versus standard-of-care services for 405 eligible HIV+ inmates in Texas and North Carolina on antiretroviral therapy (ART; HIV levels <400 copies/mL; 65% black; mean age, 44 years; median CD4 cell count, 505 cells/mm³; 67% with history of substance abuse). Participants were randomized to standard services (incl…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Maintaining Viral Suppression After Prison Remains a Challenge

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Reviewing Author