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Comprehensive Medical Care among HIV-Positive Incarcerated Women: The Rhode Island Experience.

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Title: Comprehensive Medical Care among HIV-Positive Incarcerated Women: The Rhode Island Experience.
Authors: Farley, Julie L., Adelson Mitty, Jennifer, Lally, Michelle A., Burzynski, Joseph N., Tashima, Karen, Rich, Josiah D., Cu-uvin, Susan, Spaulding, Anne, Normandie, Lenore, Snead, Mary, Flanigan, Timothy P.
Source: Journal of Women's Health & Gender-Based Medicine. Jan2000, Vol. 9 Issue 1, p51-56. 6p.
Subjects: HIV-positive women, Women prisoners, HIV infections, Medical care, Lentivirus diseases
Geographic Terms: Rhode Island, United States
Abstract: Our objective was to characterize the clinical presentation of human immunodeficiency virus (HIV) infection among incarcerated women in a program that provides HIV testing and primary care to all state prisoners in Rhode Island. A retrospective medical chart review on all HIV-seropositive women who were incarcerated between 1989 and 1994 and had at least two medical visits with an HIV medical care provider was used. At the Rhode Island Adult Correctional Institution (ACI), under mandatory testing laws between 1989 and 1994, 28% (172 of 623) of all women were identified with HIV infection. Of the 172 women who tested seropositive in prison, 110 were included in the study. Of the 110 women followed, 84% reported injection drug use (IDU) as their primary risk factor, and 30% reported both IDU and sex work. The median CD4 count was 596/mm[sup 3], with 60% having a CD4 count >500 cells/mm[sup 3]. The most common medical conditions were vaginal candidiasis, oral candidiasis, and bronchitis. Antiretroviral therapy was well accepted and followed community standards. Continuity of medical care after release was facilitated by the same physician caring for the patient in the community setting, with 83% of women following up for HIV care after release. The medical conditions noted reflect that these women are early in the course of their HIV disease when they are initially diagnosed. This comprehensive program in Rhode Island's state prison plays a central role in the diagnosis of HIV-seropositive women and provides counseling, primary medical and gynecological care, and linkage to community resources after release. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Women's Health & Gender-Based Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comprehensive Medical Care among HIV-Positive Incarcerated Women: The Rhode Island Experience.
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  Data: <searchLink fieldCode="AR" term="%22Farley%2C+Julie+L%2E%22">Farley, Julie L.</searchLink><br /><searchLink fieldCode="AR" term="%22Adelson+Mitty%2C+Jennifer%22">Adelson Mitty, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Lally%2C+Michelle+A%2E%22">Lally, Michelle A.</searchLink><br /><searchLink fieldCode="AR" term="%22Burzynski%2C+Joseph+N%2E%22">Burzynski, Joseph N.</searchLink><br /><searchLink fieldCode="AR" term="%22Tashima%2C+Karen%22">Tashima, Karen</searchLink><br /><searchLink fieldCode="AR" term="%22Rich%2C+Josiah+D%2E%22">Rich, Josiah D.</searchLink><br /><searchLink fieldCode="AR" term="%22Cu-uvin%2C+Susan%22">Cu-uvin, Susan</searchLink><br /><searchLink fieldCode="AR" term="%22Spaulding%2C+Anne%22">Spaulding, Anne</searchLink><br /><searchLink fieldCode="AR" term="%22Normandie%2C+Lenore%22">Normandie, Lenore</searchLink><br /><searchLink fieldCode="AR" term="%22Snead%2C+Mary%22">Snead, Mary</searchLink><br /><searchLink fieldCode="AR" term="%22Flanigan%2C+Timothy+P%2E%22">Flanigan, Timothy P.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Women's+Health+%26+Gender-Based+Medicine%22">Journal of Women's Health & Gender-Based Medicine</searchLink>. Jan2000, Vol. 9 Issue 1, p51-56. 6p.
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  Data: <searchLink fieldCode="DE" term="%22HIV-positive+women%22">HIV-positive women</searchLink><br /><searchLink fieldCode="DE" term="%22Women+prisoners%22">Women prisoners</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Lentivirus+diseases%22">Lentivirus diseases</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Rhode+Island%22">Rhode Island</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Our objective was to characterize the clinical presentation of human immunodeficiency virus (HIV) infection among incarcerated women in a program that provides HIV testing and primary care to all state prisoners in Rhode Island. A retrospective medical chart review on all HIV-seropositive women who were incarcerated between 1989 and 1994 and had at least two medical visits with an HIV medical care provider was used. At the Rhode Island Adult Correctional Institution (ACI), under mandatory testing laws between 1989 and 1994, 28% (172 of 623) of all women were identified with HIV infection. Of the 172 women who tested seropositive in prison, 110 were included in the study. Of the 110 women followed, 84% reported injection drug use (IDU) as their primary risk factor, and 30% reported both IDU and sex work. The median CD4 count was 596/mm[sup 3], with 60% having a CD4 count >500 cells/mm[sup 3]. The most common medical conditions were vaginal candidiasis, oral candidiasis, and bronchitis. Antiretroviral therapy was well accepted and followed community standards. Continuity of medical care after release was facilitated by the same physician caring for the patient in the community setting, with 83% of women following up for HIV care after release. The medical conditions noted reflect that these women are early in the course of their HIV disease when they are initially diagnosed. This comprehensive program in Rhode Island's state prison plays a central role in the diagnosis of HIV-seropositive women and provides counseling, primary medical and gynecological care, and linkage to community resources after release. [ABSTRACT FROM AUTHOR]
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  Group: Ab
  Data: <i>Copyright of Journal of Women's Health & Gender-Based Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=5323774
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        Value: 10.1089/152460900318966
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        Text: English
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        PageCount: 6
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      – SubjectFull: HIV-positive women
        Type: general
      – SubjectFull: Women prisoners
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      – SubjectFull: HIV infections
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      – SubjectFull: Lentivirus diseases
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      – SubjectFull: Rhode Island
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