After the Fact: A Brief Educational Program on HIV Postexposure Prophylaxis for Female Detainees in a Local Jail

J Correct Health Care. 2015 Apr;21(2):140-51. doi: 10.1177/1078345815572335.


Women who have been in jail are at increased risk of acquiring HIV when they are in the community. Nonoccupational postexposure prophylaxis (nPEP) reduces HIV transmission following high-risk behaviors and is an effective HIV prevention strategy. The authors designed a 15-minute interactive educational program to increase inmates' knowledge of nPEP. Before the program, participants self-reported high HIV risk yet low risk perception and lack of nPEP awareness. After the program, nPEP knowledge scores increased by 40% regardless of demographic or HIV-risk characteristics. This study demonstrates that a brief, easy-to-deliver educational intervention can be carried out in a jail, is effective at raising awareness of both HIV risk and nPEP, and may be useful for others seeking to increase use of this prevention strategy for high-risk women during incarceration.

Keywords: HIV prevention; educational interventions; jail-based education; nonoccupational postexposure prophylaxis; women’s health.

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use*
  • Female
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Health Behavior*
  • Health Education / methods*
  • Humans
  • Models, Educational
  • Needle Sharing / statistics & numerical data
  • Post-Exposure Prophylaxis / methods*
  • Prisoners / education*
  • Program Evaluation
  • Regression Analysis
  • San Francisco
  • Unsafe Sex / statistics & numerical data
  • Women's Health


  • Anti-HIV Agents