Provider perspectives regarding the health care needs of a key population: HIV-infected prisoners after incarceration

J Assoc Nurses AIDS Care. 2015 Sep-Oct;26(5):556-69. doi: 10.1016/j.jana.2015.05.001. Epub 2015 May 19.


During incarceration, many HIV-infected prisoners receive care and are adherent to medication. However, following release, many have difficulty engaging in HIV care and remaining on antiretroviral therapy. Community-based service providers for HIV-infected releasees have a deep understanding of the health needs and challenges these individuals face on community re-entry. We conducted in-depth qualitative interviews with 38 health care and service professionals in two southern U.S. states regarding the barriers releasees faced in meeting their health needs, including HIV care and treatment post release. Individual, community, and organization-level barriers to HIV care and treatment adherence post release were identified, and offered unique insight into the ways that these multilevel obstacles affect HIV-infected former prisoners' abilities to engage in care and access necessary social services. Provider perspectives should be considered when designing interventions to support HIV care after release.

Keywords: HIV; health care disparities; minority health; prisons.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-HIV Agents / therapeutic use*
  • Continuity of Patient Care*
  • Female
  • HIV Infections / drug therapy*
  • Health Personnel*
  • Health Services Accessibility
  • Health Services Needs and Demand
  • Healthcare Disparities*
  • Humans
  • Interviews as Topic
  • Minority Health
  • North Carolina
  • Prisoners*
  • Prisons
  • Qualitative Research
  • Rural Population
  • Social Adjustment
  • Texas
  • Urban Population


  • Anti-HIV Agents