Interventions Designed to Improve HIV Continuum of Care Outcomes for Persons with HIV in Contact with the Carceral System in the USA

Curr HIV/AIDS Rep. 2022 Aug;19(4):281-291. doi: 10.1007/s11904-022-00609-x. Epub 2022 Jun 8.


Purpose of review: To describe existing evidence and identify future directions for intervention research related to improving HIV care outcomes for persons with HIV involved in the carceral system in the USA, a population with high unmet HIV care needs.

Recent findings: Few recent intervention studies focus on improving HIV care outcomes for this population. Successful strategies to improve care outcomes include patient navigation, substance use treatment, and incentivizing HIV care outcomes. Technology-supported interventions are underutilized in this population. Notable gaps in the existing literature include intervention research addressing HIV care needs for cisgender and transgender women and those under carceral supervision in the community. Future research should address existing gaps in the literature and respond to emergent needs including understanding how the changing HIV care delivery environment resulting from the COVID-19 pandemic and the approval of new injectable ART formulation shape HIV care outcomes in this population.

Keywords: Carceral system; HIV treatment; HIV/AIDS; Jail; Prison.

Publication types

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

MeSH terms

  • COVID-19* / epidemiology
  • Continuity of Patient Care
  • Female
  • HIV Infections* / epidemiology
  • HIV Infections* / therapy
  • Humans
  • Pandemics
  • Patient Navigation*
  • Transgender Persons*