%0 Journal Article
%T HIV
%A Agathe Pastre
%A Alice Merceron
%A Amandine Chaponnay
%A Florence Huber
%A Gueda Gadio
%A Mathieu Nacher
%A Stephanie Vandentorren
%A Vincent About
%J International Journal of STD & AIDS
%@ 1758-1052
%D 2019
%R 10.1177/0956462418816452
%X In French Guiana, 4.5¨C5.0% of HIV-infected persons experienced an incarceration between 2007 and 2013. A cross-sectional survey was performed to describe the epidemiology and treatment outcomes of a population of HIV-infected inmates in French Guiana. The study population was patients released between 1/2007 and 12/2013, after >30 days of incarceration (n£¿=£¿147). A secondary objective aimed to identify its main specificities, relative to both the general inmate population and the nonincarcerated HIV population. The socioeconomic situation of HIV-infected inmates was particularly precarious, relative to other detainees: 58.1% had never attended school (versus 5.5%, p£¿<£¿0.01), 31.0% were homeless (versus 8.5%, p£¿<£¿0.01), 63.9% were repeat offenders (versus 46.6%, p£¿<£¿0.01), 33.3% were crack cocaine users (versus 9.8¨C12%, p£¿<£¿0.01). The frequency of hypertension and chronic B hepatitis was also higher. Only 50.3% of inmates were on antiretroviral therapy (ART) versus 92.6% in the hospital HIV population (p£¿<£¿0.001). Among untreated patients, 15.1% refused ART. Among those treated, 81.3% were virologically suppressed. Although comparisons were biased, HIV-positive inmates had more psychosocial vulnerabilities than the general inmate population. Despite ART availability and excellent treatment outcomes, undertreatment was a fact not completely explained by patient refusal. HIV-infected inmates should benefit from increased attention by health care and social workers
%K AIDS
%K prison
%K antiretroviral therapy
%K psychosocial deprivation
%K substance-related disorders
%U https://journals.sagepub.com/doi/full/10.1177/0956462418816452