Authors: Catherine A Grodensky David L Rosen Sayaka Hino Carol E Golin David A Wohl
Publish Date: 2015/09/19
Volume: 20, Issue: 4, Pages: 859-869
Abstract
Optout HIV testing is recommended for correctional settings but may occur without inmates’ knowledge or against their wishes Through surveying inmates receiving optout testing in a large prison system we estimated the proportion unaware of being tested or not wanting a test and associations prevalence ratios PRs with inmate characteristics Of 871 tested 118 were unknowingly tested and 108 had unwanted tests Not attending an educational HIV course PR = 234 95 confidence interval CI 147–374 lower HIV knowledge PR = 095 95 CI 091–098 and thinking testing is not mandatory PR = 984 95 CI 493–1967 were associated with unawareness of testing No prior incarcerations PR = 159 95 CI 103–246 and not using crack/cocaine recently PR = 237 95 CI 121–464 were associated with unwanted testing Residence at specific facilities was associated with both outcomes Increased assessment of inmate understanding and enhanced implementation are needed to ensure inmates receive full benefits of optout testing being informed and tested according to their wishesWe would like to thank Rebecca Ochtera for her thoughtful input into the analysis plan for this manuscript and to Becky White Jeanine May Robert DeVellis J Michael Bowling and members of the UNC Criminal Justice Working Group for their work on the parent study This work would not have been possible without NC Department of Public Safety staff and study participants who generously gave their time and energy to the study This research was funded by National Institute of Health NIH Grant R01 MH07972001A1 and supported by the University of North Carolina at Chapel Hill Center for AIDS Research CFAR an NIH Funded program P30 AI50410
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