Do condom and needle exchange provision in prisons reduce risky behavior and HIV transmission? A systematic literature review

dc.contributor.advisorBaillargeon, Jacques
dc.contributor.committeeMemberde Boer, Melanie
dc.contributor.committeeMemberKeiser, Philip
dc.creatorKwatampora, Lily 1977-
dc.date.accessioned2016-11-14T15:24:05Z
dc.date.available2016-11-14T15:24:05Z
dc.date.created2012-12
dc.date.submittedDecember 2012
dc.date.updated2016-11-14T15:24:05Z
dc.description.abstractPrison populations worldwide are disproportionately affected by HIV/AIDS. In the United States alone, the number of inmates with confirmed AIDS is more than two times that of the general population. Furthermore, about one quarter of all HIV infected persons in the United States have a history of imprisonment. Intraprison HIV transmission occurs and is linked to ongoing high risk behavior such as injection drug use associated with sharing of injecting equipment, unsafe sexual activity and tattooing. However, HIV prevention initiatives involving condom and needle exchange programs have not been widely implemented in prisons due to the perception that these would contradict policies that forbid sexual activity and drug use in prison. Systematic review of published literature on the effect condom and needles exchange provision on risky behavior and HIV incidence in prison identified six studies that support the use of these initiatives. Condoms and needle exchange programs promote safer sexual and injecting practices that over time may reduce HIV transmission among inmates. Nonetheless, more studies are needed to assess the long term impact on intraprison HIV seroconversion.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttp://hdl.handle.net/2152.3/839
dc.subjectHIV prevention
dc.subjectprison
dc.subjectinmate
dc.subjectcondom
dc.subjectneedle exchange
dc.titleDo condom and needle exchange provision in prisons reduce risky behavior and HIV transmission? A systematic literature review
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentPublic Health
thesis.degree.disciplinePreventive Medicine/Public Health
thesis.degree.grantorThe University of Texas Medical Branch at Galveston
thesis.degree.levelMasters
thesis.degree.namePublic Health (Masters)

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