Prevalence and correlates of community re-entry challenges faced by HIV-infected male prisoners in Malaysia

Author:

Choi P1,Kavasery R2,Desai M M1,Govindasamy S3,Kamarulzaman A3,Altice F L23

Affiliation:

1. Department of Epidemiology and Public Health, Division of Chronic Disease Epidemiology

2. Department of Medicine, Section of Infectious Diseases, AIDS Program, Yale University School of Medicine

3. Centre of Excellence in Research on AIDS (CERiA), University of Malaya. Kuala Lumpur, Malaysia

Abstract

HIV-infected prisoners face an inordinate number of community re-entry challenges. In 2007, 102 HIV-infected prisoners in Malaysia were surveyed anonymously within six months prior to release to assess the prevalence and correlates of community re-entry challenges. Staying out of prison (60.8%), remaining off drugs (39.2%), finding employment (35.3%) and obtaining HIV care (32.4%) were the re-entry challenges reported most frequently. Global stigma, negative self-image and public attitudes-related stigma were independently associated with challenges to obtaining HIV care. In multivariate analyses, those with previous incarcerations (adjusted odds ratio [AOR], 3.2; 95% confidence interval [CI], 1.4–7.6), higher HIV-related symptoms (AOR, 2.0; 95% CI, 1.0–4.1) and higher public attitudes-related stigma (AOR, 2.5; 95% CI, 1.2–5.1) had a significantly higher likelihood of identifying more re-entry challenges. Targeted interventions, such as effective drug treatment, HIV care and public awareness campaigns, are crucial for stemming the HIV epidemic and improving health outcomes among HIV-infected prisoners in Malaysia.

Publisher

SAGE Publications

Subject

Infectious Diseases,Pharmacology (medical),Public Health, Environmental and Occupational Health,Dermatology

Reference58 articles.

1. Walmsley R. Global Incarceration and Prison Trends. Forum on Crime and Society. Vienna: UNODC, 2003: 65–78

2. A longitudinal, qualitative analysis of the context of substance use and sexual behavior among 18- to 29-year-old men after their release from prison

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