Comparison of HIV Clinical Outcomes Between Missouri
Inmates and Free-Living Patients from a Specialty HIV Clinic
June 14, 2002
Reported by:
Richard D. Moore, M.D.
Treatment of HIV infection in prisoners is as important as treatment in free-living individuals. Prison is potentially a setting in which antiretroviral therapy can be given with relatively close monitoring and assurance of adherence.
In Missouri, medical care is delivered in the prison system by Correctional Medical Services (CMS). Antiretroviral therapy is provided to inmates according to DHHS guidelines. We wished to determine how the clinical outcomes of care in Missouri prisoners compared to free-living HIV-infected individuals receiving care in an HIV specialty clinic. We hypothesized that the outcomes of antiretroviral treatment in prison should be as good as, if not better, than free-living patients. This report presents the results of our analysis.
The Missouri inmate cohort had similar clinical outcomes to a well-matched free-living HIV-infected cohort cared for in an academic HIV specialty clinic. This result demonstrates that medical care for HIV-infected inmates can be highly effective in maintaining good health according to therapeutic guidelines. This analysis demonstrates that inmates can receive high quality HIV care and this care will lead to favorable clinical outcomes.
June 14, 2002
(Note: This article
has been submitted for publication. Once it is printed, the full text
version will be made available).
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