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Women, incarceration and HIV: a systematic review of HIV treatment access, continuity of care and health outcomes across incarceration trajectories

机译：妇女，监禁和艾滋病毒：艾滋病毒治疗机会的系统审查，监控轨迹的护理和健康状况的连续性

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Objective: The aim of this study was to systematically review the literature on gendered implications of incarceration for HIV outcomes and engagement in care for women living with HIV (WLWH). Design: We systematically searched seven bibliographic databases, for peer-reviewed English-language studies, published between 2007 and 2017 reporting on incarceration, women (transgender inclusive) and HIV. Methods: Articles were included for evaluation if they reported outcomes for at least one of three measures of interest: viral load, antiretroviral therapy (ART) adherence or engagement in care among WLWH along incarceration trajectories. Results: Out of 1119 studies, 24 (2%) met the inclusion criteria. Of these 24 studies, the majority ( n ?=?23) were conducted in the USA, 19 included samples of women and men and seven studies were transgender inclusive. Our review did not reveal clear sex differences in HIV outcomes during periods of incarceration; however, studies reporting postincarceration outcomes demonstrated significant sex disparities in all three outcomes of interest. Following incarceration, women were less likely to be virally suppressed, less likely to achieve optimal ART adherence and less likely to be engaged in care. Conclusion: Despite growing numbers of incarcerated WLWH globally, there is a substantial gap in research examining the impact of incarceration on HIV outcomes for WLWH. Significant sex disparities in HIV outcomes and engagement in care exist along incarceration trajectories for WLWH, especially postincarceration. For improved health outcomes, research is needed to examine the experiences of WLWH throughout incarceration trajectories to develop interventions tailored to the specific needs of WLWH both during and following incarceration.
机译：目的：本研究的目的是系统地审查对艾滋病病毒事故和艾滋病毒（WLWH）患有妇女的艾滋病毒成果和照顾妇女的妇女的性别影响的文献。设计：我们系统地搜索了七个书目数据库，用于对同伴审查的英语学习，2007年至2017年在预防，妇女（跨性别包容性）和艾滋病毒报告。方法：如果他们报告了至少一个兴趣措施中的至少一种：病毒载荷，抗逆转录病毒治疗（艺术）遵守或参与沿着监禁轨迹，请纳入任何一个令人抵押品的结果结果：在1119项研究中，24（2％）达到纳入标准。在这24项研究中，大多数（n？=？23）在美国进行，19种含有妇女和男性样本，七项研究是跨性别包容性的。我们的评论未透露在监禁期间艾滋病毒成果的明显性差异​​;但是，报告过后的研究结果表明了所有三种感兴趣结果中的性别差异。在监禁后，女性不太可能被抑制，不太可能实现最佳艺术遵守，而且可能从事护理。结论：尽管在全球范围内越来越多的监禁WLWH，但研究检测对WLWH的艾滋病病毒结果的影响存在重大差距。艾滋病病毒结果和照顾参与的显着性差异沿着WLWH的监禁轨迹，特别是Prodinceration。为了改善健康结果，需要研究，以检查整个监禁轨迹的WLWH的经验，以制定在监禁期间和遵循WLWH的特定需求的干预措施。

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