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AJPH First Look, published online ahead of print Jan 31, 2006
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June 2006, Vol 96, No. 6 | American Journal of Public Health 974-978
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.066993

COMMENTARY

HIV/AIDS and Other Infectious Diseases Among Correctional Inmates: Transmission, Burden, and an Appropriate Response

Theodore M. Hammett, PhD

Theodore M. Hammett is with Abt Associates Inc, Cambridge, Mass.

Correspondence: Requests for reprints should be sent to Theodore M. Hammett, PhD, Abt Associates Inc, 55 Wheeler St, Cambridge, MA 02138–1168 (email: ted_hammett{at}abtassoc.com).

Correctional inmates engage in drug-related and sexual risk behaviors, and the transmission of HIV, hepatitis, and sexually transmitted diseases occurs in correctional facilities. However, there is uncertainty about the extent of transmission, and hyperbolic descriptions of its extent may further stigmatize inmates and elicit punitive responses.

Whether infection was acquired within or outside correctional facilities, the prevalence of HIV and other infectious diseases is much higher among inmates than among those in the general community, and the burden of disease among inmates and releasees is disproportionately heavy. A comprehensive response is needed, including voluntary counseling and testing on request that is linked to high-quality treatment, disease prevention education, substance abuse treatment, and discharge planning and transitional programs for releasees.




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