The HIV care cascade before, during, and after incarceration: A systematic review and data synthesis

Princess A. Iroh, Helen Mayo, Ank E. Nijhawan

Research output: Contribution to journalArticle

92 Scopus citations


We conducted a systematic literature review of the data on HIV testing, engagement in care, and treatment in incarcerated persons, and estimated the care cascade in this group. We identified 2706 titles in MEDLINE, EBSCO, and Cochrane Library databases for studies indexed to January 13, 2015, and included 92 for analysis. We summarized HIV testing results by type (blinded, opt-out, voluntary); reviewed studies on HIV care engagement, treatment, and virological suppression; and synthesized these results into an HIV care cascade before, during, and after incarceration. The HIV care cascade following diagnosis increased during incarceration and declined substantially after release, often to levels lower thanbeforeincarceration. Incarceration provides an opportunitytoaddressHIVcare in hard-to-reach individuals, though new interventions are needed to improve postrelease care continuity.

Original languageEnglish (US)
Pages (from-to)e5-e16
JournalAmerican Journal of Public Health
Issue number7
Publication statusPublished - Jul 1 2015


ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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