¿Cuál es el papel de las prisiones y cárceles en la prevención del VIH?¿Es importante hacer prevención en las prisiones y cárceles? Definitivamente. EE.UU. tiene la mayor proporción de personas encarceladas del mundo y la cifra sigue en aumento.1 En el 2007 las instituciones correccionales estatales, federales y locales alojaban a 2.4 millones de reclusos.2 Por primera vez más de uno de cada 100 adultos en EE.UU.
What is the role of prisons and jails in HIV prevention?
Is prevention in prisons and jails important?Absolutely.
By the end of 2002, over 2 million adults were incarcerated in the US, and 93% of those were men. African Americans and Latinos were incarcerated at greater rates than Whites in the US, 7.6 times greater for African Americans and 2.6 times greater for Latinos. Nearly 40% of incarcerated men were under the age of 30. Young men of color are at high risk of incarceration and the health problems related to incarceration. These young men also are our neighbors, frequently passing in and out of jail and prison and returning back to the community.
En los EE.UU. existen más de 2 millones de personas adultas encarceladas y 4 millones más en libertad condicional. Las tasas de VIH son de 8 a 10 veces más altas para los encarcelados que para la población en general; las tasas de hepatitis C son de 9 a 10 veces más altas y las de enfermedades de transmisión sexual (ETS) entre hombres que recién ingresan a la cárcel alcanzan hasta un 35%.
There are more than two million adults incarcerated in the US and four million more on probation or parole. Rates of HIV are 8 to 10 times higher for incarcerated persons than for the general US population, hepatitis C rates are 9 to 10 times higher, and sexually transmitted disease (STD) rates among men entering jails are as high as 35%. Because many prisoners are serving short sentences for parole violation, and return to prison is common, at-risk individuals move frequently between prisons and their home communities.
CAPS and Centerforce, a community-based organization that has been providing services to prisoners and their families for thirty years, have been collaborating since 1993 to design and evaluate HIV prevention interventions for incarcerated men and their female partners.
Structural Ecosystems Therapy (SET) is an intervention designed to mobilize participants’ families and other ecosystem members (such as service providers) to support and motivate behavior change. In this study, the SET intervention was adapted with the goal of reducing HIV transmission risk behavior and increasing medical adherence among HIV+ men being released from prison.