Dados Bibliográficos

AUTOR(ES) Courtenay Sprague , Michael L. Scanlon , Bharathi Radhakrishnan , David W. Pantalone
AFILIAÇÃO(ÕES) University of the Witwatersrand, Johannesburg, South Africa, University of Massachusetts Boston, Boston, Massachusetts, USA
ANO Não informado
TIPO Artigo
DOI 10.1177/1049732316672640
CITAÇÕES 1
ADICIONADO EM 2025-08-18

Resumo

Incarcerated women face significant barriers to achieve continuous HIV care. We employed a descriptive, exploratory design using qualitative methods and the theoretical construct of agency to investigate participants' self-reported experiences accessing HIV services in jail, in prison, and post-release in two Alabama cities. During January 2014, we conducted in-depth interviews with 25 formerly incarcerated HIV-positive women. Two researchers completed independent coding, producing preliminary codes from transcripts using content analysis. Themes were developed iteratively, verified, and refined. They encompassed (a) special rules for HIV-positive women: isolation, segregation, insults, food rationing, and forced disclosure; (b) absence of counseling following initial HIV diagnosis; and (c) HIV treatment impediments: delays, interruption, and denial. Participants deployed agentic strategies of accommodation, resistance, and care-seeking to navigate the social world of prison and HIV services. Findings illuminate the 'HIV prison paradox': the chief opportunities that remain unexploited to engage and re-engage justice-involved women in the HIV care continuum.

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