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dc.creatorChandler, Redonna
dc.creatorGordon, Michael S.
dc.creatorKruszka, Bridget
dc.creatorStrand, Lauren N.
dc.creatorAltice, Frederick L.
dc.creatorBeckwith, Curt G.
dc.creatorBiggs, Mary L.
dc.creatorCunningham, William E.
dc.creatorDelaney, J.A. Chris
dc.creatorFlynn, Patrick M.
dc.creatorGolin, Carol E.
dc.creatorKnight, Kevin
dc.creatorKral, Alex H.
dc.creatorKuo, Irene
dc.creatorLorvick, Jennifer
dc.creatorNance, Robin M.
dc.creatorOuellet, Lawrence J.
dc.creatorRich, Josiah D.
dc.creatorSacks, Stanley
dc.creatorSeal, David
dc.creatorSpaulding, Anne C.
dc.creatorSpringer, Sandra A.
dc.creatorTaxman, Faye S.
dc.creatorWohl, David
dc.creatorYoung, Jeremy D.
dc.creatorYoung, Rebekah
dc.creatorCrane, Heidi M.
dc.date.accessioned2017-06-29T16:32:09Z
dc.date.available2017-06-29T16:32:09Z
dc.date.issued2017-05-16
dc.identifier.urihttps://doi.org/10.1186/s13011-017-0107-4
dc.identifier.urihttps://repository.tcu.edu/handle/116099117/19801
dc.identifier.urihttps://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-017-0107-4
dc.description.abstractThe STTR treatment cascade provides a framework for research aimed at improving the delivery of services, care and outcomes of PLWH. The development of effective approaches to increase HIV diagnoses and engage PLWH in subsequent steps of the treatment cascade could lead to earlier and sustained ART treatment resulting in viral suppression. There is an unmet need for research applying the treatment cascade to improve outcomes for those with criminal justice involvement. Methods: The Seek, Test, Treat, and Retain (STTR) criminal justice (CJ) cohort combines data from 11 studies across the HIV treatment cascade that focused on persons involved in the criminal justice system, often but not exclusively for reasons related to substance use. The studies were conducted in a variety of CJ settings and collected information across 11 pre-selected domains: demographic characteristics, CJ involvement, HIV risk behaviors, HIV and/or Hepatitis C infections, laboratory measures of CD4 T-cell count (CD4) and HIV RNA viral load (VL), mental illness, health related quality of life (QoL), socioeconomic status, health care access, substance use, and social support. Results: The STTR CJ cohort includes data on 11,070 individuals with and without HIV infection who range in age from 18 to 77 years, with a median age at baseline of 37 years. The cohort reflects racial, ethnic and gender distributions in the U.S. CJ system, and 64% of participants are African-American, 12% are Hispanic and 83% are men. Cohort members reported a wide range of HIV risk behaviors including history of injection drug use and, among those who reported on pre-incarceration sexual behaviors, the prevalence of unprotected sexual intercourse ranged across studies from 4% to 79%. Across all studies, 53% percent of the STTR CJ cohort reported recent polysubstance use. Conclusions: The STTR CJ cohort is comprised of participants from a wide range of CJ settings including jail, prison, and community supervision who report considerable diversity in their characteristics and behavioral practices. We have developed harmonized measures, where feasible, to improve the integration of these studies together to answer questions that cannot otherwise be addressed.
dc.language.isoenen_US
dc.publisherBioMed Central
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceSubstance Abuse Treatment, Prevention, and Policy
dc.subjectCriminal justice
dc.subjectHIV
dc.subjectData harmonization
dc.titleCohort profile: seek, test, treat and retain United States criminal justice cohort
dc.typeArticle
dc.rights.holderChandler et al.
dc.rights.licenseCC BY 4.0
local.collegeCollege of Science and Engineering
local.departmentInstitute of Behavioral Research
local.personsFlynn, Knight (IBR)


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