Predicting the Effect of Changing the Frequency of HIV Testing in Georgia Jails: A Mathematical Model Público

Abstract

The American South is an epicenter for both HIV and imprisonment. With many HIV-infected individuals traveling through jails in Georgia every day, the criminal justice system can be a high-yield setting for implementing HIV interventions. Additionally, HIV testing is an important intervention for population health, since knowledge of a person's status influences their sexual behavior. The purpose of this study was to determine whether HIV testing would influence the long-term dynamics of HIV when implemented upon entry to jails. This study used a compartmental model to predict the change upon increasing or decreasing HIV testing among men and men-who-have-sex-with-men (MSM) upon entry to Georgia jails. The model was run in Berkeley Madonna version 0.8.3.23.0. Results from the model found that removing HIV testing from jails would lead to 368 missed diagnoses in HIV-positive men over a 10-year period, while increasing HIV testing to 90% in jails would result in newly diagnosing 612 men over 10 years, a 66.3% increase from new HIV diagnoses found with current testing rates. These findings suggest that a multi-pronged approach including testing, treatment, and PrEP use within the criminal justice system could yield an even greater change in long-term HIV dynamics.

Table of Contents

Table of Contents:

1. Chapter I - Pg. 1

2. Chapter II - Pg. 20

3. Chapter III - Pg. 34

About this Master's Thesis

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• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Epidemiology
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, Epidemiology
Palabra Clave	HIV Mathematical Model Jail
Committee Chair / Thesis Advisor	Spaulding, Anne C, Emory University
Partnering Agencies	Does not apply (no collaborating organization)

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