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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.066993v1 AJPH.2005.066993v2 96/6/974    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (13) Citing Articles via Google Scholar Google Scholar Articles by Hammett, T. M. Search for Related Content PubMed PubMed Citation Articles by Hammett, T. M. Related Collections Other Health Service Delivery HIV/AIDS Hepatitis Human Rights

Theodore M. Hammett, PhD

Theodore M. Hammett is with Abt Associates Inc, Cambridge, Mass.

Correspondence: Requests for reprints should be sent to Theodore M. Hammett, PhD, Abt Associates Inc, 55 Wheeler St, Cambridge, MA 02138–1168 (email: ted_hammett{at}abtassoc.com).

Correctional inmates engage in drug-related and sexual risk behaviors, and the transmission of HIV, hepatitis, and sexually transmitted diseases occurs in correctional facilities. However, there is uncertainty about the extent of transmission, and hyperbolic descriptions of its extent may further stigmatize inmates and elicit punitive responses.

Whether infection was acquired within or outside correctional facilities, the prevalence of HIV and other infectious diseases is much higher among inmates than among those in the general community, and the burden of disease among inmates and releasees is disproportionately heavy. A comprehensive response is needed, including voluntary counseling and testing on request that is linked to high-quality treatment, disease prevention education, substance abuse treatment, and discharge planning and transitional programs for releasees.

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