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The objective of our study is to assess specific needs and recommended strategies and use these findings to develop, implement, and evaluate a multicomponent Pr EP implementation strategy for the Dallas County Jail (DCJ), which is the 8th largest jail in the nation and located in an HIV hotspot [64].
The DCJ is the main jail facility for Dallas County, with 51,000 incarcerated individuals per year (86% men, 48% Black, and 30% Hispanic) and approximately 275 individuals entering and leaving the jail daily.
JMIR Res Protoc 2025;14:e64813
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Few, if any, randomized controlled trials (RCTs) have been published on effective interventions, particularly for substance-using people living with HIV leaving jail, and, by extension, those at risk for HIV, rather than those leaving long-term prison facilities. A recent RCT tested a peer-based intervention for HIV-positive individuals leaving jail that showed efficacy in preventing declines in viral suppression [15].
JMIR Res Protoc 2020;9(9):e18106
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Health Disparities and Converging Epidemics in Jail Populations: Protocol for a Mixed-Methods Study
Women [15], ethnic minorities [16], and older adults [17] are considered particularly at-risk for poor health outcomes in the jail system. Furthermore, people who do not have a permanent residence in between jail stays face greater risk of mortality because of treatable conditions [18].
JMIR Res Protoc 2018;7(10):e10337
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