{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T02:44:44Z","timestamp":1781059484427,"version":"3.54.1"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T00:00:00Z","timestamp":1664841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T00:00:00Z","timestamp":1664841600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008510","name":"University of Maryland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008510","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore barriers to care continuity among formerly incarcerated persons with HIV and\/or hepatitis C.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Study Setting<\/jats:title>\n                    <jats:p>We draw on data from semi\u2010structured interviews conducted in 2018\u20132019 with 30 formerly incarcerated persons and 10 care providers. Data were collected across two clinics in Baltimore, Maryland, and Washington, D.C.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>We recruited participants using a combination of nonprobability sampling techniques. Participants completed closed\u2010ended questionnaires and took part in semi\u2010structured interviews related to treatment barriers and incentives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection\/Extraction Methods<\/jats:title>\n                    <jats:p>Interviews were transcribed using Express Scribe software and transcriptions were open coded using NVivo 12 software. An iterative process was used to relate and build upon emergent themes in interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>Our study illuminates both internal and external barriers to care continuity. The most common external barriers were system navigation and housing instability. Internal barriers consisted of overlapping issues related to mental health, substance use, and feelings of shame and\/or denial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>An overarching theme is that formerly incarcerated persons with HIV and\/or HCV are grappling with numerous challenges that can threaten their health and health care. These barriers are cumulative, intersecting, and reciprocal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.14067","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T04:30:23Z","timestamp":1663302623000},"page":"865-872","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["\u201cI got so much on my plate\u201d: Understanding care discontinuity for\n                    <scp>HIV<\/scp>\n                    and\n                    <scp>HCV<\/scp>\n                    among formerly incarcerated persons"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2703-5548","authenticated-orcid":false,"given":"Lauren C.","family":"Porter","sequence":"first","affiliation":[{"name":"Department of Criminology and Criminal Justice University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Testa","sequence":"additional","affiliation":[{"name":"Department of Management, Policy and Community Health University of Texas Health Science Center at Houston  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Kozerra","sequence":"additional","affiliation":[{"name":"Department of Criminology and Criminal Justice University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Philippon","sequence":"additional","affiliation":[{"name":"Department of Criminology and Criminal Justice University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizabeth","family":"Remrey","sequence":"additional","affiliation":[{"name":"Department of Criminology and Criminal Justice University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phyllis","family":"Bijole","sequence":"additional","affiliation":[{"name":"HIPS  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Kattakuzhy","sequence":"additional","affiliation":[{"name":"Institute of Human Virology, School of Medicine University of Maryland  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla S.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Institute of Human Virology, School of Medicine University of Maryland  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elana","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Institute of Human Virology, School of Medicine University of Maryland  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/002214650804900105"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022146512453928"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","unstructured":"Porter LC. Being \u2018on point\u2019: exploring the stress\u2010related experiences of incarceration.Soc Ment Health. 2019;9(1):1\u201017.","DOI":"10.1177\/2156869318771439"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jir032"},{"key":"e_1_2_8_6_1","unstructured":"BronsonJ StroopJ ZimmerS BerzofskyM.Drug Use Dependence and Abuse among State Prisoners and Jail Inmates 2007\u20132009. Washington DC: United States Department of Justice office of juvenile justice and delinquency prevention;2017. Report No. 250546."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0007558"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/003335491412900213"},{"key":"e_1_2_8_9_1","unstructured":"MaruschakLM BerzofskyM UnangstJ.Medical Problems of State and Federal Prisoners and Jail Inmates 2011\u20132012. Washington DC: US Department of Justice Office of Justice Programs bureau of justice statistics; 2015. 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