{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:24:43Z","timestamp":1777857883850,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,7,20]],"date-time":"2014-07-20T00:00:00Z","timestamp":1405814400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Drug Issues"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>Individuals with a drug use history often experience drug use relapse when they are released from incarceration. This article explores the processes by which a sample of adults experienced relapse post-incarceration and consequently experienced HIV treatment interruption. Data are from in-depth interviews with 25 formerly incarcerated HIV-positive adults who have a self-reported history of drug use. Findings reveal that each participant relapsed post-incarceration. Some participants relapsed immediately after release; others remained drug free until something \u201ctriggered\u201d a relapse. Once a participant relapsed, factors that contributed to HIV treatment interruption included re-incarceration, a lack of concern for HIV care, and the overlap of symptoms between addiction and HIV infection. The relationship between drug use and HIV treatment interruption was exacerbated when the participant reported also having a mental health disorder. Cessation of drug use facilitated HIV treatment engagement for participants. The implications of these findings for policy and practice are discussed.<\/jats:p>","DOI":"10.1177\/0022042614542512","type":"journal-article","created":{"date-parts":[[2014,7,21]],"date-time":"2014-07-21T23:06:49Z","timestamp":1405984009000},"page":"38-52","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Different Patterns of Drug Use and Barriers to Continuous HIV Care Post-Incarceration"],"prefix":"10.1177","volume":"45","author":[{"given":"Holly","family":"Swan","sequence":"first","affiliation":[{"name":"Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,7,20]]},"reference":[{"key":"bibr1-0022042614542512","doi-asserted-by":"publisher","DOI":"10.1177\/0032885505279373"},{"key":"bibr2-0022042614542512","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.202"},{"key":"bibr3-0022042614542512","doi-asserted-by":"publisher","DOI":"10.1177\/00333549101250S109"},{"key":"bibr4-0022042614542512","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa064115"},{"key":"bibr5-0022042614542512","unstructured":"Centers for Disease Control and Prevention. (2012a). HIV in correctional settings. Retrieved from http:\/\/www.cdc.gov\/hiv\/topics\/correctional\/"},{"key":"bibr6-0022042614542512","unstructured":"Centers for Disease Control and Prevention. (2012b). HIV in the United States: At a glance. Retrieved from http:\/\/www.cdc.gov\/hiv\/resources\/factsheets\/us.htm"},{"key":"bibr7-0022042614542512","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2008.976"},{"key":"bibr8-0022042614542512","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"bibr9-0022042614542512","volume-title":"Monthly HIV surveillance report","author":"Delaware Department of Health and Social Services","year":"2012"},{"key":"bibr10-0022042614542512","doi-asserted-by":"publisher","DOI":"10.4135\/9781529799590"},{"key":"bibr11-0022042614542512","doi-asserted-by":"publisher","DOI":"10.1080\/09540120500161892"},{"key":"bibr12-0022042614542512","unstructured":"Health Resources and Services Administration. (2012). Ryan White HIV\/AIDS program. Author. 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