Reducing postrelease HIV risk among male prison inmates - A peer-led intervention

Male prison inmates within 2 weeks of release were recruited to evaluate a pre-release HIV prevention intervention. A total of 414 inmates were randomly assigned to receive the intervention or to a comparison group. All participants completed a face-to-face survey at baseline; high rates of preincarceration at-risk behavior were reported. Follow-up telephone surveys were completed with 43% of participants; results support the effectiveness of the prerelease intervention. Men who received the intervention were significantly more likely to use a condom the first time they had sex after release from prison and also were less likely to have used drugs, injected drugs; or shared needles in the first 2 weeks after release from prison. Implications for the development, implementation, and evaluation of prison-based HIV prevention programs are discussed.