HIV TESTING, AND THE CARE AND TREATMENT OF HIV-POSITIVE PEOPLE IN ENGLISH PRISONS

In a study of 452 ex-prisoners in England in 1990, 66 people reported that they were tested for HIV antibodies when last in prison. The circ umstances under which many of those who were tested were difficult: 36 % found it an unpleasant experience, 17% had not taken the test volunt arily and 55% said they received no counselling. Further information w as gathered about the experiences of those who were HIV positive or as sumed to be. Most were accommodated in a 'special location, not allowe d to associate with other prisoners and denied access to work or recre ational facilities. These data highlight the difficulties arising from the policy of Viral Infectivity Restrictions, a set of regulations ap plied to the management of prisoners with HIV in English prisons. This policy created a distressing situation for those tested for HIV or id entified as being HIV positive in prison. For the prison environment, these conditions may create a vicious circle reinforcing inaccurate be liefs and anxieties.