Publications by authors named "Michael Puisis"

7 Publications

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Improved virologic suppression with HIV subspecialty care in a large prison system using telemedicine: an observational study with historical controls.

Clin Infect Dis 2014 Jul 9;59(1):123-6. Epub 2014 Apr 9.

School of Public Health, University of Illinois at Chicago.

Correctional populations have an elevated human immunodeficiency virus (HIV) prevalence, yet many individuals lack access to subspecialty care. Our study showed that HIV-infected inmates had significantly greater virologic suppression and higher CD4 T-lymphocyte counts when managed by a multidisciplinary team of subspecialists conducting clinics via telemedicine. In other studies, these outcomes have been associated with reductions on HIV-related morbidity and mortality, as well as HIV transmission.
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July 2014

Progress in human immunodeficiency virus care in prisons: still room for improvement?

Michael Puisis

JAMA Intern Med 2014 May;174(5):730-1

Correctional consultant in Evanston, Illinois.

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May 2014

Risk factors for homelessness and sex trade among incarcerated women: A Structural equation model.

J Int Womens Stud 2011 Jan;12(1):128-148

University of Illinois at Chicago, School of Public Health, Division of Health Policy and Administration.

Incarcerated women are among the most vulnerable and perhaps the least studied populations in the US. Significant proportions of female inmates are substance users, and many living in unstable housing conditions or being homeless. Female inmates are often at high risk of engaging in sex exchange for drugs or housing needs. While a disproportionate number of incarcerated women have experienced childhood household adversities and maltreatments, the effects of these childhood experiences on psychosocial and behavioral outcomes of this population in later life. We apply a life course perspective to examine these pathways in a sample of incarcerated women in Cook County, Illinois. Findings demonstrated lasting, but differential, effects of household adversities and childhood abuse on subsequent life risks and opportunities among these women.
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January 2011

Deaths in the Cook County jail: 10-year report, 1995-2004.

J Urban Health 2007 Jan;84(1):70-84

Division of Epidemiology/Biostatistics, University of Illinois at Chicago, School of Public Health, 1603 W. Taylor St., Chicago, IL 60612, USA.

The aims of this study were to describe causes of death during the 10-year period between 1995 and 2004 in a large urban jail in Chicago; to compare disease specific mortality rates between the jail population and the general population; to explore demographic and incarceration characteristics of the inmates who died in the jail by cause of death; and to examine gender difference in demographic characteristics, incarceration patterns, and causes of death. A total of 178 deaths occurring in the jail over a 10-year period (1995-2004) were reviewed. Age-adjusted disease-specific mortality rates were computed for the jail population and compared with the rates in the US general population. Cause of death, demographic variables, and incarceration related factors were retrieved from multiple computerized databases. Descriptive analyses were performed to examine demographic and incarceration-related patterns by cause of death and gender. Heart disease was the most frequent cause of death in the jail population, followed by cerebrovascular disease and suicide. Mortality rates for heart diseases, infectious/inflammatory conditions and suicide were higher for jail inmates than the general population. Black inmates accounted for the majority of deaths due to illnesses and homicide, and a much higher proportion of white and Hispanic inmates were involved in suicide deaths. Deaths due to drug overdose or withdrawal were disproportionately higher among female inmates compared with male inmates. Consistent review of mortality rates and causes of deaths in jail can be a useful tool to better understand health issues and needs of jail inmates. Surveillance of acute and chronic illnesses and strategic reengineering of jail health care is a key to quality improvement for incarcerated populations for whom the jail system becomes their primary care provider.
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January 2007