Risk factors for potential occupational exposure to HIV: A study of correctional officers

This study examined social determinants that explain correctional officer exposure to blood/bodily fluids. Seasoned officers in five prisons were selected at random to complete an anonymous mail survey regarding situations which may have placed them at risk for exposure to HIV while at work. Institutional variables more strongly predicted officer chances of occupational exposure in a corrections setting than did perceptual and individual level variables, particularly the custody level of inmates supervised, length of time in the corrections career, and being in a position of rank. Years of experience increased the number of exposures to blood and bodily fluid, and increased officer apprehensiveness concerning uses of force with seropositive inmates. Knowledge about HIV and the frequency of use of personal protective equipment was not related to the likelihood of encounters with blood or bodily fluids.