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- Title
Lifetime Burden of Incarceration and Violence, Internalized Homophobia, and HIV/STI Risk Among Black Men Who Have Sex with Men in the HPTN 061 Study.
- Authors
Severe, MacRegga; Scheidell, Joy D.; Dyer, Typhanye V.; Brewer, Russell A.; Negri, Alberta; Turpin, Rodman E.; Young, Kailyn E.; Hucks-Ortiz, Christopher; Cleland, Charles M.; Mayer, Kenneth H.; Khan, Maria R.
- Abstract
Black men who have sex with men (BMSM) have disproportionate HIV/STI acquisition risk. Incarceration may increase exposure to violence and exacerbate psychosocial vulnerabilities, including internalized homophobia, which are associated with HIV/STI acquisition risk. Using data from HIV Prevention Trials Network 061 (N = 1553), we estimated adjusted prevalence ratios (APR) and 95% confidence intervals (CIs) for associations between lifetime burden of incarceration and HIV/STI risk outcomes. We measured associations between incarceration and HIV/STI risk outcomes with hypothesized mediators of recent violence victimization and internalized homophobia. Compared to those never incarcerated, those with 3–9 or ≥ 10 incarcerations had approximately 10% higher prevalence of multiple partnerships. Incarceration burden was associated with selling sex (1–2 incarcerations: APR: 1.52, 95% CI 1.14–2.03; 3–9: APR: 1.77, 95% CI 1.35–2.33; ≥ 10: APR: 1.85, 95% CI 1.37–2.51) and buying sex (≥ 10 incarcerations APR: 1.80, 95% CI 1.18–2.75). Compared to never incarcerated, 1–2 incarcerations appeared to be associated with current chlamydia (APR: 1.47, 95% CI 0.98–2.20) and 3–9 incarcerations appeared to be associated with current syphilis (APR: 1.46, 95% CI 0.92–2.30). Incarceration was independently associated with violence, which in turn was a correlate of transactional sex. Longitudinal research is warranted to clarify the role of incarceration in violence and HIV/STI risk in this population.
- Subjects
HIV infection epidemiology; VIOLENCE &; psychology; HIV prevention; HIV infection risk factors; SEXUALLY transmitted disease risk factors; PSYCHOLOGY of Black people; CHLAMYDIA; PRISON psychology; CONFIDENCE intervals; SYPHILIS; HOMOPHOBIA; RISK assessment; DESCRIPTIVE statistics; MEN who have sex with men; SEXUAL partners; LONGITUDINAL method; PSYCHOLOGICAL factors
- Publication
AIDS & Behavior, 2021, Vol 25, Issue 5, p1507
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-020-02989-w