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Patterns of Mood and Personality Factors and Associations With STI/HIV-Related Drug and Sex Risk Among African American Male Inmates.
- Source :
- Substance Use & Misuse; 2017, Vol. 52 Issue 7, p929-938, 10p, 5 Charts
- Publication Year :
- 2017
-
Abstract
- Background: Research on the association between antisocial personality disorder (ASPD) with comorbid mental disorders and sexually transmitted infection (STI)/HIV risk among inmates is scant despite the high prevalence of psychopathology and of STI/HIV in this population. Methods: We used baseline data from Project DISRUPT, a cohort study conducted among incarcerated African American men (n = 207), to measure associations between ASPD and STI/HIV risk. We also conducted latent class analyses (LCAs) to identify subgroups defined by ASPD with comorbid stress, depression, and borderline personality disorder symptoms and measured associations between latent class membership and STI/HIV risk. Results: Approximately 15% had ASPD and 39% reported depression. Controlling for sociodemographics, stress, and depression, ASPD was independently associated with illicit [AOR = 3.23, 95% confidence interval (CI): 1.18–8.87] and injection drug use (AOR: 5.49, 95% CI: 1.23–24.42) but not with sexual risk. LCAs suggested that those at high risk of ASPD were likely to experience co-morbid mental disorders. ASPD comorbid with these disorders was linked to drug and sex risk. Conclusions: STI/HIV prevention for inmates should incorporate diagnosis and treatment of ASPD and comorbid disorders, and interventions to address ASPD-related factors (e.g., impulsivity) that drive STI/HIV risk. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infection risk factors
SEXUALLY transmitted disease risk factors
SUBSTANCE abuse risk factors
BLACK people
ANTISOCIAL personality disorders
CONFIDENCE intervals
MENTAL depression
PRISONERS
PROBABILITY theory
RESEARCH
PSYCHOLOGICAL stress
MATHEMATICAL variables
COMORBIDITY
UNSAFE sex
DESCRIPTIVE statistics
ODDS ratio
PSYCHOLOGICAL factors
Subjects
Details
- Language :
- English
- ISSN :
- 10826084
- Volume :
- 52
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Substance Use & Misuse
- Publication Type :
- Academic Journal
- Accession number :
- 122603505
- Full Text :
- https://doi.org/10.1080/10826084.2016.1267221