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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.
- Source :
- AIDS & Behavior; May2021, Vol. 25 Issue 5, p1507-1517, 11p, 1 Diagram, 5 Charts
- Publication Year :
- 2021
-
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. [ABSTRACT FROM AUTHOR]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 25
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 149849491
- Full Text :
- https://doi.org/10.1007/s10461-020-02989-w