The Associations of Incarceration and Depression with Healthcare Experiences and Utilization among Black Men who Have Sex with Men in HPTN 061

Details

• Alternative Title:
  AIDS Care
• Personal Author:
  Hoff, Lee ; Scheidell, Joy D ; Mazumdar, Medha ; Feelemyer, Jonathan ; Dyer, Typhanye V ; Turpin, Rodman E ; Cleland, Charles M ; Caniglia, Ellen C ; Remch, Molly ; Brewer, Russell ; Hucks-Ortiz, Christopher ; Irvine, Natalia M ; Mayer, Kenneth H ; Khan, Maria R
• Description:
  Associations of incarceration with healthcare access and utilization among Black sexual minority men (BSMM) and differences in association among those with and without pre-incarceration symptoms of depression were measured. Secondary analysis using survey data from the longitudinal cohort HIV Prevention Trials Network 061 study was conducted among 1553 BSMM from six major U.S. cities from 2009 to 2011. We used modified log-binomial regression with robust standard errors to estimate associations of incarceration (reported at 6 month follow-up) on next six-month healthcare utilization and access (reported at the 12 month follow-up). We tested the significance of baseline depressive symptoms by incarceration interaction and reported differences in associations when observed. Participants with a history of incarceration were more likely to have depressive symptoms at baseline compared to those without. Recent incarceration was associated with almost twice the risk of mistrust in healthcare providers and emergency room utilization. Among men reporting depressive symptoms, a history of incarceration was associated with almost tripled risk of reporting providers do not communicate understandably. Among those with depression, one in five reported a missed visit regardless of incarceration status.
• Keywords:
  Black Sexual Minority Men Depression Health Care Access Health Care Utilization Health Services Accessibility HIV Infections Homosexuality, Male Humans Incarceration Male Sexual And Gender Minorities

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• Source:
  AIDS Care. 34(9):1169-1178
• Pubmed ID:
  34384304
• Pubmed Central ID:
  PMC8837705
• Document Type:
  Journal Article
• Funding:
  U01 AI069496/AI/NIAID NIH HHSUnited States/ ; U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; UM1 AI069480/AI/NIAID NIH HHSUnited States/ ; R01 DA044037/DA/NIDA NIH HHSUnited States/ ; UM1 AI069412/AI/NIAID NIH HHSUnited States/ ; K01 MD016346/MD/NIMHD NIH HHSUnited States/ ; U48 DP005008/DP/NCCDPHP CDC HHSUnited States/ ; UM1 AI068619/AI/NIAID NIH HHSUnited States/ ; UL1 RR025008/RR/NCRR NIH HHSUnited States/ ; P30 DA027828/DA/NIDA NIH HHSUnited States/ ; UM1 AI068617/AI/NIAID NIH HHSUnited States/ ; P30 AI050409/AI/NIAID NIH HHSUnited States/ ; P30 AI087714/AI/NIAID NIH HHSUnited States/ ; U01 AI069418/AI/NIAID NIH HHSUnited States/ ; P30 DA011041/DA/NIDA NIH HHSUnited States/ ; UM1 AI068613/AI/NIAID NIH HHSUnited States/ ; U01 AI069424/AI/NIAID NIH HHSUnited States/ ; P30 AI060354/AI/NIAID NIH HHSUnited States/ ; U01 AI069466/AI/NIAID NIH HHSUnited States/
• Volume:
  34
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a041e4c8db5cc37ae5175c2d319a07e27f96d0dd982ef8e3e831c444870f8025
• Download URL:
  https://stacks.cdc.gov/view/cdc/114458/cdc_114458_DS1.pdf
• File Type:
  [PDF - 123.26 KB ]