Incarceration and Sexual Risk Behavior and Incident STI/HIV in HPTN 061: Differences by Study City and among Black Sexual Minority Men who have Sex with Men, Black Sexual Minority Men who have Sex with Men and Women, and Black Transgender Women

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Khan, Maria R. ; Brewer, Russell ; Abrams, Jasmyn ; Mazumdar, Medha ; Scheidell, Joy D. ; Feelemyer, Jonathan ; Dyer, Typhanye V. ; Turpin, Rodman E. ; Hucks-Ortiz, Christopher ; Gaydos, Charlotte A. ; Severe, MacRegga ; Irvine, Natalia M. ; Kaufman, Jay S. ; Cleland, Charles M. ; Mayer, Kenneth H.
• Description:
  Background:
  
  Black sexual minority men (BSMM) and Black transgender women face disproportionate risk of incarceration and STI/HIV, yet research on the longitudinal association between incarceration and STI/HIV risk in these groups is limited.
  
  Methods:
  
  We used data from the HIV Prevention Trials Network (HPTN) 061 study conducted among BSMM and Black transgender women in Atlanta, Boston, Los Angeles, New York City, San Francisco, and Washington D.C., restricting analyses to those who returned for the six-month follow-up visit when recent incarceration was measured (N=1169). Using inverse probability of treatment weighting we measured associations between incarceration and next six-month multiple partnerships; selling or buying sex; condomless anal intercourse; and incident chlamydia, gonorrhea, syphilis, and HIV. We explored differences by study city, and among BSMM who had sex with men only, BSMM who had sex with men and women, and Black transgender women.
  
  Results:
  
  Approximately 14% reported past six-month incarceration. Incarceration was associated with next six-month selling sex (adjusted risk ratio (ARR): 1.80, 95% confidence interval (CI): 1.12, 2.87) in the overall sample and multiple partnerships among BSMM who had sex with men and women (ARR: 1.34, 95% CI: 1.10, 1.63) and transgender women (ARR: 1.77, 95% CI: 1.22, 2.57). There evidence to suggest incarceration may predict gonorrhea (ARR: 2.35, 95% CI: 0.95, 5.77), with particularly strong associations observed in Los Angeles (ARR: 6.48, 95% CI: 1.48, 28.38).
  
  Conclusions:
  
  Incarceration may increase STI/HIV risk among BSMM and Black transgender women. Additional mixed methods research is needed to validate associations and understand pathways.
  
  
• Subjects:
  Female Gonorrhea HIV Infections Homosexuality, Male Humans Male Risk-Taking Sexual And Gender Minorities Sexual Behavior Sexually Transmitted Diseases Transgender Persons

  More +
• Source:
  Sex Transm Dis. 49(4):284-296
• Pubmed ID:
  35312668
• Pubmed Central ID:
  PMC9387752
• 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/ ; R25 MH067127/MH/NIMH NIH HHSUnited States/ ; K01 MD016346/MD/NIMHD NIH 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/ ; U48 DP005008/DP/NCCDPHP CDC HHSUnited States/ ; UM1 AI069496/AI/NIAID 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:
  49
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:eb6f28620630d277112cb1bb3b2567b5b8f19300e462fc123ae15800c39ed18a
• Download URL:
  https://stacks.cdc.gov/view/cdc/120439/cdc_120439_DS1.pdf
• File Type:
  [PDF - 169.71 KB ]