Police Harassment and Psychiatric, Sexual, and Substance Use Risk Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort

Details

• Alternative Title:
  J Racial Ethn Health Disparities
• Personal Author:
  Feelemyer, Jonathan ; Duncan, Dustin T. ; Akhidenor, Naomi ; Mazumdar, Medha ; Irvine, Natalia M. ; Scheidell, Joy D. ; Brewer, Russell A. ; Turpin, Rodman E. ; Hucks-Ortiz, Christopher ; Dyer, Typhanye V. ; Cleland, Charles M. ; Mayer, Kenneth H. ; Khan, Maria R.
• Description:
  Background
  
  Black sexual minority men and Black transgender women (BSMM/BTW) experience disproportionate levels of HIV/STI-related risk factors as well as police harassment (PH). PH is linked to psychiatric risk and could play a role in substance use, sexual risk behavior, and HIV/STI risk.
  
  Methods
  
  We used data from the HIV Prevention Trials Network 061(HPTN 061) study to examine associations between PH and HIV/STI-related outcomes. Using PH exposure measured at baseline and 6-month study visits, we examined an ordinal exposure (PH reported at both visits, PH reported at either visit, versus PH reported at neither baseline nor 6 months) and a binary exposure of persistent PH reported at both visits (yes versus no). We estimate risk ratios (RR) for associations between PH and depression, use of alcohol and methamphetamine, multiple partnerships, condomless sex, and syphilis.
  
  Results
  
  Persistent PH (binary) was associated with a 20% or greater increase in the risk of depression (RR, 1.26 (1.07, 1.47)) and multiple partnerships (RR, 1.20 (1.05, 1.39)). There was evidence that ordinal PH was associated with elevated risk of alcohol use (RR, 1.17 (1.00, 1.36)); the point estimate for the association between persistent PH and alcohol use was similar but the imprecision was greater (RR, 1.16 (0.95, 1.42)).
  
  Conclusion
  
  PH may influence not only mental health but also behavioral risks that contribute to HIV/STI among BSMM/BTW, highlighting the potential wide-ranging and downstream effects of PH on health. Further research is required to confirm associations and elucidate pathways through which PH may influence HIV/STI among BSMM/BTW.
  
  
• Keywords:
  Black Sexual Minority Males Black Transgender Women Police Harassment Sexual Risk Behavior Substance Use
• Source:
  J Racial Ethn Health Disparities.
• Pubmed ID:
  38609695
• Pubmed Central ID:
  PMC11470103
• Document Type:
  Journal Article
• Funding:
  U01 AI069496/AI/NIAID NIH HHSUnited States/ ; U48 DP006382/DP/NCCDPHP CDC HHSUnited States/ ; R01 DA028766/DA/NIDA NIH HHSUnited States/ ; UM1 AI069480/AI/NIAID NIH HHSUnited States/ ; R01 DA044037/DA/NIDA NIH HHSUnited States/ ; R01DA044037/DA/NIDA 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/
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:fa8bc503cff068eb02b2a40cbe65e6a0d24c327a48f281fe9dd913a61caff2d82da3d00bd0227a08909b29d77a9847b06256dcadd7a6b28f1bd927662ba7d8fb
• Download URL:
  https://stacks.cdc.gov/view/cdc/165792/cdc_165792_DS1.pdf
• File Type:
  [PDF - 493.82 KB ]