title: Sentencing risk: history of incarceration and HIV/STD transmission risk behaviours among Black men who have sex with men in Massachusetts.
abstract: This study investigated the role of incarceration in HIV/STD risk among 197 Black men who have sex with men in Massachusetts, USA. More than half (51%) reported a history of incarceration (28% < 90 days in jail/prison; 23% ≥ 90 days in jail/prison). Multivariable logistic regression models adjusted for age and sexual orientation examined associations between demographic, behavioural, social-psychological and cultural factors and incarceration history. Factors associated with < 90 days of incarceration were: unprotected sex with a man, STD history, injection drug use and substance abuse treatment. Factors associated with ≥ 90 days of incarceration were: unprotected sex with a woman, crack use during sex, STD history, injection drug use, substance abuse treatment, depressive symptoms, post-traumatic stress symptoms, HIV fatalism and social capital. Black men who have sex with men with incarceration histories may be at increased risk for HIV/STDs compared to those without such histories. HIV prevention efforts that focus on individual risk and cultural-contextual issues among Black men who have sex with men are warranted.
authors.affiliation: The Fenway Institute, Fenway Health, Boston, USA.
authors.forename: Sean E
authors.initials: SE
authors.lastname: Bland
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Mimiaga
authors.forename: Sari L
authors.initials: SL
authors.lastname: Reisner
authors.forename: Jaclyn M
authors.initials: JM
authors.lastname: White
authors.forename: Maura A
authors.initials: MA
authors.lastname: Driscoll
authors.forename: Deborah
authors.initials: D
authors.lastname: Isenberg
authors.forename: Kevin
authors.initials: K
authors.lastname: Cranston
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Mayer
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D019969:Amphetamine-Related Disorders / Q000208:ethnology; D019970:Cocaine-Related Disorders / Q000208:ethnology; D015897:Comorbidity; D015658:HIV Infections / Q000208:ethnology; D018451:Homosexuality, Male / Q000208:ethnology*; D006801:Humans; D008297:Male; D008404:Massachusetts / Q000453:epidemiology; D054526:Men's Health / Q000208:ethnology; D008875:Middle Aged; D011329:Prisoners / Q000706:statistics & numerical data*; D012307:Risk Factors; D012309:Risk-Taking; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000208:ethnology*; D047568:Unsafe Sex / Q000208:ethnology; D055815:Young Adult