title: STI/HIV Sexual Risk Behavior and Prevalent STI Among Incarcerated African American Men in Committed Partnerships: The Significance of Poverty, Mood Disorders, and Substance Use.
abstract: African Americans face disproportionate sexually transmitted infection including HIV (STI/HIV), with those passing through a correctional facility at heightened risk. There is a need to identify modifiable STI/HIV risk factors among incarcerated African Americans. Project DISRUPT is a cohort study of incarcerated African American men recruited from September 2011 through January 2014 from prisons in North Carolina who were in committed partnerships with women at prison entry (N = 207). During the baseline (in-prison) study visit, participants responded to a risk behavior survey and provided a urine specimen, which was tested for STIs. Substantial proportions reported multiple partnerships (42 %), concurrent partnerships (33 %), and buying sex (11 %) in the 6 months before incarceration, and 9 % tested positive for an STI at baseline (chlamydia: 5.3 %, gonorrhea: 0.5 %, trichomoniasis: 4.9 %). Poverty and depression appeared to be strongly associated with sexual risk behaviors. Substance use was linked to prevalent STI, with binge drinking the strongest independent risk factor (adjusted odds ratio: 3.79, 95 % CI 1.19-12.04). There is a continued need for improved prison-based STI testing, treatment, and prevention education as well as mental health and substance use diagnosis.
authors: Division of Comparative Effectiveness and Decision Science, Department of Population Health, New York University School of Medicine, 227 East 30th Street 10016, New York, NY, USA, maria.khan@nyumc.org.
authors: M R
authors: MR
authors: Khan
authors: C E
authors: CE
authors: Golin
authors: S R
authors: SR
authors: Friedman
authors: J D
authors: JD
authors: Scheidell
authors: A A
authors: AA
authors: Adimora
authors: S
authors: S
authors: Judon-Monk
authors: M M
authors: MM
authors: Hobbs
authors: G
authors: G
authors: Dockery
authors: S
authors: S
authors: Griffin
authors: K K
authors: KK
authors: Oza
authors: D
authors: D
authors: Myers
authors: H
authors: H
authors: Hu
authors: K P
authors: KP
authors: Medina
authors: D A
authors: DA
authors: Wohl
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology*; D009657:North Carolina / Q000453:epidemiology; D011203:Poverty; D015995:Prevalence; D011329:Prisoners / Q000706:statistics & numerical data; D011330:Prisons; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology*; D047568:Unsafe Sex / Q000706:statistics & numerical data