HIV-infected men who have sex with men, before and after release from jail: the impact of age and race, results from a multi-site study.
The US HIV/AIDS epidemic is concentrated among men who have sex with men (MSM). Black men are disproportionately affected by incarceration and Black MSM experience higher infection rates and worse HIV-related health outcomes compared to non-Black MSM. We compared HIV treatment outcomes for Black MSM to other HIV-infected men from one of the largest cohorts of HIV-infected jail detainees (N = 1270) transitioning to the community. Of the 574 HIV-infected men released, 113 (19.7%) self-identified as being MSM. Compared to other male subgroups, young Black MSM (<30 years old, N = 18) were significantly less likely: (1) before incarceration, to have insurance, access to an HIV healthcare provider, and use cocaine; (2) during incarceration, to receive a disease management intervention; and (3) in the 6 months post-release, to link to HIV care. Interventions that effectively link and retain young HIV-infected Black MSM in care in communities before incarceration and post-release from jail are urgently needed.
a Section of Infectious Diseases, AIDS Program , Yale School of Medicine , New Haven , CT , USA.
Panagiotis
P
Vagenas
a Section of Infectious Diseases, AIDS Program , Yale School of Medicine , New Haven , CT , USA.
Alexei
A
Zelenev
a Section of Infectious Diseases, AIDS Program , Yale School of Medicine , New Haven , CT , USA.|b Department of Epidemiology of Microbial Diseases , Yale School of Public Health , New Haven , CT , USA.
Frederick L
FL
Altice
a Section of Infectious Diseases, AIDS Program , Yale School of Medicine , New Haven , CT , USA.
Angela
A
Di Paola
c New York City Department of Health and Mental Hygiene , New York , NY , USA.
Alison O
AO
Jordan
c New York City Department of Health and Mental Hygiene , New York , NY , USA.
Paul A
PA
Teixeira
d Rollins School of Public Health , Emory University , Atlanta , GA , USA.|e Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine , Emory University , Atlanta , GA , USA.
Paula M
PM
Frew
d Rollins School of Public Health , Emory University , Atlanta , GA , USA.|e Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine , Emory University , Atlanta , GA , USA.
Anne C
AC
Spaulding
a Section of Infectious Diseases, AIDS Program , Yale School of Medicine , New Haven , CT , USA.
Sandra A
SA
Springer
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D044383:Black People / Q000706:statistics & numerical data*; D003266:Continuity of Patient Care; D015658:HIV Infections / Q000188:drug therapy* / Q000208:ethnology; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D018451:Homosexuality, Male / Q000208:ethnology* / Q000706:statistics & numerical data; D006801:Humans; D007348:Insurance, Health; D053208:Kaplan-Meier Estimate; D008297:Male; D011329:Prisoners; D011330:Prisons; D044469:Racial Groups / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult
D019380:Anti-HIV Agents
Black; HIV; MSM; addiction; adherence; insurance; jail; retention in care; secondary prevention