title: Risk Profiles of Women Experiencing Initial and Repeat Incarcerations: Implications for Prevention Programs.
abstract: Incarcerated women experience myriad individual, interpersonal, and structural factors leading to arrest and rearrest. This study examined risk profiles of women experiencing initial and repeat incarcerations. The sample included 521 women recruited from two prisons in North Carolina and enrolled in a HIV/STD risk-reduction intervention trial. Variables included socio-demographics, structural/economic factors, sexual and substance use behaviors, STDs, victimization history, and depressive symptoms. Bivariate and multivariable analyses identified risk differences. Compared to women incarcerated for the first time, women with repeat incarcerations reported significantly greater economic instability, substance use and sexual risk behaviors, laboratory-confirmed STDs, and victimization during childhood and adulthood. Multivariable logistic regression found women with repeat incarcerations experienced greater unstable housing, injection drug use, crack cocaine use, concurrent sex partners, and childhood sexual victimization. Findings can inform the development of prevention programs by addressing economic instability, sexual risk, and substance use among women prisoners.
authors.affiliation: Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Herbst
authors.affiliation: Department of Criminal Justice, University of Georgia.
authors.forename: Olivia
authors.initials: O
authors.lastname: Branscomb-Burgess
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, CDC.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Gelaude
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, CDC.
authors.forename: Puja
authors.initials: P
authors.lastname: Seth
authors.affiliation: Department of Social Work, North Carolina A&T State University.
authors.forename: Sharon
authors.initials: S
authors.lastname: Parker
authors.affiliation: FAAN School of Nursing, University of North Carolina at Chapel Hill.
authors.forename: Catherine I
authors.initials: CI
authors.lastname: Fogel
mesh_terms: D000328:Adult; D016578:Crack Cocaine; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D016015:Logistic Models; D009657:North Carolina; D011329:Prisoners; D011330:Prisons; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D015819:Substance Abuse, Intravenous / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D055815:Young Adult
chemical_list: D016578:Crack Cocaine