title: Dual Incarceration and Condom Use in Committed Relationships.
abstract: Incarceration fractures relationship ties and has been associated with unprotected sex. Relationships where both individuals have a history of incarceration (dual incarceration) may face even greater disruption and involve more unprotected sex than relationships where only one individual has been incarcerated. We sought to determine whether dual incarceration is associated with condom use, and whether this association varies by relationship type. Data come from 499 sexual partnerships reported by 210 individuals with a history of incarceration. We used generalized estimating equations to examine whether dual incarceration was associated with condom use after controlling for individual and relationship characteristics. Interaction terms between dual incarceration and relationship commitment were also examined. Among currently committed relationships, dual incarceration was associated with inconsistent condom use (AOR: 4.33; 95% CI 1.02, 18.45). Dual incarceration did not affect condom use in never committed relationships. Reducing incarcerations may positively impact committed relationships and subsequently decrease HIV-related risk.
authors.affiliation: Department of Community Health and Prevention, Drexel Dornsife School of Public Health, 416 Nesbitt Hall, Drexel University 3215 Market Street, Philadelphia, PA, USA. aligroves@drexel.edu.
authors.forename: Allison K
authors.identifier: http://orcid.org/0000-0003-4520-3963
authors.initials: AK
authors.lastname: Groves
authors.affiliation: Connecticut Department of Children and Families, Hartford, CT, USA.
authors.forename: WeiHai
authors.initials: W
authors.lastname: Zhan
authors.affiliation: Department of Sociology, Center on Health, Risk and Society, American University, Washington, DC, USA.
authors.forename: Ana Maria
authors.initials: AM
authors.lastname: Del Río-González
authors.affiliation: Yale University, New Haven, CT, USA.
authors.forename: Alana
authors.initials: A
authors.lastname: Rosenberg
authors.affiliation: Department of Sociology, Center on Health, Risk and Society, American University, Washington, DC, USA.
authors.forename: Kim M
authors.initials: KM
authors.lastname: Blankenship
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011329:Prisoners / Q000523:psychology* / Q000706:statistics & numerical data*; D011330:Prisons; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology*; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data*
keywords: Commitment; Dual incarceration; Inconsistent condom use; Sexual partner