title: Great Expectations: HIV Risk Behaviors and Misperceptions of Low HIV Risk among Incarcerated Men.
abstract: Incarcerated populations have relatively high HIV prevalence but little has been reported about their aggregate HIV risk behaviors or perceptions of risk. A random selection of HIV-negative men (n = 855) entering a US state prison system were surveyed to assess five risk behaviors and his self-perceived HIV risk. Using multivariate logistic regression, we identified factors associated with having elevated actual but low perceived risk (EALPR). Of the 826 men with complete data, 88% were at elevated risk. While 64% of the sample had risk perceptions concordant with their actual risk, 14% had EALPR (with the remainder at low actual but high perceived risk). EALPR rates were lower in those with a pre-incarceration HIV test but higher for those with a negative prison entry HIV test. HIV testing counseling should assess for discordance between actual and perceived risk and communicate the continued risk of HIV despite a negative result.
authors.affiliation: Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, 725 MLK Blvd, CB 7590, Chapel Hill, NC, 27599-7590, USA. carol_golin@unc.edu.|Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. carol_golin@unc.edu.|Cecil G. Sheps Center for Health Services Research, UNC-Chapel Hill, Chapel Hill, NC, USA. carol_golin@unc.edu.
authors.forename: C E
authors.initials: CE
authors.lastname: Golin
authors.affiliation: Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: B G
authors.initials: BG
authors.lastname: Barkley
authors.affiliation: Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, 725 MLK Blvd, CB 7590, Chapel Hill, NC, 27599-7590, USA.
authors.forename: C
authors.initials: C
authors.lastname: Biddell
authors.affiliation: Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, 725 MLK Blvd, CB 7590, Chapel Hill, NC, 27599-7590, USA.
authors.forename: D A
authors.initials: DA
authors.lastname: Wohl
authors.affiliation: Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, 725 MLK Blvd, CB 7590, Chapel Hill, NC, 27599-7590, USA.
authors.forename: D L
authors.initials: DL
authors.lastname: Rosen
mesh_terms: D000293:Adolescent; D000328:Adult; D003376:Counseling; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008297:Male; D009042:Motivation; D010465:Perception; D015995:Prevalence; D011329:Prisoners / Q000523:psychology*; D011330:Prisons; D012306:Risk; D012309:Risk-Taking; D011795:Surveys and Questionnaires
keywords: HIV; Incarcerated populations; Risk behavior; Risk perceptions