Center for Behavioral Health Services and Criminal Justice Research, Rutgers University, New Brunswick, NJ 08901, USA.
J Subst Abuse Treat. 2010 Jun;38(4):375-83. doi: 10.1016/j.jsat.2010.03.004. Epub 2010 Mar 31.
This study examines the relationship between criminal justice involvement and high-risk sexual partnerships among a random sample of 416 women in methadone treatment in New York City. Logistic regression models were used to estimate the associations between recent criminal justice involvement (arrest or incarceration in the past 6 months) and recent high-risk partnerships (multiple sex partners, sex trading, or sex with a risky partner in the past 6 months) when adjusting for sociodemographic factors and recent regular drug use. Women with recent criminal justice involvement demonstrated higher odds of engaging in high-risk sex partnerships. Although regular drug use was a significant confounder of several of these relationships, recent arrest or incarceration remained significantly associated with multiple sex partnerships, sex with a risky partner, and engaging in unprotected sex and a high-risk partnership even after controlling for regular drug use and other social stressors. This study highlights the vulnerability of drug-involved women offenders to human immunodeficiency virus (HIV) risk and points to the need for investigation into the role of arrest and incarceration as factors that may contribute to HIV infection.
本研究以纽约市 416 名美沙酮治疗女性为随机样本，考察了刑事司法涉入与高危性行为伙伴关系之间的关系。使用逻辑回归模型，在调整社会人口因素和最近定期使用毒品后，估计最近刑事司法涉入（过去 6 个月被捕或监禁）与最近高危伙伴关系（过去 6 个月有多个性伙伴、性交易或与高危伙伴发生性关系）之间的关联。最近有刑事司法涉入的女性发生高危性行为的可能性更高。尽管定期使用毒品是这些关系中几个关系的显著混杂因素，但最近被捕或监禁与多个性伙伴关系、与高危伙伴发生性关系以及发生无保护性行为和高危伙伴关系仍然显著相关，即使在控制了定期使用毒品和其他社会压力源后也是如此。本研究强调了受毒品影响的女性罪犯易感染人类免疫缺陷病毒（HIV）的脆弱性，并指出需要调查逮捕和监禁作为可能导致 HIV 感染的因素的作用。
