Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
J Adolesc Health. 2018 Aug;63(2):197-204. doi: 10.1016/j.jadohealth.2018.01.012. Epub 2018 Jun 4.
Criminal justice involvement is a significant problem in the United States, and poses substantial negative immediate and long-term effects, particularly among adolescents and young adults. Research has been mixed on the association between a history of arrest or incarceration and an increased risk of human immunodeficiency virus, but there are clear trends in the association between criminal justice involvement and sexual risk behaviors.
Drawing from a racially or ethnically diverse sample of young men who have sex with men, we conducted an investigation into whether there was a temporal relationship between history of criminal justice involvement and engagement in high-risk sexual behaviors. We also examined whether sexual behaviors among black men who have sex with men (MSM) were more substantially impacted by arrest or incarceration than those of non-black MSM. Data were collected within a longitudinal study of young MSM in Chicago.
More than one-third of participants (37.8%) reported having ever been in trouble with the police in their lifetime, and 10% had been incarcerated. In multivariable analysis, black race, history of incarceration, and the interaction were all significantly positively associated with an increase in reported number of male anal sex partners.
We found that the intersection between race and criminal justice involvement plays a major role in sexual behaviors. More research is needed to understand why a history of arrest or incarceration has a much more profound effect on black MSM than on non-black MSM.
刑事司法涉入在美国是一个严重的问题，会对青少年和年轻人造成重大的即时和长期负面影响。虽然有研究表明逮捕或监禁历史与人类免疫缺陷病毒感染风险增加之间存在关联，但在刑事司法涉入与性风险行为之间存在明确的趋势。
我们从一个种族或民族多样化的男男性行为者年轻男性样本中进行了一项调查，研究刑事司法涉入史与高风险性行为之间是否存在时间关系。我们还检查了逮捕或监禁对黑人男男性行为者（MSM）的性行为的影响是否大于非黑人 MSM。数据是在芝加哥对年轻 MSM 进行的一项纵向研究中收集的。
超过三分之一的参与者（37.8%）报告称在他们的一生中曾有过与警察打交道的麻烦，10%的人曾被监禁过。在多变量分析中，黑人种族、监禁史以及两者的相互作用都与报告的男性肛交伴侣数量的增加呈显著正相关。
我们发现种族和刑事司法涉入之间的交集在性行为中起着重要作用。需要更多的研究来了解为什么逮捕或监禁史对黑人 MSM 的影响比对非黑人 MSM 的影响要大得多。
