1 Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
2 Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Public Health Rep. 2019 May/Jun;134(1_suppl):63S-70S. doi: 10.1177/0033354919833435.
The effect of incarceration on HIV risk-related behaviors among at-risk heterosexual men is understudied. The objective of our study was to examine the association between incarceration and HIV risk-related behaviors among a sample of predominantly non-Hispanic black and Hispanic heterosexual men residing in urban areas in the United States with a high prevalence of AIDS.
We analyzed data from the 2013 National HIV Behavioral Surveillance system on 5321 at-risk heterosexual men using log-linked Poisson regression models, adjusted for demographic characteristics and clustered on city.
Of 5321 men, 1417 (26.6%) had recently been incarcerated (in the past 12 months), 2781 (52.3%) had ever been incarcerated but not in the past 12 months, and 1123 (21.1%) had never been incarcerated. Recent incarceration was associated with multiple casual female sexual partners (adjusted prevalence ratio [aPR] = 1.23; 95% confidence interval [CI], 1.05-1.44), condomless sex with multiple female sexual partners (aPR = 1.32; 95% CI, 1.06-1.66), injection drug use (aPR = 3.75; 95% CI, 2.64-5.32), and having sexual partners who were more likely to have ever injected drugs (aPR = 1.84; 95% CI, 1.48-2.28), been incarcerated (aPR = 2.28; 95% CI, 2.01-2.59), or had a concurrent sexual partner (aPR = 1.08; 95% CI, 1.05-1.11), as compared with never-incarcerated men.
Incarceration history was associated with HIV risk-related behaviors among heterosexual men from urban areas in the United States. Correctional rehabilitation initiatives are needed to promote strategies that mitigate HIV risk-related behaviors and promote healthy reentry into communities among heterosexual men at high risk for HIV.
在高危异性恋男性中，监禁对艾滋病毒相关风险行为的影响研究不足。本研究的目的是检验在美国城市地区居住的、以非裔美国人和西班牙裔为主的高危异性恋男性中，监禁与艾滋病毒相关风险行为之间的关联，这些地区艾滋病的流行率很高。
我们分析了 2013 年全国艾滋病毒行为监测系统中 5321 名高危异性恋男性的数据，使用对数链接泊松回归模型进行分析，并调整了人口统计学特征，按城市进行了聚类。
在 5321 名男性中，1417 名（26.6%）最近被监禁过（过去 12 个月内），2781 名（52.3%）曾被监禁但过去 12 个月内没有，1123 名（21.1%）从未被监禁过。最近的监禁与多个偶然的女性性伴侣有关（调整后的患病率比[aPR] = 1.23；95%置信区间[CI]，1.05-1.44）、与多个女性性伴侣发生无保护性行为（aPR = 1.32；95% CI，1.06-1.66）、注射吸毒（aPR = 3.75；95% CI，2.64-5.32）以及与更有可能曾经注射过毒品的性伴侣发生性行为（aPR = 1.84；95% CI，1.48-2.28）、被监禁（aPR = 2.28；95% CI，2.01-2.59）或有同时发生性行为的伴侣（aPR = 1.08；95% CI，1.05-1.11）相比，从未被监禁过的男性。
监禁史与美国城市地区异性恋男性的艾滋病毒相关风险行为有关。需要采取惩教康复措施，以促进策略的制定，减轻高危艾滋病毒异性恋男性的艾滋病毒相关风险行为，并促进他们在社区中的健康回归。
