Division of Prevention and Community Psychology, Department of Psychiatry, Yale University School of Medicine, 389 Whitney Avenue, New Haven, CT, USA.
The Consultation Center, Yale University, New Haven, CT, USA.
AIDS Behav. 2021 Apr;25(4):1047-1062. doi: 10.1007/s10461-020-03019-5. Epub 2020 Oct 15.
People in community corrections have rates of HIV and sexual risk behaviors that are much higher than the general population. Prior literature suggests that criminal justice involvement is associated with increased sexual risk behaviors, yet these studies focus on incarceration and use one-sided study designs that only collect data from one partner. To address gaps in the literature, this study used the Actor Partner-Interdependence Model with Structural Equation Modeling (SEM), to perform a dyadic analysis estimating individual (actor-only) partner-only, and dyadic patterns (actor-partner) of criminal justice involvement and greater sexual risks in a sample of 227 men on probation and their intimate partners in New York City, United States. Standard errors were bootstrapped with 10,000 replications to reduce bias in the significance tests. Goodness of fit indices suggested adequate or better model fit for all the models. Significant actor-only relationships included associations between exposures to arrest, misdemeanor convictions, time spent in jail or prison, felony convictions, lifetime number of incarceration events, prior conviction for disorderly conduct and increased sexual risk behaviors. Partner only effects included significant associations between male partners conviction for a violent crime and their female partners' sexual risk behaviors. Men's encounters with police and number of prior misdemeanors were associated with their own and intimate partners' sexual risk behaviors. Women's prior arrest was associated with their own and intimate partners' sexual risk behaviors. The results from the present study suggest that men on probation and their intimate partners' criminal justice involvement are associated with increased engagement in sexual risk behaviors. It is necessary to conduct greater research into developing dyadic sexual risk reduction and HIV/STI prevention interventions for people who are involved in the criminal justice system.
社区服刑人员的艾滋病毒感染率和性风险行为率远高于一般人群。先前的文献表明,刑事司法参与与性风险行为的增加有关,但这些研究侧重于监禁,并采用单方面的研究设计,仅从一方收集数据。为了填补文献中的空白,本研究使用 Actor Partner-Interdependence Model 与结构方程建模(SEM),对来自美国纽约市 227 名缓刑男性及其亲密伴侣的样本进行了对偶分析,估计了刑事司法参与度和更高性风险的个体(仅演员)、仅伴侣和对偶(演员-伴侣)模式。使用 10,000 次重复进行了标准误差的自举,以减少显著性检验中的偏差。所有模型的拟合优度指数均表明拟合度适中或更好。显著的个体效应包括与被捕、轻罪定罪、入狱或监禁时间、重罪定罪、一生中入狱次数、先前行为不检定罪和性风险行为增加相关的暴露之间的关联。伴侣效应包括男性伴侣被判犯有暴力犯罪与其女性伴侣的性风险行为之间的显著关联。男性与警察的接触和先前轻罪的次数与他们自己和亲密伴侣的性风险行为有关。女性先前被捕与她自己和亲密伴侣的性风险行为有关。本研究的结果表明,缓刑中的男性及其亲密伴侣的刑事司法参与与性风险行为的增加有关。有必要对参与刑事司法系统的人开展更多的关于对偶性风险降低和艾滋病毒/性传播感染预防干预的研究。
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