Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison.
College of Medicine, University of Florida.
J Sex Res. 2022 May-Jun;59(5):662-670. doi: 10.1080/00224499.2021.2004083. Epub 2021 Dec 2.
More than 600,000 incarcerated individuals are released annually in the United States; a large proportion are Black men incarcerated for drug-related offenses, including drug use and possession. Formerly incarcerated Black men report elevated rates of condomless sex and sexually transmitted infections, including human immunodeficiency virus (HIV). The purpose of this study was to explore condom usage among Black men who were formerly incarcerated for drug-related offenses and living in New York City (NYC). Using a semi-structured interview guide, in-depth interviews were conducted with 26 formerly incarcerated Black men. Interviews were audio-recorded, transcribed, and entered into NVivo, then manually coded utilizing thematic analysis methods. The following four themes were identified: partner type and length of the relationship affected condom use; diminished pleasure was a barrier for condom use; challenges with ill-fitting and poor-quality condoms; and the withdrawal method was used as an HIV prevention technique. Our findings suggest that formerly incarcerated Black men are engaging in condomless sex post-incarceration. Greater exposure to prevention messages and targeted interventions with content that includes interpersonal and condom use skill-building, methods to increase pleasurable condom use, information on HIV and STI transmission modes, and access to pre-exposure prophylaxis (PrEP) may be beneficial for this population.
超过 60 万名被监禁者每年在美国获释;其中很大一部分是因与毒品有关的罪行(包括吸毒和持有毒品)而被监禁的黑人男性。以前被监禁的黑人男性报告说,他们无保护措施的性行为和性传播感染(包括艾滋病毒)的比率很高。本研究的目的是探讨在纽约市(NYC)居住的因与毒品有关的罪行而被监禁的黑人男性的 condom 使用情况。研究人员使用半结构化访谈指南,对 26 名以前因毒品犯罪而被监禁的黑人男性进行了深入访谈。访谈内容进行了录音、转录,并输入 NVivo,然后利用主题分析方法进行手动编码。确定了以下四个主题:伴侣类型和关系的长短影响 condom 的使用;快感的减少是 condom 使用的障碍;避孕套不合适和质量差的挑战;以及 withdrawal 方法被用作 HIV 预防技术。我们的研究结果表明,以前被监禁的黑人男性在监禁后进行了无 condom 的性行为。更多地接触预防信息和有针对性的干预措施,其内容包括人际关系和 condom 使用技能的培养、增加愉快 condom 使用的方法、关于 HIV 和性传播感染传播模式的信息,以及获得暴露前预防(PrEP),可能对这一人群有益。
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