Division of Infectious Diseases, Department of Medicine, Warren Alpert Medical School, Brown University, Providence, RI, 02903, USA.
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, 02903, USA.
AIDS Behav. 2023 Aug;27(8):2513-2522. doi: 10.1007/s10461-023-03978-5. Epub 2023 Jan 12.
Men who have sex with men (MSM) with a history of incarceration experience unique risk factors for HIV acquisition. The current study examined unique risk factors for HIV among MSM with a history of incarceration presenting to a sexually transmitted infections (STI) clinic. We analyzed self-reported behavioral data from clinical encounters among patients attending the clinic between January 2012 and April 2021. There were 17,221 unique visits, of which 5988 were MSM. Of these, 4.34% (N = 206) were MSM with a history of incarceration. MSM with a history of incarceration were significantly more likely to report a range of behavioral risk factors for HIV, yet also were significantly less likely to perceive themselves at risk for HIV. Future research and practice should develop culturally tailored biobehavioral HIV prevention services and consider embedding these programs within criminal justice settings to better reach this at-risk group.
男男性行为者（MSM）有入狱史，他们获得艾滋病毒的风险因素独特。本研究调查了在性传播感染（STI）诊所就诊的有入狱史的 MSM 中，艾滋病毒感染的独特风险因素。我们分析了 2012 年 1 月至 2021 年 4 月期间在该诊所就诊的患者临床就诊时的自我报告行为数据。共有 17221 次就诊，其中 5988 次为 MSM。其中，4.34%（N=206）为有入狱史的 MSM。有入狱史的 MSM 报告了一系列与艾滋病毒相关的行为风险因素的可能性显著更高，但他们也显著更不可能认为自己有感染艾滋病毒的风险。未来的研究和实践应制定针对文化的、兼顾生物行为因素的艾滋病毒预防服务，并考虑在刑事司法环境中嵌入这些项目，以更好地接触这一高危群体。
