205420 HIV and HCV prevalence and sexual risk behaviors among women with criminal justice system involvement

Wednesday, November 11, 2009

Simon Michael Fitzgerald , College of Medicine, School of Public Health, SUNY Downstate Medical Center, Brooklyn, NY
Yolene Gousse, MPH , STAR Program, SUNY Downstate Medical Center, Brooklyn, NY
Jack DeHovitz, MD MPH , College of Medicine, SUNY Downstate Medical Center, Brooklyn, NY
Mayange Frederick , STAR Program, SUNY Downstate Medical Center, Brooklyn, NY
Angelette Provenzali, MSW , SUNY Downstate Medical Center, Brooklyn, NY
Tracey Wilson, PhD , Graduate Program in Public Health, SUNY Downstate Medical Center, Brooklyn, NY
Background: Criminal-justice involved women are at increased risk for HIV and other infectious diseases. To inform interventions designed to reduce HIV transmission risk behaviors in this population, we describe sexual behaviors, associated social and contextual risk factors, and HIV and HCV prevalence.

Methods: As part of a SAMHSA-funded program designed to promote testing, education, and care linkages among criminal-justice involved women in New York City, 175 women completed a baseline self-report ACASI survey and were tested for HIV and HCV infection between 6/07-9/09.

Results: Respondent mean age was 43; 57% were African American and 23% Latina; 63% had less than 10K annual income. In the last 3 months, nearly half were homeless (48%), 19% used illicit drugs, 30% were married or living with a partner and 37% reported physical partner abuse. Twenty six percent had unprotected sex in exchange for money, drugs, or shelter, with an IDU, or with someone with suspected HIV/STD infection; 24% were positive for HIV (6%) or HCV (16%). Higher-risk sex was reported in 27% of women with HIV/HCV infection, and 19% without infection (p=.29). In a logistic regression model including age, drug use, relationship status, housing, income, and abuse, lower income (OR 1.5) and drug use (OR 5.3) were associated with high-risk sexual behavior (both p < .05).

Conclusions: This sample had high rates of HIV/HCV infection, homelessness, domestic abuse, and high-risk sexual behavior. Poverty and drug use were associated with high-risk sexual behavior, although differences between risk behavior and HIV/HCV status were not detected.

Learning Objectives:
1. Describe the participant population of an HIV/HCV prevention study targeting women involved in the criminal justice system in Brooklyn, New York. 2. Describe HIV and HCV prevalence and high-risk behavior in the participant population. 3. Identify participant characteristics associated with high-risk behavior.

Keywords: Women and HIV/AIDS, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am studying for a masters in public health and an MD at SUNY Downstate Medical Center, and have been working with Dr. Tracey Wilson of SUNY Downstate and Yolene Gousse of the STAR program at SUNY Downstate, who have been working on the primary longitudinal service and evalution program whose data I will be analyzing and presenting. This abstract was developed in part under grant number SP133353 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S Department of health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.