216542 HIV risk behaviors among male prisoners participating in a randomized clinical trial of methadone maintenance treatment: 12 month findings

Monday, November 8, 2010

Monique E. Wilson, DrPH , Social Research Center, Friends Research Institute, Inc., Baltimore, MD
Michael Gordon, DPA , Social Research Center, Friends Research Institute, Inc., Baltimore, MD
Timothy Kinlock, PhD , Social Research Center, Friends Research Institute, Inc., Baltimore, MD
Robert Schwartz, MD , Social Research Center, Friends Research Institute, Inc., Baltimore, MD
Kevin E. O'Grady, PhD , Department of Psychology, University of Maryland, College Park, MD
Background: The “Methadone Maintenance for Prisoners” project examined benefits of providing methadone maintenance to prison inmates nearing release. The current study examined differences in HIV-risk behaviors of these inmates over a 12-month time period.

Methods: Linear mixed model analyses determined differences on items from the TCU AIDS Risk Assessment in 211 pre-release males with pre-incarceration heroin dependence who met criteria for methadone treatment. Participants were randomly assigned to one of three conditions: 1) Counseling Only: counseling in prison and passive referral to community-based drug treatment; 2) Counseling+Transfer: counseling in prison and transfer to methadone maintenance in the community upon release; or, 3) Counseling+Methadone: counseling and methadone in prison with transfer to methadone treatment in the community upon release. Data were examined at study intake (Baseline, 30 days prior to most recent incarceration) and at 4 follow-up Time points (1, 3, 6 and 12 months after release from prison).

Results: There were significant changes in HIV-risk behaviors over Time. In particular, number of times injected decreased in the first 30 days post-release from baseline [M=110.4 (SE=10.5) to 1-Month [M=13.8 (SE=2.7)] post-release, p<.01. Sex without a condom decreased from baseline [M=19.4 (SE=2.1)] to 1- [M=8.8 (SE=1.0)] and to 12-months [M=10.3 (SE=1.3)] post–release, p<.02.

Conclusions: Inmates may be more likely to engage in HIV-risky drug and sexual behaviors prior to incarceration. These behaviors appear to decrease within the first 30 days and 12 months post-release.

Learning Areas:
Public health or related research
Social and behavioral sciences

Learning Objectives:
Assess the extent to which HIV risk behaviors change over time among prisoners participating in a randomized trial of methadone maintenance.

Keywords: HIV Risk Behavior, Methadone Maintenance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a junior research scientist at a social research center and have presented in the area of HIV at other scientific meetings.
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.