218817 Condom use among formerly incarcerated Latino men

Monday, November 8, 2010

Francisco Quinones , Department of Sociomedical Sciences, Columbia University, New York, NY
Hector Ramos , Department of Sociomedical Sciences, Columbia University, New York, NY
Ilka Bobet , Department of Sociomedical Sciences, Columbia University, New York, NY
Santos Bobet , Department of Sociomedical Sciences, Columbia University, New York, NY
Vincent Guilamo-Ramos, PhD , School of Social Work, Columbia University, New York, NY
Miguel Munoz-Laboy, DrPH , Department of Sociomedical Sciences, Columbia University, New York, NY
BACKGROUND: Latinos in the United States are disproportionally affected by the AIDS epidemic, resulting in AIDS being the fourth leading cause of death among Latinos. Formerly incarcerated Latino men (FILM) are a critical group in the spread of the AIDS epidemic. Nationwide, Latinos represent more than a quarter of all inmates. Research suggests that upon release, FILM engage in high rates of HIV-related sexual risk behaviors. This analysis documents perspectives on condom use among FILM. METHODS: We conducted 45-60 minute open-ended interviews with 60 FILM who have served jail or prison time within the past 5 years, ages 18 to 45. Participants were selected through peer-outreach conducted in 4 urban communities. RESULTS: 70% reported finding nothing positive about using condoms, 60% reported that not using condoms felt more real and natural, although no major perceived barriers to condom use were reported. In fact the vast majority of respondents reported confidence in using condoms (e.g., I can use condoms if I want to). Three quarters of respondents reported difficulty talking to sexual partners about condom use because of the perception that they may have been infected with HIV while incarcerated. Sixty five percent reported concurrent sexual partnerships within the last 4 months. Type of partners included: wifeys (long-term female partners), wives (legal spouses) and baby mamas (mothers of their children). CONCLUSIONS: Interventions to increase condom use among FILM should focus on emphasizing the positive aspects of condom use and empowering FILM to overcome incarceration stigma and negotiate condom use with partners.

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

Learning Objectives:
1. Identify the special needs of formerly incarcerated populations with regards to HIV/AIDS prevention 2. Assess the content of condomu use messages for formerly incarcerated Latino populations

Keywords: HIV Risk Behavior, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted the data collection and analyze together with the team the research findings.
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.