221615 Community-Based Participatory Research with the Justice System to Enhance STI Testing and Treatment

Monday, November 8, 2010 : 11:10 AM - 11:30 AM

Alexis Roth, MPH , Section of Adolescent Medicine, Indiana University School of Medicine, Indianapolis, IN
J. Dennis Fortenberry, MD, MS , Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN
Greg Zimet, PhD , Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN
Brian Dodge, PhD , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Barbara Van Der Pol, PhD, MPH , Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN
Michael Reece, PhD, MPH , Center for Sexual Health Promotion, Indiana University, Bloomington, IN
Background: Criminal behavior and sexually transmitted infections are co-occurring social epidemics. Therefore, individuals engaged with the justice system have been prioritized for both HIV and STI prevention and treatment programs. Through a CBPR partnership with the justice system we sought to: 1) understand preferences for STI prevention, screening and care among individuals in the judicial system, 2) improve sentinel surveillance of this community, and 3) assess the feasibility of a court-based STI screening program. Methods: We utilized CBPR to engage stakeholders involved in the Marion County Community Court (Indiana) to collaboratively design an STI screening program and research protocols. An ongoing study resulting from this partnership assesses women's attitudes towards genital herpes (HSV-2) and associations between their attitudes and STI screening- and treatment-related behaviors. Results: Of 28 women accepting no-cost testing for HSV-2, 46.4% were antibody-positive, a rate higher than the national prevalence rate (17%) and the rate from an Indianapolis STD clinic population (22.5%). Factors identified as facilitating and challenging the sustainability of this partnership were related to a) the conceptualization of community within a court-specific setting, b) developing research protocols that reflected mutual interests, c) the ethics of co-conducting data analysis, and d) determining dissemination venues that benefit both the court and court community. Conclusion: Justice-public health collaborations, developed using CBPR, engage highly-vulnerable individuals with research and services in their community and afford important opportunities to develop culturally-relevant interventions. The burden of HSV-2 we detected evidences that this population would benefit from improved access to sexual health services.

Learning Areas:
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the benefits of collaborating with the judicial system to deliver sexual health services. Demonstrate how CBPR principals can be applied to non-traditional communities including a local Community Court. Describe the key steps associated with the development of a sustainable a judicial-public health partnership.

Keywords: Community-Based Health Promotion, Criminal Justice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I help design, implement, and evaluate programs aimed to improve sexual health.
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.