Incarceration and HIV among Young African American MSM: The moderating effects of education, employment, and social support
methods: Data were collected as a part of a phase III clinical trial held in a clinic diagnosing and treating sexually transmitted infections in the South. Participants were males, aged 16-29 years, who self-identified as African American/Black and reported recent (past 90 days) anal intercourse with a male partner. Incarceration was assessed using a single measure and was tested against dichotomous measures for HIV serostatus, unprotected insertive anal sex (UIAS), unprotected receptive anal sex (URAS), and sex with a new partner (SNP). Chi-square tests and logistic regression models were used to analyze the data. The moderating effects of education, employment, and social support were also examined.
results: Of the 340 participants, 99 (29.1%) had been incarcerated at least once in their lifetime. This sample had high prevalence of HIV (22.6%), UAIS (64.4%), UARS (47.1%), and SNP (70.6%). Regression analysis indicated that incarceration was associated with HIV seropositive status and UIAS. Moderation analysis indicated that enrollment status, employment, and social support did not have an effect the association between incarceration and HIV seropositive status; enrollment in school and educational attainment had an effect on the association between incarceration and UIAS.
conclusion: The high rates of unprotected anal sex and HIV among this sample of young post-incarcerated African American MSM suggests a need for safe sex interventions tailored specifically for this population.
Learning Areas:Implementation of health education strategies, interventions and programs
Social and behavioral sciences
Identify an association between incarceration and HIV and sexual risk behavior among young Black men who have sex with men
Keyword(s): Criminal Justice, HIV Risk Behavior
Qualified on the content I am responsible for because: I have been a data manager and co-principal investigator of multiple NIMH funded grants on HIV prevention and sexual risk behavior. My scientific interests include the development of strategies for preventing HIV and STDs in young African American men and women.
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.