HIV, Sexually Transmitted Infection, and Substance Use Continuum of Care Interventions Among Criminal Justice–Involved Black Men Who Have Sex With Men: A Systematic Review

Autor: Kayo Fujimoto, Victoria Buckman, Nina T. Harawa, Aditya S. Khanna, Santhoshini Ramani, Russell Brewer, John A. Schneider
Rok vydání: 2018
Předmět:
Male
Human immunodeficiency virus (HIV)
Psychological intervention
HIV Infections
medicine.disease_cause
Men who have sex with men
Drug Abuse
Sexual and Gender Minorities
0302 clinical medicine
Criminal Law
030212 general & internal medicine
Homosexuality
Continuum of care
Young adult
media_common
African Americans
Pediatric
Medical And Health Sciences
Substance Abuse
virus diseases
Continuity of Patient Care
Infectious Diseases
Mental Health
HIV/AIDS
Public Health
Infection
0305 other medical science
Criminal justice
Adult
medicine.medical_specialty
Substance-Related Disorders
AJPH Open-Themed Research
media_common.quotation_subject
Clinical Trials and Supportive Activities
Sexually Transmitted Diseases
Young Adult
03 medical and health sciences
Clinical Research
Behavioral and Social Science
medicine
Humans
Homosexuality
Male
Psychiatry
030505 public health
business.industry
Prevention
Prisoners
Public Health
Environmental and Occupational Health
HIV
Criminals
Black or African American
Sexually Transmitted Infections
AJPH Editorials
Substance use
business
Zdroj: Harawa, Nina T; Brewer, Russell; Buckman, Victoria; Ramani, Santhoshini; Khanna, Aditya; Fujimoto, Kayo; et al.(2018). HIV, Sexually Transmitted Infection, and Substance Use Continuum of Care Interventions Among Criminal Justice-Involved Black Men Who Have Sex With Men: A Systematic Review. AMERICAN JOURNAL OF PUBLIC HEALTH, 108(S4), E1-E9. doi: 10.2105/AJPH.2018.304698. UC Office of the President: Research Grants Program Office (RGPO). Retrieved from: http://www.escholarship.org/uc/item/8xx322b0
American journal of public health, vol 108, iss S4
ISSN: 1541-0048
0090-0036
DOI: 10.2105/ajph.2018.304698
Popis: Background. Because Black men who have sex with men (BMSM) experience high rates of both HIV and incarceration relative to other groups, the various stages of criminal justice involvement may serve as important intervention points for addressing HIV and related conditions in this group. Although systematic reviews of HIV interventions targeting MSM in general and BMSM in particular exist, no review has explored the range and impact of HIV, sexually transmitted infection (STI), and substance use prevention and care continuum interventions focused on criminal justice–involved (CJI) populations. Objectives. To describe the range and impact of published HIV, STI, and related substance use interventions for US-based CJI populations and to understand their relevance for BMSM. Search Methods. We conducted systematic searches in the following databases: PubMed, MEDLINE, Cochrane, CINAHL, and PsycINFO, covering the period preceding December 1, 2016. Selection Criteria. We selected articles in scientific publications involving quantitative findings for studies of US-based interventions that focused on CJI individuals, with outcomes related to sexual or substance use risk behaviors, HIV, or STIs. We excluded studies if they provided no demographic information, had minimal representation of the population of interest ( Data Collection and Analysis. We abstracted data from these articles on study design; years covered; study location; participant number, demographics, and sexual orientation (if available); criminal justice setting or type; health condition; targeted outcomes; and key findings. We scored studies by using the Downs and Black quality and bias assessment. We conducted linear regression to examine changes in study quality by publication year. Main Results. Fifty-eight articles met inclusion criteria, including 8 (13.8%) modeling or cost-effectiveness studies and 13 (22.4%) randomized controlled trials. Just 3 studies (5.2%) focused on sexual or gender minorities, with only 1 focused on BMSM. In most studies (n = 36; 62.1%), however, more than 50% of participants were Black. The most common intervention addressed screening, including 20 empirical studies and 7 modeling studies. Education-focused interventions were also common (n = 15) and usually employed didactic rather than skill-building approaches. They were more likely to demonstrate increases in HIV testing, knowledge, and condom-use intentions than reductions in sex- and drug-risk behaviors. Screening programs consistently indicated cost-effectiveness, including with BMSM. Care continuum interventions for people living with HIV showed mixed results; just 3 involved randomized controlled trials, and these interventions did not show significant differences compared with control conditions. A minority of programs targeted non–custody-based CJI populations, despite their constituting a majority of the CJI population at any given time. Authors’ Conclusions. Screening CJI populations for HIV and other STIs is effective and cost-efficient and holds promise for reducing HIV in BMSM. Education-based and care provision interventions also hold promise for addressing HIV, STIs, mental health, and substance use in CJI populations. Additional empirical and modeling studies and results specific to sexual minorities are needed; their paucity represents a disparity in how HIV is addressed. Public Health Implications. HIV and STI screening programs focused on CJI populations should be a priority for reducing HIV risk and numbers of undiagnosed infections among BMSM. Funding agencies and public health leaders should prioritize research to improve the knowledge base regarding which care continuum intervention approaches are most effective for BMSM with criminal justice involvement. Developments in modeling approaches could allow researchers to simulate the impacts and costs of criminal justice involvement–related interventions that might otherwise be cost, time, or ethically prohibitive to study empirically.
Databáze: OpenAIRE
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