Gender Differences in HIV Risk Behaviors Among Persons Involved in the U.S. Criminal Justice System and Living with HIV or at Risk for HIV: A 'Seek, Test, Treat, and Retain' Harmonization Consortium
| Autor: | Michael S. Gordon, Curt G. Beckwith, Irene Kuo, Rebekah Young, Sandra A. Springer, Jeremy D. Young, Mary L. Biggs, David W. Seal, Lawrence J. Ouellet, Kelsey B. Loeliger, William E. Cunningham, Frederick L. Altice |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Sexual Behavior Population Psychological intervention HIV Infections Logistic regression Article Health Services Accessibility Developmental psychology 03 medical and health sciences Young Adult 0302 clinical medicine Risk-Taking Sex Factors Acquired immunodeficiency syndrome (AIDS) Criminal Law medicine Humans 030212 general & internal medicine education Substance Abuse Intravenous education.field_of_study 030505 public health Public health Public Health Environmental and Occupational Health virus diseases Middle Aged medicine.disease United States Sexual intercourse Health psychology Infectious Diseases Logistic Models Sexual Partners Prisons Female 0305 other medical science Psychology Demography Criminal justice |
| Popis: | The U.S. female criminal justice (CJ) population is rapidly growing, yet large-scale studies exploring gender-specific HIV risk behaviors in the CJ population are lacking. This analysis uses baseline data on adults with a CJ history from eight U.S. studies in an NIH-funded "Seek, Test, Treat, Retain" harmonization consortium. Data were collected using a standardized HIV risk behavior assessment tool and pooled across studies to describe participants' characteristics and risk behaviors. Multilevel mixed-effects logistic regression models were used to test for gender-based behavior differences. Among 784 HIV-positive (21.4% female) and 5521 HIV-negative (8.5% female) participants, HIV-positive women had higher odds than HIV-positive men of engaging in condomless sexual intercourse (AOR 1.84 [1.16-2.95]) with potentially sero-discordant partners (AOR 2.40 [1.41-4.09]) and of sharing injection equipment (AOR 3.36 [1.31-8.63]). HIV risk reduction interventions targeting CJ-involved women with HIV are urgently needed as this population may represent an under-recognized potential source of HIV transmission. |
| Databáze: | OpenAIRE |
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