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J Acquir Immune Defic Syndr. 2000 Aug 1;24(4):386-92.

High-risk behaviors during incarceration in African-American men treated for HIV at three Los Angeles public medical centers.

Author information

1
HIV Epidemiology Program, Los Angeles County Department of Health Services, Los Angeles, CA, USA. awohl@dhs.co.la.ca.us

Abstract

OBJECTIVES:

This paper describes research that examined the association between high-risk sexual and drug-using behaviors during incarceration and HIV infection for African-American men receiving HIV care at three public medical centers in Los Angeles County (LAC), California.

METHODS:

A case-control study was conducted in which 305 HIV-infected African-American men and 305 neighborhood controls, ages 20 to 49, were frequency-matched by age.

RESULTS:

After controlling for anal sex while not incarcerated, we found no association between anal sex during incarceration and HIV (odds ratio [OR], 1.1; 95% confidence interval [CI], 0.6-2.2). Among men with a history of incarceration (n = 332), the percentage reporting anal sex with men outside of incarceration (45%) was greater than those reporting anal sex while incarcerated (16%). Injection drug use (IDU) during incarceration was also not associated with HIV when controlling for IDU outside of incarceration (OR, 1.6; 95% CI, 0.5- 4.9). Increased time in jail or prison was associated with less HIV infection (p =.001).

CONCLUSIONS:

Although high-risk behaviors are more common in the community than in the incarcerated setting for this study group, incarcerated populations represent a high-risk group for whom access to prevention messages is limited. Periods of incarceration represent a unique opportunity to convey prevention messages that focus on high-risk behaviors outside the incarcerated setting.

PMID:
11015156
[Indexed for MEDLINE]

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